- Evolent (Tallahassee, FL)
- …Stay for the culture. **What You'll Be Doing:** Job Description The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part ... of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of...policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with… more
- Elevance Health (Miami, FL)
- **Title: Grievance/ Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Grievance/ Appeals Analyst I** is an entry level position in...approve or summarize and route to nursing and/or medical staff for review. + The grievance and appeal work… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals… more
- MyFlorida (Marianna, FL)
- …is Florida's award-winning, state-funded child advocacy organization. With more than 10,000 staff and volunteers, which includes more than 180 attorneys, its primary ... OPS POSITION As a full-time OPS employee, your employee insurance rate will be significantly low due to the...as directed by the Director of Pro Bono and Appeals or the Circuit Director. + Responsible for developing… more
- MyFlorida (Largo, FL)
- ACCOUNTANT III-HEALTH INSURANCE BILLING Date: Aug 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 858856 Agency: Veterans Affairs Working Title: ACCOUNTANT III-HEALTH INSURANCE BILLING Pay Plan: Career Service Position Number: 50000244 Salary:… more
- HCA Healthcare (Gainesville, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the collaboration and coordination of… more
- AdventHealth (Altamonte Springs, FL)
- …(CM) departments and serves as a liaison between UM and CM teams and medical staff , as well as, the medical liaison for payor escalations. The Physician Advisor is ... Care Management, Managed Care and Revenue Cycle departments and applicable medical staff , as well as collaborating with other disciplines to assist in the… more
- AC Disaster Consulting (Tallahassee, FL)
- …Advisor: $114-156k/annual Benefits Summary: + Medical, Vision, and Dental Insurance + Short-Term Disability/Voluntary Long-Term Disability + 401(k) Account with ... + Able to manage complex cases and assist with documentation or appeals . + Skilled in coordinating with community partners and supporting program implementation… more
- Sarasota County Government (Sarasota, FL)
- …provide informed recommendations. + Draft Zoning Letters of Determination and support appeals , development reviews, and Board of Zoning Appeals activities under ... + Enjoy great benefits including Health, Dental, Vision, and Life Insurance , Short-Term and Long-Term Disability, Flexible Spending Accounts, Employee Assistance… more
- Ascension Health (Jacksonville, FL)
- …to join our team! **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term ... as an advocate on behalf of our patients, physicians and clinical staff . Identifies, cultivates and develops emerging physician leaders, provides coaching and… more