• Clinical Manager

    AdventHealth (Ormond Beach, FL)
    **Clinical Manager ** **AdventHealth** **Hom Health ** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off ... Day One + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being… more
    AdventHealth (08/07/25)
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  • Manager , DRG Validation

    Zelis (St. Petersburg, FL)
    …and identification of revenue opportunities + Experience and working knowledge of Health Insurance , Medicare guidelines and various healthcare programs ... more than 750 payers, including the top five national health plans, regional health plans, TPAs and...interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR)… more
    Zelis (08/02/25)
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  • Patient Care Manager

    Gentiva (Winter Garden, FL)
    …provide appropriate advocacy and oversight **We Offer** + Comprehensive Benefits Package: Health Insurance , 401k Plan, Tuition Reimbursement, PTO + Opportunity ... **Overview** We're looking for a **Patient Care Manager ** to join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care … more
    Gentiva (08/08/25)
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  • Insurance Verification Representative…

    Surgery Care Affiliates (Tallahassee, FL)
    …401k plan with company match, paid time off, life and disability insurance , and more. Click here (https://careers.sca. health /why-sca) to learn more about ... selection is the appropriate payer and associated financial class. + When the patient's insurance is Out of Network notify the manager immediately. Follow the… more
    Surgery Care Affiliates (07/15/25)
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  • Clinical Coding and OASIS Review

    BAYADA Home Health Care (Orlando, FL)
    …the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct ... immediate consideration. OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As an accredited, regulated,… more
    BAYADA Home Health Care (08/15/25)
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  • QA Audit Manager - Operations

    Healthfirst (FL)
    …Member Services. + Knowledge of at least two or more lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family + ... + Bachelors degree from an accredited institution + Experience in Healthcare/ Health Plan customer service, operations, vendor management, or claims processing. +… more
    Healthfirst (08/16/25)
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  • Account Relations Manager II

    Centene Corporation (Tallahassee, FL)
    …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... - 4 years of related experience. Experience with CRM platform and Medicare experience highly preferred. Previous supervisory or team leadership experience is highly… more
    Centene Corporation (08/24/25)
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  • Sales, Territory Manager - RespirTech…

    Philips (Miami, FL)
    …evidence and obtaining medical record documentation. + Be an expert on Medicare , Medicaid and private insurance coverage-criteria for InCourage vest therapy. ... suppliers' locations. This is a field role. **About Philips** **:** We are a health technology company. We built our entire company around the belief that every… more
    Philips (08/11/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (Tampa, FL)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... is a proud member of Elevance Health 's family of brands. We administer...a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and experience,… more
    Elevance Health (08/14/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of ... companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health ,… more
    Elevance Health (08/14/25)
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