• Analyst, Integration Quality

    Evolent (Tallahassee, FL)
    …technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing effort ... landscape + Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow, members, providers +… more
    Evolent (08/29/25)
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  • Clinical Document Specialist- Heart of Florida…

    AdventHealth (Tampa, FL)
    …Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in ... other diseases. **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision… more
    AdventHealth (08/22/25)
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  • Pharmaceutical Trade Relations Sr Dir - Remote

    Prime Therapeutics (Tallahassee, FL)
    …Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for medical ... perspective to external partners (ie, pharmaceutical manufacturers, clients, marketplace, medical professionals, etc.) and communicate to ensure understanding of… more
    Prime Therapeutics (08/08/25)
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  • Lead Medicaid Actuary (Manager)

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Lead Actuary provides support across a broad range of actuarial, managerial, and business ... on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (08/27/25)
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  • Manager Care Management

    AdventHealth (Daytona Beach, FL)
    …Person Wellbeing Resources **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in ... community you'll be caring for:** AdventHealth Dayton Beach - 301 MEMORIAL MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The Care Management… more
    AdventHealth (08/14/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in ... care tower which will ensure state of the art medical and surgical car for generations to come .Awarded...accuracy retrospectively and concurrently as assigned by manager and/or Director . . Reviews and addresses all third party/Regulatory Agencies… more
    AdventHealth (08/07/25)
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