• Utilization Review Clinician

    Monte Nido (Miami, FL)
    …review and clinical documentation across programs. + Leverage understanding of medical necessity criteria and current behavioral health insurance landscape ... from a multi-disciplinary treatment team approach while integrating state-of-the-art medical , psychiatric, nutritional, and clinical strategies to provide comprehensive… more
    Monte Nido (08/28/25)
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  • Contract Negotiator Senior

    AdventHealth (Maitland, FL)
    …Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... as lead negotiator for assigned top-tier and mid-level tier managed care health plans in facilitating contract negotiations with AdventHealth business divisions to… more
    AdventHealth (08/07/25)
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  • HSE Specialist

    IKO (Jacksonville, FL)
    …workers' compensation cases. Acts as facility safety contact for work comp claims questions, interfaces with insurance adjusters, medical professionals and ... the day to day implementation and continuous improvement of Health & Safety programs. The Health &...improvement of Health & Safety programs. The Health & Safety Specialist position provides technical and professional… more
    IKO (06/10/25)
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  • Sr. Product Manager - Localized Drug Delivery…

    Medtronic (Jacksonville, FL)
    …we lead global healthcare technology and boldly attack the most challenging health problems facing humanity, by searching out and finding solutions. Our mission ... - to alleviate pain, restore health , and extend life - unites a global team...complement product development and positioning strategies. + Develop desired claims in partnership with Downstream Marketing and drive alignment… more
    Medtronic (08/28/25)
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  • Business Systems Analyst 3 - Revenue Integrity

    University of Miami (Miami, FL)
    …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth-University of Miami Health System IT Department has an opportunity ... Functions: Business Systems Analyst 3 - Revenue Integrity supports the financial health of the organization by ensuring accurate, compliant, and complete charge… more
    University of Miami (08/22/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Sun City Center, FL)
    …Florida South Shore Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... programs include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
    HCA Healthcare (07/24/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Trinity, FL)
    …HCA Florida Trinity Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... programs include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
    HCA Healthcare (08/15/25)
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  • RN Care Manager Remote with field travel in WA…

    Molina Healthcare (Miami, FL)
    …1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required License, Certification, Association** ... 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License, Certification, Association… more
    Molina Healthcare (08/08/25)
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  • Pharmacy Intern Grad

    Walgreens (Kissimmee, FL)
    …and Healthcare Supervisor. + Develops and maintains good relationships with local medical community including physicians, nurses, and other health care ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, … more
    Walgreens (08/26/25)
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  • Manager, Provider Contracting - Tampa, FL market…

    The Cigna Group (Tampa, FL)
    …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, ... position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external...of The Cigna Group, is an advocate for better health through every stage of life. We guide our… more
    The Cigna Group (07/23/25)
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