• Non-Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA ... Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...also available). **BAYADA Perks:** + This role is **fully remote ,** candidates may be based anywhere in the US… more
    BAYADA Home Health Care (08/15/25)
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  • Clinical Documentation Integrity Specialist…

    AdventHealth (Altamonte Springs, FL)
    **AdventHealth Corporate** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing ... we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision of the Director… more
    AdventHealth (08/07/25)
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  • RN Lead, HCS (Clinical) Remote with field…

    Molina Healthcare (St. Petersburg, FL)
    …diverse communities! Hours: Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25% field travel MA RN license **KNOWLEDGE/SKILLS/ABILITIES** + Assists in ... that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined… more
    Molina Healthcare (08/15/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (FL)
    …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with… more
    Molina Healthcare (07/31/25)
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  • Senior Manager , MarketPoint Sales

    Humana (Ocala, FL)
    …Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents ... community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives a team of..., MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
    Humana (07/30/25)
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  • Sr Digital Marketing Specialist ( Remote )

    Molina Healthcare (Jacksonville, FL)
    …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL… more
    Molina Healthcare (08/14/25)
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  • Lead Analyst, Technical Configuration Information…

    Molina Healthcare (Tampa, FL)
    …system requirements of customers as it pertains to contracting, benefits , prior authorizations, fee schedules, and other business requirements. ... complex MRDT and other configuration update scripts + Assists manager in establishing standards, guidelines, and best practices for...proof of concept tests without needing mentoring + Eg, Medicare Exclusion POC + Acts as a team lead,… more
    Molina Healthcare (08/27/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Orlando, FL)
    …provider readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into ... its clients in their search for a Field Reimbursement Manager to work remotely from Florida! **Pay rate** :...disability, additional voluntary benefits , EAP program, commuter benefits and a 401K plan. Our benefit more
    Adecco US, Inc. (08/21/25)
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  • Lead Product Manager - Dual Population

    Humana (Tallahassee, FL)
    …develop engagement best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various ... our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager ...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (08/23/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Jacksonville, FL)
    …pharmacy and medical benefits including buy & bill and/or assignment of benefit (AOB) across multiple sites of care + Remains current on and anticipates changes ... Florida, United States of America **Job Description:** **Field Reimbursement Manager (Immunology Dermatology)- Jacksonville, FL- Johnson & Johnson HCS, Inc**… more
    J&J Family of Companies (08/25/25)
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