• Home Health Clinical Manager RN Full Time

    Aveanna Healthcare (Bradenton, FL)
    …Offerings: + 401(k) with company match + Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance + Generous PTO, sick time, ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (11/22/25)
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  • Director, Field Health Economics and Reimbursement

    Edwards Lifesciences (Miami, FL)
    …payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran ... Reimbursement and/or sales experience. + Strong understanding of the commercial insurance landscape and relevant reimbursement processes. A solid understanding of… more
    Edwards Lifesciences (11/22/25)
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  • Manager, Medical Economics (New York Health Plan)

    Molina Healthcare (Tampa, FL)
    …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required ... hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.)… more
    Molina Healthcare (11/21/25)
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  • Referrals Supervisor

    ChenMed (Jacksonville, FL)
    …and leadership-focused position working directly with patients and their families, insurance representatives, doctors and other medical personnel in a dynamic and ... Understanding of the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace + Ability to determine… more
    ChenMed (11/21/25)
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  • Senior Director, Strategy & Analysis, Contract…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
    Otsuka America Pharmaceutical Inc. (11/20/25)
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  • RN Clinical Supervisor - Hybrid Schedule

    Aveanna Healthcare (Fort Lauderdale, FL)
    …in 2024 Comprehensive Benefits Package + Health, Dental, Vision, and Company-paid Life Insurance + Paid Holidays, Vacation Days, and Sick Days + Quarterly Bonus ... to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related… more
    Aveanna Healthcare (11/18/25)
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  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
    Evolent (11/18/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Orlando, FL)
    …with the chief medical officer for administrative law judge pre-hearings, state insurance commission, and meet and confers. * Represents Molina and presents cases ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more
    Molina Healthcare (11/14/25)
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  • Field Medical Director, Cardiology

    Evolent (Tallahassee, FL)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
    Evolent (11/14/25)
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  • Salesforce Business Analyst

    ABBTECH Professional Resources, Inc. (Tallahassee, FL)
    …SAFe Product Owner or SAFe Agilist. Experience working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance /heath care experience * ... requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business Analyst… more
    ABBTECH Professional Resources, Inc. (11/06/25)
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