• Lead Data Scientist - Autonomous Goal Management

    Humana (Tallahassee, FL)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (10/03/25)
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  • Occupational Therapist, Home Health

    Humana (Hallandale Beach, FL)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (10/01/25)
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  • SVP, Oncology

    Evolent (Tallahassee, FL)
    …experience + 10+ years leading national oncology programs with deep regulatory expertise in Medicare , Medicaid , and Commercial + 5+ years as a national leader in ... the oncology space with participation in national forums related to oncology care + Experience in health plan operations highly desirable. + Proficiency creating and leading presentations to key stakeholders inside and outside of the organization, including… more
    Evolent (09/28/25)
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  • Division Director of Regulatory and Accreditation

    HCA Healthcare (Tampa, FL)
    …the regulatory and accrediting programs of The Joint Commission, (TJC), and Centers for Medicare & Medicaid Services (CMS), the Florida Agency for Health Care ... Administration (ACHA), and other applicable state and national programs. + You will work with facilities to drive improvement on national, state, and local publicly reported outcomes and measures, alignment, clinical variations, focused clinical reporting, and… more
    HCA Healthcare (09/27/25)
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  • Director Care Management

    AdventHealth (Orlando, FL)
    …department, including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, ... Social Services, Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience.… more
    AdventHealth (09/25/25)
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  • Surgery Scheduler 1 - UHealth SoLe Mia

    University of Miami (Miami, FL)
    …composure and sensitivity to each patient's individual situation. + Possess knowledge of Medicare , Medicaid , and various third party requirements. + Ability to ... accurately schedule patient appointments to provider schedules. + Must be diplomatic and be able to use discretion in relating with various types of people. The University of Miami offers competitive salaries and a comprehensive benefits package including… more
    University of Miami (09/18/25)
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  • Social Worker MSW

    HCA Healthcare (Tamarac, FL)
    …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... thorough understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge… more
    HCA Healthcare (09/17/25)
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  • Utilization Management Nurse - Home Solutions…

    Humana (Tallahassee, FL)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (09/12/25)
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  • Manager Care Management

    AdventHealth (Tampa, FL)
    …is responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services ... implementation of processes based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Manager is responsible for department engagement, customer… more
    AdventHealth (09/11/25)
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  • Anaplan Implementation Lead

    Humana (Tallahassee, FL)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (09/10/25)
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