• Bilingual Reimbursement Specialist

    Cardinal Health (Tallahassee, FL)
    Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... phone calls for patient follow ups or confirmations + Demonstrate superior customer support talents + Interact with the patient referral sources to process new… more
    Cardinal Health (09/03/25)
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  • Member Engagement Specialist

    Wider Circle (Daytona Beach, FL)
    …Establish partnerships with community-based organizations to broaden the range of support services available to our members. + Provide culturally appropriate health ... nutrition, chronic disease management, mental health, and preventative care. + Support individuals in understanding and navigating the healthcare system. + Organize… more
    Wider Circle (07/31/25)
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  • Revenue Integrity Coding Specialist - CPC…

    Trinity Health (Fort Lauderdale, FL)
    …Revenue Integrity staff and providers to educate on improved documentation to support coding. Neurosurgery experience is highly preferred. CPC license is REQUIRED. ... abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal,… more
    Trinity Health (08/14/25)
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  • Senior Specialist , Provider Network…

    Molina Healthcare (FL)
    …+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (eg, ... Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with… more
    Molina Healthcare (08/02/25)
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  • Delaware Valley ACO Fellowship

    Humana (Tallahassee, FL)
    …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP participation… more
    Humana (07/30/25)
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  • Referrals Supervisor

    ChenMed (Jacksonville, FL)
    …Checklist. + Communicates alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and follows up ... and higher level of satisfaction with key specialists with support from network director or associate director. + Conducts...entered into HITS prospectively. + Works with tier2/tier 3 specialist to make sure our patients are seen working… more
    ChenMed (08/22/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Tampa, FL)
    **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
    Molina Healthcare (08/20/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …for anywhere from 1 - 3 months according to individual needs, with continued support throughout your career here! This is a fully remote position and available if ... have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding… more
    Banner Health (08/30/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (FL)
    …thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with Network to ... + Partner with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets. **Applied Analytical … more
    Molina Healthcare (08/14/25)
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  • Clinical Trials Application Supervisor

    AdventHealth (Orlando, FL)
    …Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... is knowledgeable in the areas of clinical trial budgets and protocols, Medicare coverage analysis, clinical trial financial processes including invoicing and time… more
    AdventHealth (09/02/25)
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