• Utilization Management Registered Nurse

    Humana (Tallahassee, FL)
    …The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ... necessity and appropriateness of care + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote work… more
    Humana (09/04/25)
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  • Bilingual Case Manager

    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 ... about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while… more
    Cardinal Health (09/03/25)
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  • 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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  • Director, US Market Access Marketing

    Pfizer (Tampa, FL)
    …access. The access marketer will advocate for reimbursement and policy approaches that support Brand uptake and performance. The US Market Access Marketer will be ... the development of the Customer/Brand engagement strategy for top accounts within Medicare , Commercial and other channels as appropriate based on clinical and… more
    Pfizer (08/31/25)
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  • Care Experience Manager

    Aveanna Healthcare (Winter Park, FL)
    …New Hire Orientation + Employee Resource Groups for Community and Support Position Details: Compensation:$42,000.00+ base salary, quarterly bonuses, paid rotating ... and address cost containment to ensure efficient case assignments. + Evaluate and support staff performance with a positive approach. + Provide 24/7 on-call … more
    Aveanna Healthcare (08/29/25)
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  • Staff Utilization Management Pharmacist (VSP/PT)

    Humana (Tallahassee, FL)
    …may intervene and provide clinical guidance to patients and providers to support cost-effective medication use and promote high-quality patient outcomes. **Use your ... residence + Eligibility to participate in federal prescription programs (eg, Medicare /Medicaid) + Self-directed with the ability to work effectively both… more
    Humana (08/27/25)
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  • PRN RN Home Health

    HCA Healthcare (Orlando, FL)
    …Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. ... banking partnerships + Education assistance (tuition, student loan, certification support , dependent scholarships) + Colleague recognition program + Time Away… more
    HCA Healthcare (08/26/25)
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  • Physician Contract Administration

    AdventHealth (Maitland, FL)
    …Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... necessary research to obtain and maintain non-contracted payer reimbursement including Medicare , Medicaid, Tricare and other govt payers. * Responsible for ensuring… more
    AdventHealth (08/26/25)
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  • AVP, Encounters

    Molina Healthcare (Jacksonville, FL)
    …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... partnerships supporting the production of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across… more
    Molina Healthcare (08/22/25)
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  • RN Home Health

    HCA Healthcare (Fort Myers, FL)
    …Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. ... banking partnerships + Education assistance (tuition, student loan, certification support , dependent scholarships) + Colleague recognition program + Time Away… more
    HCA Healthcare (08/22/25)
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