• Medical Receptionist - Patient Service Specialist

    Select Medical (Winter Haven, FL)
    …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED + Healthcare Experience **Preferred:** + 1 Year Medical Office Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
    Select Medical (12/19/25)
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  • Psychiatry Account Manager - Ocala / Orlando West

    Lundbeck (Ocala, FL)
    …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... **Pharmaceutical Environment/Compliance** - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and… more
    Lundbeck (12/19/25)
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  • Senior Digital Marketing Analyst

    Highmark Health (Tallahassee, FL)
    …analytics, or customer analytics. + Experience in **healthcare** , payer /provider environment, or other regulated industries (preferred). + Proventrack ... recordanalyzing complex customer and campaign datasets from CRM, CDP, web/app analytics, and marketing automation platforms. + Experience with Adobe Web SDK or Tealium/Freshpaintevent instrumentation. + Background in behavioral science, marketing science, or… more
    Highmark Health (12/18/25)
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  • Compliance Analyst

    HCA Healthcare (Orange Park, FL)
    …Standards + Performs research and analysis on corporate policies and federal payer rules, regulations and transmittals as directed + Logs privacy-related issues into ... the Privacy Log and ensures all information is present for appropriate reporting + Logs compliance related issues into the Compliance General Issues Log and ensures all information is present for appropriate reporting + Logs Patient Concerns, Risk… more
    HCA Healthcare (12/18/25)
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  • Manager, Actuarial Services

    ChenMed (Miami, FL)
    …business planning, process improvement, solution assessment, etc. + Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost ... and estimates historical and prospective trends. + Performs actuarial analysis of CMS public information. Calculates statistical and probability forecasts and models from data. + Runs CMS risk adjustment model to calculate member level risk scores. + Provides… more
    ChenMed (12/18/25)
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  • Inpatient Audit Specialist FT 2,500 Sign on Bonus

    Datavant (Tallahassee, FL)
    …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
    Datavant (12/17/25)
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  • DRG Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …Knowledge of National Medicare and Medicaid regulations. + Knowledge of payer reimbursement policies. + Creative problem-solving skills, leveraging insights and ... input from other parts of an organization. + Consistently demonstrate ability to act and react swiftly to continuous challenges and changes. + Excellent analytical skills with data and analytics related solutions. + Excellent communication skills. + Strong… more
    Zelis (12/17/25)
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  • Cost of Care Analyst

    Elevance Health (Miami, FL)
    …understanding of healthcare dynamics, including service delivery, reimbursement models, and payer systems preferred. + Experience in healthcare finance or healthcare ... actuarial analytics preferred. + Substantial analytical experience in the healthcare industry preferred. + Advanced SQL & SAS skills. + Oracle Exadata experience preferred. + Familiarity with AI/ML frameworks. + Additional skills for success are Python,… more
    Elevance Health (12/17/25)
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  • Patient Access Representative-FT

    Ochsner Health (Pensacola, FL)
    …professionally and cross trained to support multiple functions across all patient and payer types. To perform this job successfully, an individual must be able to ... perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential… more
    Ochsner Health (12/17/25)
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  • Social Worker MSW

    HCA Healthcare (Miami, FL)
    …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 planning or psychosocial needs. + You… more
    HCA Healthcare (12/16/25)
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