• Social Worker MSW PRN

    HCA Healthcare (Kissimmee, 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 (11/10/25)
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  • Senior Reimbursement Analyst- Cost Reporting

    BayCare Health System (Clearwater, FL)
    …levels of management. + This position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion of ... the annual Medicare Cost report filings and audits, AHCA (Agency for Healthcare Administration) Florida Medicaid payment systems and staying current on all government regulatory changes and CMS/Federal and State proposals to change reimbursement methodologies… more
    BayCare Health System (11/08/25)
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  • Revenue Management Analyst Sr

    BayCare Health System (Clearwater, FL)
    …or government reimbursement experience + Strong knowledge of cost reporting and payer reimbursement models **Preferred:** + Master's degree in Business or Healthcare ... Administration + Experience with Tableau, SQL, or advanced Excel modeling + Familiarity with CMS cost reports and regulatory audits **Apply today and bring your expertise to a mission-driven team.** Equal Opportunity Employer Veterans/Disabled **Position**… more
    BayCare Health System (11/07/25)
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  • Consultant, Life Sciences Consulting

    Norstella (Tallahassee, FL)
    …+ Strong attention to detail + Expert knowledge of provider and payer dynamics within healthcare, specifically within oncology, cellular therapy / CAR-T, immunology, ... neurology / CNS, and/or other rare diseases / specialty therapeutics **The Guiding Principles For Success At Norstella** **01: Bold, Passionate, Mission-First** We have a lofty mission to Smooth Access to Life Saving Therapies and we will get there by being… more
    Norstella (11/07/25)
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  • Patient Financial Rep II

    BayCare Health System (Largo, FL)
    …posts payments, implements billing guideline changes and identifies trends at a payer specific level, applies federal and state guidelines to collection efforts, ... interprets and follows up on Explanation of Benefits, inventories supplies, reports and tracks equipment maintenance, performs other duties as assigned. **Specific Skills:** + Customer service skills + Administrative and clerical skills + Organizational skills… more
    BayCare Health System (11/06/25)
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  • Regional Director

    Sevita (Orlando, FL)
    …and occupancy percentages; respond to local requests for proposals to address payer needs; identify and participate in new start development initiatives, and ... identify potential acquisition partners. + Implement regional strategies to maintain and foster relations with individuals receiving services, families, and guardians; oversee implementation of individuals supported satisfaction surveys, and implement… more
    Sevita (11/06/25)
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  • Lead CX/UX Designer | Health Language

    Wolters Kluwer (Tampa, FL)
    …and problem solving + Understanding of the healthcare ecosystem, particularly in payer and provider sectors and experience with value-based care models and health ... language offerings is desireable but not required + Hands-on experience with Electronic Health Records (EHRs) and API integration + Familiarity in interoperability standards and protocols, ensuring seamless data exchange across diverse healthcare systems is… more
    Wolters Kluwer (11/02/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Tallahassee, FL)
    …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... team is responsible for identifying those gaps, building requirements to drive the development of new capabilities, and tying them to Highmark's strategic capability roadmap. They will need to work effectively across teams to inform and influence change to… more
    Highmark Health (10/29/25)
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  • GRC Technology Architect - Archer Development

    Highmark Health (Tallahassee, FL)
    …and control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of how to leverage ... technologies to drive efficient and effective GRC processes across payor/provider industries. + Experienced with resource and project planning capabilities, decision making skills, history of results-oriented delivery, and participation in team building across… more
    Highmark Health (10/28/25)
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  • Medical Receptionist - Patient Service Specialist

    Select Medical (Santa Rosa Beach, 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 + 1 Year of Medical Office Experience **Preferred:** + Health care experience Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/339522/medical-receptionist… more
    Select Medical (10/22/25)
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