• Field Care Coordinator

    Humana (Tampa, FL)
    …their care + Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member's care ... as appropriate and required by our comprehensive contract **Use your skills to make an impact** **Required Qualifications** + Care Coaches shall meet one of the following qualifications: + Bachelor's Degree with at least 2 years of relevant experience (Health… more
    Humana (12/30/25)
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  • RN Case Manager

    HCA Healthcare (Ocala, FL)
    …the established chain of command + Makes appropriate referrals to third party payer , disease and case management programs for recurring patients and patients with ... chronic disease states + Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to… more
    HCA Healthcare (12/30/25)
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  • Implementation Support Specialist

    Zelis (FL)
    …supporting the Implementation Team in delivering effective solutions for healthcare payer clients. This position involves collaborating closely with team members to ... understand client data and requirements for print fulfillment. The specialist is responsible for configuring the Zelis system to ensure the successful composition and processing of various services, including the delivery of Explanation of Benefits, letters,… more
    Zelis (12/30/25)
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  • Director, Partner Practice (South Florida)

    CenterWell (Tallahassee, FL)
    …reports + Prior work experience in value-based care; practice management and/or payer contracting with demonstrated success directing and leading teams + Proven ... ability to cultivate relationships and create partnership opportunities with health plans and community organizations + Extensive knowledge of local market provider landscape + Outcomes focused individual that thrives on outperforming against quantifiable… more
    CenterWell (12/30/25)
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  • Senior Coordinator, Performance Monitoring

    Cardinal Health (Tallahassee, FL)
    …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification, and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
    Cardinal Health (12/30/25)
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  • Social Worker MSW

    HCA Healthcare (Brandon, 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 (12/30/25)
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  • Social Worker-MSW FT

    HCA Healthcare (Davie, 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 (12/30/25)
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  • Office Coordinator

    Maxim Healthcare (Maitland, FL)
    …information and records + Meets and maintains state, local, accrediting agency, payer and HIPAA regulations in regards to Protected Health Information and regulatory ... requirements + Greets and provides excellent customer service to all visitors, clients, and team members while demonstrating an approachable demeanor + Assists with various office administrative functions, including ordering office supplies, answering… more
    Maxim Healthcare (12/30/25)
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  • Patient Access Representative 2 (On-Site) (H)

    University of Miami (Miami, FL)
    …Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire. + Serves as gatekeeper, performs insurance verification, and ... obtains referrals and/or authorizations as needed. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. Core Qualifications + High school diploma or… more
    University of Miami (12/30/25)
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  • Patient Access Representative 1 (On-Site) (H)

    University of Miami (Miami, FL)
    …Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire. + Serves as gatekeeper, performs insurance verification, and ... obtains referrals and/or authorizations as needed. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. Core Qualifications + High school diploma or… more
    University of Miami (12/30/25)
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