• NetworX Pricing Product Consultant

    Cognizant (Tallahassee, FL)
    …operate effectively in a team environment. + Familiarity with healthcare payer systems and related business processes. **Salary and Other Compensation:** Applicants ... will be accepted till 1/23/2026 Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship. _*Please note, this role is not able to offer visa transfer or sponsorship now or in… more
    Cognizant (12/24/25)
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  • Revenue Integrity Coding Specialist - CPC Required

    Trinity Health (Fort Lauderdale, FL)
    …medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding functions, including CPT, ICD-10 assignment, ... documentation review and claim denial review b. Responsible for proofing daily charges for accuracy and clean claim submission c. Responsible for balancing charges and adjustments d. Maintain productivity standards e. Maintain compliance with regulatory… more
    Trinity Health (12/24/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Lake Mary, FL)
    …knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology ... strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $119,760 to $206,586 Locations: California; Illinois; Minnesota; New Jersey; In addition to your salary, Elevance Health… more
    Elevance Health (12/24/25)
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  • Social Worker MSW

    HCA Healthcare (Gainesville, 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 (12/24/25)
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  • Social Worker MSW PRN

    HCA Healthcare (Fort Walton Beach, FL)
    …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes, and possesses a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. The scope of this role includes intensive care units, Trauma, Oncolgy, NICU, Transplant, ED, and responds to physician, non-discharge planning social work… more
    HCA Healthcare (12/24/25)
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  • Inpatient Medical Coder (Remote) - CCS Certified

    Cognizant (Tallahassee, FL)
    …and academic/university-level cases Hospital. + Strong knowledge of federal, state, and payer regulations. + Ability to interpret medical records, reports, and chart ... entries accurately. + Demonstrated ability to work independently and collaboratively. + Strong judgment and decision-making skills. + Proficiency in **MS Office** (Word, Excel, Outlook). + Ability to manage workload and multiple projects effectively. +… more
    Cognizant (12/23/25)
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  • Medical Receptionist - Patient Service Specialist

    Select Medical (Sarasota, 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:** + Insurance Verification Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
    Select Medical (12/23/25)
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  • Senior Director, Brand Lead, Neuroscience

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …+ **Market Access:** Partner with market access teams to ensure payer engagement, reimbursement strategy alignment, channel strategy, development of affordability ... and access programs, patient support solutions, and pull-through execution. + **Cross-Functional Leadership:** Collaborate closely with medical, regulatory, commercial operations, and finance teams to ensure cohesive brand execution. + **Performance… more
    Otsuka America Pharmaceutical Inc. (12/23/25)
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  • Clinical Registered Nurse - Utilization Management…

    Cognizant (Tallahassee, FL)
    …management and managing clinical denials from Providers to the Health Plan/ Payer . The comprehensive process includes analyzing, reviewing, and processing medical ... necessity denials for resolution. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams. **In this role, you will:** + Maintain ownership and responsibility for assigned accounts. + Maintain working… more
    Cognizant (12/23/25)
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  • Inpatient Medical Coding Auditor

    Humana (Tallahassee, FL)
    …reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related ... group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related… more
    Humana (12/23/25)
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