• 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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  • Health Information Technician

    Bluestone Physician Services (Tampa, FL)
    …and EHR messaging), uploading information into electronic patient files, working with payer chart audits, sending of visit summaries to facilities, and requesting ... outside patient records. All of these job functions and others must be completed while maintaining proper HIPAA guidelines. This position will support each of Bluestone's markets. Schedule: Full-time position, day shift hours, no evenings, weekends or… more
    Bluestone Physician Services (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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  • Senior Product Owner - Clinical Referral…

    CenterWell (Tallahassee, FL)
    …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to ... shaping how our patients and care teams experience internal and external specialty care. The ideal candidate combines strong business acumen, deep customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You… more
    CenterWell (12/23/25)
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  • Clinical Nurse Liaison - Southwood

    PruittHealth (Tallahassee, FL)
    …21. Identifies case management, HMO, PPO, insurance companies and other payer referral sources. 22. Determines vulnerabilities of competitive relationships and set ... targets. 23. Joins and participates in appropriate organizations and associations. 24. Documents and reports complaints and service-related issues. **KNOWLEDGE, SKILLS, ABILITIES:** 1. Ability to develop clinical knowledge base to support sales activities. 2.… more
    PruittHealth (12/23/25)
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