• Medical Director ( Medicare )

    Molina Healthcare (Tampa, FL)
    …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
    Molina Healthcare (05/02/25)
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  • Physician -Florida

    CenterWell (Tallahassee, FL)
    …as a collaborating physician for several nurse practitioners or physician assistants, including completing regular chart review , coordinating monthly ... We are excited to offer the role of Virtual Physician for a new virtual care delivery group within...* Meet with medical leader about quality of care, review of outcome data, policy, procedure, and records issues.… more
    CenterWell (05/22/25)
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  • Physician Contract Administration Hybrid

    AdventHealth (Maitland, FL)
    …Hybrid on-site** **The role you'll contribute:** **This position is responsible for physician contract review and interpretation; as well as, the building ... leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership, Finance/Accounting, physician practices and AH Physician Enterprise in order to… more
    AdventHealth (05/21/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …of correct disease reporting and ICD code capture for physician /hospital performance profiling, E&M payment, pay-for-performance and hospital reimbursement. Educate ... guidelines, clinical documentation improvement opportunities and relevant data. Provide physician coaching on documentation. Assist in billing for technical… more
    AdventHealth (05/15/25)
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  • Primary Care Physician

    CenterWell (Port Orange, FL)
    …a part of our caring community and help us put health first** The Physician serves as a health-care professional and capable of handling a variety of health-related ... problems. The Physician work assignments involve moderately complex to complex issues...Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
    CenterWell (05/24/25)
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  • Primary Care Physician

    CenterWell (Fort Lauderdale, FL)
    …a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum… more
    CenterWell (05/23/25)
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  • Primary Care Physician

    CenterWell (Tampa, FL)
    …care team supporting patient's physical, emotional, and social wellness. The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five… more
    CenterWell (05/23/25)
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  • Primary Care Physician

    CenterWell (Delray Beach, FL)
    …part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based ... Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five… more
    CenterWell (05/16/25)
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  • Revenue Integrity Clin Charge Review…

    HCA Healthcare (Ocala, FL)
    …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Revenue Integrity Clinical Charge Review Analyst RN where your passion for creating positive patient interactions is valued?… more
    HCA Healthcare (03/22/25)
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  • Patient Account Associate II Credit Balance…

    Intermountain Health (Tallahassee, FL)
    **Job Description:** Patient Account Associate II Credit Balance and Account Review Job Profile Summary Provides extraordinary care to our customers through ... (GED) required . **Two (2)+ years of experience in hospital or physician insurance related activities (Billing & Follow-Up) required** . Knowledge of Medicaid… more
    Intermountain Health (05/14/25)
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