• Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …for members. The Liaison achieves this goal through analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding, and utilization ... of a model consisting of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and… more
    CVS Health (08/30/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** **Job Summary** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider ... and review of covered services + Responsible for contacting the member/ provider through written and verbal communication. + Prepares appeal summaries,… more
    Molina Healthcare (08/30/25)
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  • Manager, Medical Economics

    CVS Health (Tallahassee, FL)
    …to analyze contracted rates and identify actionable insights that optimize provider reimbursement and control medical costs. + **Design market-specific provider ... experience. **Preferred Qualifications** * Extensive knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.… more
    CVS Health (08/17/25)
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  • Bone Marrow Transplant APP

    HCA Healthcare (Gainesville, FL)
    …& Cellular Therapy Program at HCA Florida North Florida Hospital, the largest provider of Transplant and Cellular Therapy (TCT) in the US, are initiating their ... the tenth such program under HCA Healthcare. + Incoming provider must be comfortable with both inpatient and outpatient...cover both depending patient census. As the program grows, provider may have the ability to focus more on… more
    HCA Healthcare (08/08/25)
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  • (Senior) Data Team Lead

    IQVIA (Miami, FL)
    …quality deliverables on time and within budget, to customer satisfaction. Provide comprehensive data management expertise to Clinical Data Management (CDM) team ... to provide high quality data management products that meet customer...Pharmacology, Anatomy, and/or Physiology. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare… more
    IQVIA (08/01/25)
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  • RN-Infectious Disease

    MTC (Graceville, FL)
    …Are you a dedicated and skilled RN looking for a meaningful opportunity to provide exceptional care? We're hiring passionate nurses to join our dynamic team in a ... your expertise and compassion! **Position Summary:** Reports to the director of nursing. Provide care required by the inmate identified with one or more infectious… more
    MTC (08/20/25)
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  • Primary Care Physician

    CenterWell (The Villages, FL)
    …works as a lead in our team-based care environment. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists ... referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is...preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years… more
    CenterWell (08/29/25)
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  • Physician Reviewer

    Kelly Services (Miami, FL)
    …are made by the **U.S. Department of Veterans Affairs (VA),** not by the provider . **This is a contract position which offers ** **Supplemental Income:** Earn extra ... documentation Get paid directly **Qualifications: ** A Gen Med Provider may be an MD (Doctor of Medicine), DO...or PA (Physician Assistant), and must be able to provide : Active/Unrestricted license Updated resume/CV _(NPs and PAs must… more
    Kelly Services (08/26/25)
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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …decisions on moderately complex to complex issues regarding technical approach for provider support and workflow processes, and work is performed without direction. ... for potential missed opportunities. + Address nonbillable services at the provider level. + Address documentation deficiencies resulting in not billable services… more
    CenterWell (08/23/25)
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  • Primary Care Physician

    CenterWell (Tampa, FL)
    …works as a lead in our team-based care environment. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists ... referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is...preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years… more
    CenterWell (08/22/25)
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