• Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    …of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering ... Professional, you will develop and/or evaluate compliance policies and procedures. Research compliance issues and recommends changes that assure compliance with… more
    Humana (07/29/25)
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  • Telephonic Call Center Specialist

    Humana (Miami, FL)
    …agents + The dialer will call the member and connect them to the associate automatically + Employs a variety of case management strategies, approaches and techniques ... needs and hours could include weekends/holidays. **Preferred Qualifications** + Associate 's Degree + Microsoft Office PowerPoint + Bilingual English/ Spanish… more
    Humana (08/01/25)
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  • Senior Data Scientist

    Humana (Tallahassee, FL)
    …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Senior Data Scientist to develop ... create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our...+ Master's Degree and 3+ years of experience in research /ML engineering or an applied research scientist… more
    Humana (08/02/25)
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  • Delaware Valley ACO Fellowship

    Humana (Tallahassee, FL)
    …1-year program designed for recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs to build a foundation for a career in population health. The ... position emphasizes skills related to population health management, healthcare business planning, and leadership. Based on interests, the program may include… more
    Humana (07/30/25)
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  • Provider Network Account Executive II

    AmeriHealth Caritas (Orlando, FL)
    Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay ... healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to...to support network operations. **Work Arrangement:** + Remote - Associate must be located anywhere in the US.; +… more
    AmeriHealth Caritas (07/23/25)
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  • Insurance Strategy Lead

    Humana (Tallahassee, FL)
    …and help us put health first** Humana is a publicly traded, Fortune 50 healthcare company with a legacy of innovation, evolving from skilled nursing and hospitals to ... insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and affordability for its members. Humana's Insurance… more
    Humana (08/01/25)
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  • Director, Strategic Advancement

    Humana (Tallahassee, FL)
    …and leadership skills, who will lead a team of 3-5 direct reports ( Associate Director and Lead) with 10-15 associates (Professional Level) to help deliver this ... + Master's degree + Strong working knowledge of the healthcare and/or large scale operations industry + Large scale...10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is… more
    Humana (07/29/25)
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  • Grant Specialist Foundation

    AdventHealth (Orlando, FL)
    …+ Associate degree in Business Administration, Communications, English, Finance, Healthcare (Or related field) **OR** + A minimum two years of grantsmanship ... the Senior Grants Officer, the Grants Specialist manages a grant prospect research process and identifies, researches, and evaluates the feasibility of potential… more
    AdventHealth (07/31/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent ... assist in conducting investigations/audits related to fraud, abuse, and waste through research and analysis of complex health and business-related data. Included in… more
    MyFlorida (07/25/25)
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  • Encounter Data Management Professional

    Humana (Tallahassee, FL)
    …within the encounter process between Humana and CMS using data analysis, claims research , and other resources to provide insight and ensure data integrity for ... Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide...the requisition number so we may be able to research your request quicker. Humana values personal identity protection.… more
    Humana (08/02/25)
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