• Medicare Compliance

    CVS Health (FL)
    …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... and under the direction of - the health plan, Medicare Compliance Officer, and other team members,...Medicare Advantage organization. + In partnership with other senior members of the team, assist with the oversight… more
    CVS Health (09/18/25)
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  • Senior Nurse STARS Improvement…

    Humana (Oviedo, FL)
    …of our caring community and help us put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, ... implementation, and management of the company's Medicare /Medicaid Five-Star Quality Rating System. The Senior ...Set (HEDIS), Patient Safety, and Patient Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant more
    Humana (10/03/25)
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  • Senior Corporate Compliance

    Baylor Scott & White Health (Tallahassee, FL)
    JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance... Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on … more
    Baylor Scott & White Health (09/07/25)
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  • Senior Info Tech Business Consultant

    MyFlorida (Tallahassee, FL)
    68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / TECHNICAL WRITER & COMMUNICATIONS Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For ... No: 861515 Agency: Agency for Health Care Administration Working Title: 68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / TECHNICAL WRITER & COMMUNICATIONS Pay… more
    MyFlorida (09/26/25)
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  • Growth Strategy Consultant (Distribution)

    Humana (Tallahassee, FL)
    …customers at the center of everything it does. The Growth Strategy Consultant (Distribution) provides data-based strategic direction to identify and address business ... support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with limited direction… more
    Humana (10/02/25)
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  • Senior Responsible AI Data Scientist

    Humana (Tallahassee, FL)
    …caring community and help us put health first** Humana is seeking a Senior Responsible AI Data Scientist to champion the ethical development of artificial ... through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to… more
    Humana (09/26/25)
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  • Enterprise Architect

    Humana (Tallahassee, FL)
    …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
    Humana (10/03/25)
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  • Director of Medicaid Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …stakeholders, and with multiple outside consultants and experts. Acts as a consultant to leaders ensuring the Medicaid rate setting, payment, and reconciliation ... Care, DGME, IME, Psych, Rehab, 340B and more. Is an important internal consultant to CFOs and strategic executives, routinely helping find and implement solutions… more
    AdventHealth (10/02/25)
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  • Primary Care Physician

    ChenMed (Lakeland, FL)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent...Act as a health coach, rather than just a consultant for sickness, by helping patients set short and… more
    ChenMed (09/16/25)
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  • Primary Care Physician - Miami Dade County Various…

    ChenMed (Miami, FL)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
    ChenMed (09/26/25)
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