Licensed Practical Nurse Capital Home Health Care LLCLicensed Practical NurseTrenton, NJ$35–$40 / hourPart timeCapital Home Health Care LLC is a small, growing company committed to providing exceptional care for individuals with developmental disabilities. Provide high-quality nursing care to clients in accordance with their care plans.
LPN - GPN Capital Health PlanLPN - GPNTallahassee, FLFull timeWhether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities. YOUR CORE CONTRIBUTIONSOur LPN - GPN works under a licensed provider or Registered Nurse (RN) to help maintain an organized, safe, and compliant patient care environment.
Internal Audit Director Capital Health PlanInternal Audit DirectorTallahassee, FLFull timeWe offer competitive pay, and alongside your earnings, you will enjoy a robust and rewarding benefits package:Health coverage and dental insuranceHealth and dependent care spending accountsShort and long-term disabilityMajor disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D insurancePaid time off (PTO)Employee assistance programSmartDollarTHE VITAL ROLE YOU HAVEIn this Internal Audit Director role, you will lead the Internal Audit Department towards operational excellence by overseeing daily activities and shaping long-term strategy. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities.
Population Health Manager Capital Health PlanPopulation Health ManagerTallahassee, FLFull timeQUALIFICATIONS TO BECOME OUR POPULATION HEALTH MANAGERAssociate degree in Nursing (AA/AS) or equivalent from a two-year college, or one-year related experience and/or training, or equivalent combination of education and experienceRegistered Nurse according to Florida Statute 4645+ years of related experienceCurrent CPR certificationKnowledge of HIPAA and other regulationsComputer skillsAbility to author, read, analyze, and interpret data and informationAbility to work with mathematical conceptsAbility to interpret an extensive variety of technical instructionsSkill in caring for chronically ill patientsPublic speaking skills and experienceTeaching skillsAbility to work evenings and weekends, as needed and to travel locallyAbility to communicate effectively and respond to information/questionsPhysical ability to occasionally lift and/or move up to 200 pounds (pushing a patient in a wheelchair)Experience with electronic medical records is a plusBachelor of Science in Nursing (BSN) is preferredWhy Join Our Team? We offer competitive pay designed to reward your experience and impact, along with a comprehensive benefits package that includes:Health coverage and dental insuranceHealth and dependent care spending accountsShort and long-term disabilityMajor disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D insurancePaid time off (PTO)Employee assistance programSmartDollarWHAT YOUR DAY ENTAILSAs our Population Health Manager, you will proactively work to improve the health status of populations living with chronic conditions by implementing and promoting wellness initiatives and evidence-based interventions.
Medical Economic Analyst I Capital Health PlanMedical Economic Analyst ITallahassee, FLFull timeBENEFITS:Health coverage and dental insuranceHealth and dependent care spending accountsShort and long-term disabilityMajor disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D insurancePaid time off (PTO)Employee assistance programSmartDollarQUALIFICATIONSBachelor's degree (or equivalent combination of education and experience)Strong financial modeling, data mining, and reporting skillsProficiency with SQL, Excel, DxCG, VB, and relational databasesAdvanced computer and math skillsAbility to analyze financial, scientific, and technical informationStrong problem-solving and communication skillsAbility to write speeches and articles for publication that conform to the prescribed style and formatAbility to effectively present information to top management, public groups, or boards of directorsAt least one year of related experience preferred. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities.
Accounting Clerk II Capital Health PlanAccounting Clerk IITallahassee, FLFull timeWHAT WE'RE LOOKING FORExperience processing invoices, payments, or accounts payable transactionsAbility to identify and appropriately reconcile invoice, payment, and purchase order discrepanciesAbility to professionally and clearly communicate/coordinate with vendors and internal teamsSharp attention to detail with a commitment to accuracyAccurate data entry and financial record maintenance skillsOrganizational skills and time management abilities for handling multiple priorities and meeting all timelinesProficiency with Microsoft Excel and other office applicationsHigh school diploma or GED equivalentOur ideal Accounting Clerk II has at least one year of accounting, accounts payable, or related financial operations experience. We're offering experience-based pay in addition to full-time benefits such as health coverage, dental, dependent care & HSA, short and long-term disability, major disability time off (MDTO)a retirement plan, life, AD&D insurance, voluntary life and AD&D insurance, paid time off (PTO), an employee assistance program, and SmartDollar.
Direct Support Professional (DSP) Capital Home Health Care LLCDirect Support Professional (DSP)Trenton, NJFull timePrevious experience as a Direct Support Professional (DSP) Caregiver, Home Health Aide, or similar role is preferred. In this role, you will make a difference in the lives of seniors and people with disabilities by enhancing their quality of life.
Clinical Case Manager Capital Health PlanClinical Case ManagerTallahassee, FLFull timeREQUIREMENTSBachelor's degree or equivalent combination of education and related experienceLicensed Medical ProfessionalCurrent Certified Case Manager (CCM) certification or able to obtain within 12 months of hireStrong communication, problem-solving, and care coordination skillsAbility to manage complex, chronic, and/or catastrophic medical casesKnowledge of medical coding, regulatory guidelines, and evidence-based clinical practicesProficiency with Microsoft Office applicationsAbility to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documentsAbility to effectively present information to top management, public groups, and/or boards of directorsStrong math skills ARE YOU READY FOR THIS EXCITING OPPORTUNITY?Join Capital Health Plan and become part of a team dedicated to delivering exceptional care, improving outcomes, and supporting healthier communities. Benefits:Health coverage and dental insuranceHealth and dependent care spending accountsShort and long-term disabilityMajor disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D insurancePaid time off (PTO)Employee assistance programSmartDollar CAPITAL HEALTH PLAN: OUR MISSIONWe are a not-for-profit health care organization that has served the panhandle since 1982, delivering high-quality, affordable, and patient-centered care.
Home Health Aide Capital Home Health Care LLCHome Health AideTrenton, NJFull timeCare for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care. You operate with a big heart, not only providing personalized and attentive care but by building genuine relationships with those you serve.
Director, Product Lifecycle & Readiness Capital Health PlanDirector, Product Lifecycle & ReadinessTallahassee, FLFull timeWe also offer a comprehensive benefits package, including:Health coverage and dental insuranceHealth and dependent care spending accountsShort and long-term disabilityMajor disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D insurancePaid time off (PTO)Employee assistance programSmartDollarTHE TYPE OF DIRECTOR, PRODUCT LIFECYCLE & READINESS WE'RE LOOKING FORBachelor's degree from an accredited college or university (Master's degree preferred)7+ years of progressive experience in healthcare operations, product operations, managed care operations, compliance operations, program management, project management, business transformation, readiness management, or a related fieldStrong project, program, and cross-functional leadership experienceExcellent communication, analytical, organizational, and problem-solving skillsExperience in health insurance or managed care environments, lifecycle management, regulatory filing coordination, readiness programs, relevant industry certifications, proficiency with Microsoft Office applications, and a Florida Health Insurance License or the ability to obtain one within six months is preferred. You'll facilitate readiness reviews with stakeholders, monitor critical milestones, resolve risks and dependencies, guide regulatory and materials readiness efforts, developing executive dashboards, and partnering with teams across Product, Compliance, Legal, Finance, Marketing, Sales, Enrollment, Operations, IT, and Analytics.
Quality Care Manager Capital Health PlanQuality Care ManagerTallahassee, FLFull timeFounded by community leaders with a mission to deliver high‑quality, affordable, and patient‑centered health care, CHP has grown into a nationally recognized healthcare organization while remaining deeply rooted in the communities it serves. The Quality Care Manager plays a key role in coordinating peer review activities, conducting medical record reviews, supporting quality audits, and ensuring compliance with NCQA, CMS, and State of Florida requirements.
Board Certified Internal Medicine Physician, Family Medicine Physician, or Geriatrician Capital Health PlanBoard Certified Internal Medicine Physician, Family Medicine Physician, or GeriatricianTallahassee, FLFull timeLeon County is also home to a large aging population: Almost one in five Leon County residents is age 60 or older, and the State of Florida projects that this population will grow by a remarkable 35 percent over the next12 years, making it the county's fastest growing population segment. The variety of people who call it home - from students and families to legislators and athletes- make it a prime spot for new business ventures, especially with the city boasting the fastest growing economy per capita of any Florida city.
Optometrist (Part-Time) Capital Health PlanOptometrist (Part-Time)Tallahassee, FLPart timeWe offer competitive compensation along with a comprehensive benefits package that includes:2-day work week, with opportunities to fill in for other doctorsMultidisciplinary setting with opportunities to consultStrong local medical community with easy access to a broad range of specialistsIf you're ready to elevate your career while making a lasting difference in your community, keep reading. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities.
Claims Operations Director Capital Health PlanClaims Operations DirectorTallahassee, FLFull timeLocation: Tallahassee, FLDepartment: ClaimsFLSA: ExemptSchedule: As requiredAbout the role:We are seeking a Claims Operations Director to lead and oversee Capital Health Plan's end‑to‑end claims operations, including claims processing, other party liability (OPL) recoveries, premium billing and reconciliation, contract administration, and payment integrity functions. The Claims Operations Director partners closely with senior leadership, cross‑functional teams, and third‑party vendors to drive operational performance, regulatory compliance, system enhancements, and continuous improvement across all claims‑related functions.
Board Certified Primary Care Doctor Capital Health PlanBoard Certified Primary Care DoctorTallahassee, FLFull timeBeyond compensation, you'll benefit from a thoughtfully designed package including:Competitive salary with a Physician Incentive Program - over $300,000 total earning potentialEmployer-provided insurance coverage to include malpractice, life, and disability insuranceHealth insurance is fully paid for you and your dependentsPractice Panel size goals are adjusted based on the illness burden of your patientsRelocation assistanceOpportunities for teaching, serving as a designated clinical training site for Florida State University - College of MedicineFour-and-a-half-day work week with minimal on-call responsibilitiesStrong clinical supportNew, modern, state-of-the-art facility with onsite x-ray, ultrasound, EKG, and labFour weeks of paid time off. WHAT'S REQUIRED TO BECOME OUR BOARD CERTIFIED PRIMARY CARE DOCTOR?Active licensure to practice medicine in the State of FloridaBoard certification in Family MedicineAbility to obtain medical staff privileges within the local hospital networkStrong clinical judgment and commitment to quality carePreferred Qualifications:Experience in managed care or population health modelsStrong patient engagement and communication skillsExperience working in team-based care environmentsABOUT CAPITAL HEALTH PLANWe are a not-for-profit health care organization that has proudly served the panhandle since 1982, providing high-quality, affordable, and patient-centered care.
Accounting Clerk I Capital Health PlanAccounting Clerk ITallahassee, FLFull timeWe're looking for someone who has:High school diploma or GED Minimum of one year of related experience in accounting, billing, collections, or financial operations preferred Experience processing invoices, payments, or accounts payable transactions Ability to review and reconcile medical billing statements and identify discrepancies Strong attention to detail with the ability to ensure accuracy in data entry and financial records Ability to communicate clearly and professionally with members and internal departments by phone and email Strong organizational skills with the ability to manage multiple priorities and deadlines Proficiency with Microsoft Excel and basic office applicationsHighly preferred candidates also have:Experience working with patient accounts, medical billing, or healthcare financial services Experience managing aging accounts, collections, or denial resolution workflows Experience reconciling credit card transactions or financial statements Familiarity with claims rebilling, refunds, and account corrections Experience supporting 1099 processing or financial reporting processesExperience with Nextgen Healthcare softwareAbout Capital Health Plan (CHP):CHP is a locally based, not‑for‑profit health maintenance organization serving the Tallahassee region for more than four decades. Founded by community leaders with a mission to deliver high‑quality and patient‑centered health care, CHP has grown into a nationally recognized healthcare organization while remaining deeply rooted in the communities it serves.
Member Services Representative Capital Health PlanMember Services RepresentativeTallahassee, FLFull timeWe're looking for someone who has:Associate's degree from an accredited two-year college or technical school, or equivalent education and experienceMinimum of one year of related experience (call center, medical office, or customer service environment preferred)Ability to communicate clearly and professionally with members, staff, and the public by phone and in written communicationStrong problem-solving skills with the ability to research and resolve member inquiriesAbility to manage a high volume of calls while maintaining accuracy and professionalismStrong data entry and documentation skills, with the ability to track and follow up on member interactionsAbility to work within established policies, procedures, and service timelinesHighly preferred candidates also have:Experience working in a call center or healthcare customer service environmentKnowledge of health plan benefits, eligibility, or referral processesExperience handling and resolving member complaints or escalationsFamiliarity with customer service systems or call tracking softwareStrong interpersonal skills and the ability to de-escalate concerns in a professional mannerAbout Capital Health Plan (CHP):CHP is a locally based, not‑for‑profit health maintenance organization serving the Tallahassee region for more than four decades. The Member Services Representative answers inbound calls, documents interactions in system databases, researches and resolves member concerns, and collaborates with internal teams to address inquiries related to eligibility, benefits, referrals, and services.
Compliance & Privacy Officer Capital Health PlanCompliance & Privacy OfficerTallahassee, FLFull timeThis position oversees enterprise compliance initiatives, regulatory monitoring, investigations, auditing activities, privacy programs, and risk management efforts while promoting a culture of integrity, accountability, and ethical conduct throughout the organization. Founded by community leaders with a mission to deliver high‑quality, affordable, and patient‑centered health care, CHP is nationally recognized for its strong clinical outcomes, operational excellence, and commitment to the communities it serves.
Claims Examiner I Capital Health PlanClaims Examiner ITallahassee, FLFull timeOUR GENEROUS BENEFITSHealth coverage and dental insuranceHealth and dependent care spending accountsShort and long-term disabilityMajor disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D insurancePaid time off (PTO)Employee assistance programSmartDollarWHAT CAN YOU EXPECT AS OUR CLAIMS EXAMINER I?As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to determine Capital Health Plan's liability and adjudicate claims in accordance with departmental policies and provider agreements. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities.
APRN - PA Capital Health PlanAPRN - PATallahassee, FLFull timePosition SummaryThe Nancy Van Vessem Center for Healthy Aging is seeking a Nurse Practitioner or Physician Assistant to support a busy older adult primary care practice through acute care appointments and electronic health record inbox management. About the Nancy Van Vessem Center for Healthy AgingThe Nancy Van Vessem Center for Healthy Aging supports Capital Health Plan members age 55 and older through an outpatient primary care model focused on prevention, access, and coordinated care.