Lead Software Engineer HealthPlanOne LLCLead Software EngineerOrlando, FLThe Lead Software Engineer will collaborate with cross-functional teams to design, build, and enhance scalable solutions supporting agent sales and business operations, while driving best practices in software architecture, code quality, and agile delivery. NET (Core/9), with hands-on experience across a diverse suite of applications including Blazor, Razor Pages, legacy WebForms, WCF, and Worker Services.
Second Level Reviewer I PRN Remote AdventHealthSecond Level Reviewer I PRN RemoteAltamonte Springs, FLRemote$31.82–$59.17 / hourAdditional Information: An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:- BSN and 3+ years of Clinical Documentation Specialist experience OR - 4+ years of Clinical Documentation Specialist experience OR - Less than 2 years of Clinical Documentation Integrity experience and 10 years of acute care nursing experience. Initiates and formulates CDI severity worksheets and clinically credible clarifications for inpatients, presenting opportunities for improved documentation compliance to physicians, nurse practitioners, and other clinical team members.
Software Engineer - VL-60-Security Clearance Eligibility Required AVT SimulationSoftware Engineer - VL-60-Security Clearance Eligibility RequiredOrlando, FLQualifications Minimum Requirements Completion of a full course of study in an accredited college or university leading to a bachelor’s or higher degree in computer science, computer engineering, or a related field. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; talk or hear.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Orlando, FLRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Claim Assistant CCMSIClaim AssistantMaitland, Florida$18–$19 / hourAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Senior Software Developer AtkinsRealisSenior Software DeveloperOrlando, FL$80,000–$130,000 / yearNote to staffing and direct hire agencies: In the event a recruiter or agency who is not on our preferred supplier list submits a resume/candidate to anyone in the company, AtkinsRéalis family of companies, we explicitly reserve the right to recruit and hire the candidate(s) at our discretion and without any financial obligation to the recruiter or agency. Ability to integrate AI capabilities into software development workflows using tools such as GitHub Copilot to improve productivity, accelerate delivery, and maintain code quality.
NewSenior Payer Manager Managed Care AdventHealthSenior Payer Manager Managed CareAltamonte Springs, FLRemote$60,151.66–$111,886.39 / yearSupports Managed Care Contract Administration, Central Denials team, and Regional PFS departments in resolving operational, accounts receivable, billing, and related issues. Knowledge of governmental payer functions, regulations and payment methodologies and structure of Medicare, state Medicaid, Tricare and other government payers.
Senior Software Developer AtkinsRealis Group IncSenior Software DeveloperOrlando, FL$80,000–$130,000 / yearNote to staffing and direct hire agencies: In the event a recruiter or agency who is not on our preferred supplier list submits a resume/candidate to anyone in the company, AtkinsRéalis family of companies, we explicitly reserve the right to recruit and hire the candidate(s) at our discretion and without any financial obligation to the recruiter or agency. Ability to integrate AI capabilities into software development workflows using tools such as GitHub Copilot to improve productivity, accelerate delivery, and maintain code quality.
Staff Engineer ZayZoon IncStaff EngineerOrlando, FLRemoteFlexible Time Off: Whether its a longer vacation to explore new horizons, a series of short breaks for regular rejuvenation, or stepping away for a new level of mastery in a skillset - our "You-do-You" time off program caters to the diverse and evolving lifestyles of our team with a maximum of 6 weeks vacation. Our recent funding extension has raised our Series B funding round to nearly $50 million USD Join us in shaping the future of employee financial wellness and building services that address the immediate needs of todays employees.
NewEpic Denials Manager DeloitteEpic Denials ManagerLake Mary, FLRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Medical Front Office Receptionist The Doctors CenterMedical Front Office ReceptionistOrlando, FloridaKnowledge, Skills, and Abilities: Must be detail-oriented, possess the ability to multi-task/problem solve, and be open to cross-functional training. Job Summary: Our innovative and rapidly expanding company is seeking experienced candidates for the position of Clinic Receptionist.
Bilingual Medical Assistant Humana IncBilingual Medical AssistantOrlando, FL$43,000–$56,200 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Part Time Certified Medical Assistant- CMA - Lake Mary Wound Care Center Healogics IncPart Time Certified Medical Assistant- CMA - Lake Mary Wound Care CenterLongwood, FL$17.96–$22.26 / hourEssential Functions/Responsibilities: Performs pre-certification duties such as receiving referral on new patients, verifying patient coverage and communicating with primary care provider and insurance company as needed to obtain authorization for initial visit. Assists the center's staff with clerical services handled by Front Office Coordinators as needed such as: Answering the phone, greeting patients and visitors, routing calls to appropriate staff, scheduling patient appointments.
NewSr. Manager, Denials Management AdventHealthSr. Manager, Denials ManagementMaitland, FL$96,266.14–$179,045.63 / yearPartners with internal and external stakeholders, including revenue cycle leadership, Managed Care, payers, vendors, and operational teams, to resolve payer issues, support disputes, and deliver preeminent denial management performance. Ability to communicate clearly and professionally with diverse internal and external stakeholders, including senior leadership, Managed Care, payers, vendors, and revenue cycle partners [Required].
NewSenior Manager Denials Management AdventHealthSenior Manager Denials ManagementMaitland, FL$96,266.14–$179,045.63 / yearPartners with internal and external stakeholders, including revenue cycle leadership, Managed Care, payers, vendors, and operational teams, to resolve payer issues, support disputes, and deliver preeminent denial management performance. Ability to communicate clearly and professionally with diverse internal and external stakeholders, including senior leadership, Managed Care, payers, vendors, and revenue cycle partners [Required].