Regional Coding Operations Manager WFH HCA HealthcareRegional Coding Operations Manager WFHTallahassee, FLMust be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential or Certified Professional Coder - Hospital (CPC-H®) or Certified Risk Adjustment Coder (CRC). Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).
Healthcare Consultant, Hialeah & Hialeah Garden - FL Zip Codes: 33012, 33010, 33018, 33013 LancesoftHealthcare Consultant, Hialeah & Hialeah Garden - FL Zip Codes: 33012, 33010, 33018, 33013Tallahassee, FL$34.13Case Management Coordinators will determine appropriate services and supports due to member’s health needs;including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. -Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of case management tools and resources.
Authorization Specialist Option Care Health IncAuthorization SpecialistTallahassee, FL$17.02–$28.38 / hourStrong attention to detail, organizational skills, and the ability to work collaboratively with healthcare providers and payers are essential for success in this role. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
VICE PRESIDENT REVENUE CYCLE Archbold MemorialVICE PRESIDENT REVENUE CYCLEThomasville, GAOversight of Key Revenue Cycle Functions Patient Access Services Health Information Management Patient Financial Services Revenue Integrity Clinical Documentation Improvement Managed Care Population Health/Accountable Care Organization participation Perks/Benefits: (for eligible employees): Have optimal opportunity for career growth within our growing organization Medical / Dental Retirement Plan PTO and paid life insurance What Sets Us Apart Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. Below are a few of the benefits Archbold Medical Center offers to employees: Work/Life Balance Planning for the Future Low-Cost Prescriptions Health Wellness Benefits Planning for Lifes Unexpected Moments Helping You to Advance Your Career Mission To provide safe, innovative and compassionate care for our communities.
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.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerTallahassee, FLJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world. The Field Reimbursement Manager will be responsible for ensuring that target accounts within their geography understand the necessary steps to receive reimbursement through the appropriate payer when ordering products, consistent with company compliance policies, company procedures, and approved materials.
Psychiatrist, Clinical Director | FSU BehavioralHealth Florida State UniversityPsychiatrist, Clinical Director | FSU BehavioralHealthTallahassee, FLOne of the nations elite research universities, Florida State University preserves, expands, and disseminates knowledge in the sciences, technology, arts, humanities, and professions, while embracing a philosophy of learning strongly rooted in the traditions of the liberal arts and critical thinking. Collaborates with multidisciplinary healthcare teams to support patient care, monitor treatment progress, and provide patient education, counseling, and appropriate diagnostic testing.
Development Manager / Technical Lead for Engineering Consultant Moffatt & NicholDevelopment Manager / Technical Lead for Engineering ConsultantTallahassee, FLThe firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.
Hospice Nurse Practitioner Gentiva HospiceHospice Nurse PractitionerBainbridge, GeorgiaComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
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.
NewSenior Performance Engineer- JMeter, JavaScript - Remote MaximusSenior Performance Engineer- JMeter, JavaScript - RemoteTallahassee, FLRemoteFull timeDesign, develop, and maintain performance testing frameworks, automation utilities, CI/CD integrations, and cloud-native testing capabilities supporting AWS services, Kubernetes clusters, Docker containers, Helm deployments, and microservices architectures. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
SCHEDULER Archbold MemorialSCHEDULERThomasville, GAScheduler-Central Scheduling Description: Use the assigned scheduling system to book outpatient and inpatient appointments Gather appropriate patient information needed at the time of scheduling Develop positive relationships with physician office staff and other referral sources Work quickly and professionally to correct any scheduling conflicts Confirm daily appointment schedules Maintain adequate office supplies and forms for departmental use Maintain an organized record keeping system ensuring all needed information is entered accurately and appropriately Obtain authorization for tests and procedures when required Experience/Qualifications: Must have high school diploma or GED Medical Terminology,ICD-10coding and secretary science courses desirable Must have 2 years of experience in an office or hospital setting where scheduling and secretarial duties are utilized Must have excellent communication and customer service skills Perks/Benefits: (for eligible employees): Have optimal opportunity for career growth within our growing organization Medical / Dental Retirement Plan PTO and paid life insurance What Sets Us Apart Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. Below are a few of the benefits Archbold Medical Center offers to employees: Work/Life Balance Planning for the Future Low-Cost Prescriptions Health Wellness Benefits Planning for Lifes Unexpected Moments Helping You to Advance Your Career Mission To provide safe, innovative and compassionate care for our communities.
Business Operations Coordinator Tallahassee Memorial HealthcareBusiness Operations CoordinatorTallahassee, FloridaFull timeThe role serves as a key liaison among physicians, practice administrators, finance, payroll, vendors, and executive leadership to ensure accurate and timely financial transactions while maintaining compliance with organizational policies and healthcare regulations. This position is responsible for coordinating payroll preparation, physician reimbursements, invoice processing, vendor and supply purchasing administration, professional dues management, and contract payment administration.
Financial & Operations Analyst Tallahassee Memorial HealthCare IncFinancial & Operations AnalystTallahassee, FLThis role works closely with clinical and administrative leaders to evaluate financial performance, optimize revenue cycle operations, assess service-line profitability, and ensure compliance with healthcare financial regulations. The Financial Analyst supports the financial health and strategic decision-making of the medical group by conducting detailed financial modeling, analysis, budgeting, and forecasting.