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Clinical Opportunities at Florida Blue

Clinical Opportunities at Florida Blue

Explore Careers at Florida Blue

Specialist IV-PIO Prepay Clinical Review Job Summary This is a senior-level technical position in the pre-payment high risk claims function...

17131 Requisition #

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Job SummaryA multidisciplinary approach is required for addressing the growing complex needs of an aging Medicare population. This position will...

17488 Requisition #

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Job SummaryReviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to...

17428 Requisition #

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Job SummaryNo summary Essential Functions The essential functions listed represent the major duties of this role, additional duties may be assigned;...

17257 Requisition #

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Job SummaryThe Manager, Readmission Prevention will provide oversight and direction for the implementation and oversight of Florida Blue Medicare's...

17435 Requisition #

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Job SummaryUnder the direction of the Readmission Prevention Manager, the Readmission Prevention RN will provide support to Florida Blue Medicare...

17434 Requisition #

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The Director of Case Management will provide oversight, leadership and direction for the implementation of focused case and disease management...

17357 Requisition #

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Job SummaryPerforms quality assessments for physicians, facility and ancillary providers taking into account all available information internal and...

17192 Requisition #

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Job SummaryThis key position is responsible for assisting members within a geographical area make effective health care choices for self-management...

16804 Requisition #

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