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Job Description COMPANY OVERVIEW: Our client is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. They will transform the way healthcare is administered in the United States by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences. PURPOSE AND SCOPE: The Senior Manager, Utilization Management (UM), is responsible for leading the day-to-day operations of the Utilization Management Department, including Prior Authorizations, Inpatient, and Skilled Nursing Facility Concurrent Review. This role drives operational excellence, compliance, and innovation by leveraging AI-enabled tools and data analytics to enhance clinical decision-making, streamline review processes, and optimize member outcomes. The Senior Manager partners closely with the BPO Operations leadership to ensure the UM function aligns with regulatory standards, payer expectations, and organizational performance goals. PRINCIPAL RESPONSIBILITIES AND DUTIES Leadership & Operations • Lead and oversee all activities related to Prior Authorization and Concurrent Review operations., • Supervise, mentor, and develop a team of nurses, coordinators, and support staff to achieve department goals and service-level standards., • Establish measurable team and individual performance goals; provide ongoing coaching, feedback, and performance evaluations., • Manage staffing, scheduling, and productivity to meet CMS timeliness and compliance requirements., • Champion the adoption and optimization of AI and automation tools that improve utilization review accuracy, turnaround time, and efficiency., • Partner with internal technology teams to pilot and implement AI-driven solutions for case triage, predictive analytics, and workflow automation., • Use data insights from AI dashboards and reporting tools to identify trends, forecast utilization, and recommend process improvements., • Train staff on AI-supported workflows, ensuring ethical and compliant use of technology to enhancenot replaceclinical judgment., • Ensure adherence to federal, state, and accreditation requirements (CMS, NCQA, URAC, etc.)., • Maintain departmental policies, procedures, and documentation consistent with Plan requirements and audit readiness., • Monitor quality metrics, perform audits, and implement corrective actions as needed., • Oversee all departmental reports and performance metrics, ensuring accuracy and timely delivery to leadership., • Provide clear communication and updates across teams and to leadership regarding departmental progress and challenges., • Model and promote the company values and customer service standards., • Build strong, collaborative relationships with internal and external stakeholders., • Proactively address and resolve service issues, ensuring an exceptional experience for members, providers, and partners.EDUCATION, EXPERIENCE AND REQUIRED SKILLS:, • Florida licensed (or compact) RN or LPN required (RN preferred), • Baccalaureate degree from an accredited institution of higher learning preferred, • Three to five years related Medicare/Medicaid HMO experience at the managerial level required, • An equivalent combination of education, training and experience., • Ability to navigate and master proprietary software programs., • Prior experience implementing or managing technology-enabled UM tools (AI-assisted review, workflow automation, or predictive analytics) preferred., • Excellent oral and written communication skills including good grammar, voice and diction., • Able to read and interpret documents., • Proficient in MS Office with basic computer and keyboarding skills., • Strong skills in investigation and resolution of issues pertaining to internal and external clients., • Experience in discharge planning from Inpatient Acute Care Facilities to other levels of post inpatient care., • Strong understanding and implementation of Medicare criteria as it relates to Skilled Nursing Facility care., • Strong knowledge base of Medicare and Medicaid coverage criteria and compliance requirements.

Job Description Apply to this posting if you are seeking a start date different than Summer 2026. You will be able to indicate your availability. About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers—Raj and Neil Machhar—and inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients. About the Role Primary Care Physicians provide daily care to patient panels capped at approximately 500 patients. This model emphasizes work-life balance while delivering a concierge-like experience for patients. With a panel size limited to 500, physicians typically see around 12 patients per full day, allowing 30 to 45 minutes per visit to address each patient's needs thoroughly. Patient appointments are generally scheduled between 9:00 a.m. and 3:30 p.m., leaving additional time for urgent patient needs and administrative tasks. Administrative burdens are significantly reduced thanks to a dedicated team of coders who handle pre-charting and post-visit reviews, streamlining clinical documentation. Medical assistants manage administrative and care coordination tasks, enabling physicians to focus entirely on patient care and providing an exceptional experience. Coming Soon: We will be seeking providers for new clinics and expansion clinics in the following locations: • Spring Hill, FL (summer to fall 2025), • Sun City Center, FL (fall 2026), • Potential other Greater Tampa Bay Area locations Office Hours: Monday-Friday 8am-5pm Key Responsibilities Primary Care Physicians will provide comprehensive, patient-centered care to geriatric patients within a managed care, value-based care model, ensuring optimal health outcomes and a high-quality care experience. Deliver Patient-Centered Care • Perform thorough assessments and develop personalized care plans for geriatric patients., • Manage chronic conditions, preventive care, and acute issues within the scope of value-based care principles., • Collaborate with your team and specialists to ensure seamless care delivery., • Achieve quality metrics by proactively addressing care gaps, reducing unnecessary hospitalizations, and improving patient engagement., • Leverage electronic medical records (Epic or eCW) to document care, track patient outcomes, and support care coordination., • Build trusting relationships with patients and families, addressing their unique needs and concerns., • Educate patients and caregivers on disease management, preventive care, and healthy aging. Accountabilities • Collaborate with the growth and onboarding team to build and maintain a thriving patient panel of 500 individuals., • Proactively identify and address care gaps to ensure comprehensive and preventive care for patients., • Monitor and work to reduce hospitalization rates by delivering effective outpatient management and follow-up care., • Strive to achieve high Patient Net Promoter Scores (NPS) by fostering trust, communication, and satisfaction in every patient interaction. About You • MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required, • Must be able to obtain a Florida State Medical License or already have a current, active Florida State Medical License, • Strong communication and interpersonal skills., • Collaborative mindset with a willingness to learn and grow., • High attention to detail and commitment to excellence., • Innovative and open to outside-the-box clinical management approaches., • Strong ability to build trusting relationships., • Results-oriented with a strong work ethic., • Intellectually curious with a sense of integrity and humility., • Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. Why You Should be Excited • Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care., • Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors., • We offer market-leading compensation. Our contracts involve three components: a base salary, a qualitative performance bonus, and beginning in your third year of employment, a clinic performance bonus. Your compensation in the first two years should approach $300k, with the opportunity to exceed $400k including your clinic performance bonus., • Paid time off, health, dental and vision benefits, and 401K with employer match. Our Selection Process Our selection process typically includes an online application, initial interview, clinic visit, in-depth interview and reference check. Equal Employment Opportunity and Commitment to Diversity At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at .

Job Description Palm Medical Centers is currently seeking highly skilled, experienced, and patient-centric primary care physicians to join our team. You would be joining a rapidly growing company and a premier team with market leading patient satisfaction scores. Palm offers you autonomy, good work/life balance and the resources to make a major impact on patient quality of life. In this position, you will diagnose, treat and counsel patients on their current medical conditions and educate patients on preventative health measures, including performing annual physicals. Showing compassion and genuine kindness with patients is a must. Who are we? Founded in 2013, Palm Medical Centers is a provider of value-based, capitated primary care services with a focus on high-quality clinical outcomes, cost-effective care, and a patient-centric experience. PMC operates a network of 30 medical centers across five counties in Florida with a focus on Medicare Advantage and Medicaid patients. Partnering with numerous managed care organizations, Palm Medical Centers offers comprehensive and integrated medical care to plan members with a focus on quality. For more information, please visit . Why choose Palm Medical Centers? At Palm Medical Centers, we value great talent and treat our employees like family. You will be joining a premier team of healthcare professionals who take pride in caring for our patients and make the workplace a friendly atmosphere. Full-time Primary Care Physicians also enjoy these benefits at Palm Medical Centers: • Competitive Base Salary + Performance Bonus, • Health, Dental, & Vision Benefits, • Competitive Paid Time Off, CME Time & Paid Company Holidays, • Employer-Paid Life Insurance & Long-Term Disability Coverage, • 401(k) Program, • Flexible Spending & Dependent Care Accounts Available, • Monday-Friday Schedule, • Medical Degree (M.D., D.O.) from an accredited institution, • Board Certified or Board Eligible in Family Medicine or Internal Medicine, • Active, unrestricted Florida Medical License, • Current DEA license in good standing, • Minimum 2-3 years' experience providing care to Medicare and/or Medicare Advantage patients preferred, • Experience working in a value-based care model, focused on outcomes, quality metrics, and patient satisfaction, • Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures, • Demonstrated ability to manage chronic conditions and promote population health in a senior patient population, • Excellent communication, collaboration, and interpersonal skills for a multidisciplinary team environment, • Comfortable using EMR systems (eCW a plus), • Provide comprehensive primary care services to adult and senior population within the Medicare Advantage model, • Conduct routine and preventative visits, including annual wellness exams, chronic disease management, and acute care visits, • Order outside diagnostic tests and lab work as needed (blood/urine test, tissue samples, imagery, etc.), • Develop and implement personalized care plans focused on improving patient outcomes, quality and satisfaction, • Manage patients using a value-based approach, emphasizing prevention, coordinated care, and reduction of avoidable hospitalization, • Collaborate closely with care teams including nurse practitioners, medical assistants, case managers and specialists to insure seamless patient care, • Review and address quality metrics, including HEDIS and STAR measures, to optimize clinical performance and patient outcomes, • Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment, • Participate in multidisciplinary meetings and quality improvement initiatives aimed at enhancing clinical outcomes and patient satisfaction, • Maintain ongoing communication with patients and their families, providing education on disease prevention, medication management and health lifestyle choices, • Adhere to Palm Medical Centers' protocols, standards of care, and compliance with all regulatory requirements, • Maintain confidentiality and always work with respect and integrity, • 401(k), • Dental insurance, • Employee assistance program, • Flexible spending account, • Health insurance, • Life insurance, • Paid time off, • Internal Medicine, • 8-hour shift, • Day shift, • Monday to Friday This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time. Powered by JazzHR VMa6fQ10Tf

Job Description Family Practice – Outpatient Only Specialty Needed: Family Practice/Sports Medicine BC or BE, DO or MD Starting Salary: First year’s salary is guaranteed as well as full benefits. There is a productivity bonus plan in year one and full productivity plan in year two and beyond. Call Schedule: Call is split weekly between existing MD and PA, call rotation would be every 3 weeks by phone only, hospitalist team available to support the practice. Benefits: Health Insurance for physician and family, malpractice insurance, $1,500 per year CME allowance, up to $7,500 in eligible relocation expenses and 20 paid days off plus holidays are covered. Employees are eligible to participate in 401k through Fidelity after 60 days of employment. Company Paid Benefits: • Basic Life - $15,000, • Basic AD&D - $15,000 Voluntary Benefit Options: • Dental, • Vision, • Voluntary Life, • Short-Term Disability, • Long-Term Disability, • Allstate We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status

Job Description Job Title: Medical Billing Specialist Location: Tampa, FL (Onsite) Company Overview Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to provide exceptional service to our clients while ensuring compliance and efficiency in all operations. Position Summary The Medical Billing Specialist is responsible for managing the billing and reimbursement cycle for sleep testing services. This role ensures accurate claim submission, proper follow-up with insurance companies, and resolution of billing discrepancies to maximize revenue and maintain compliance with payer requirements. Key Responsibilities • Prepare, review, and submit clean claims to insurance companies in a timely manner., • Verify insurance eligibility and benefits for patients prior to services being rendered., • Post payments, adjustments, and denials accurately into the billing system., • Follow up on unpaid or denied claims, working with insurance representatives to resolve issues., • Communicate with patients regarding billing questions, account balances, and payment arrangements., • Maintain knowledge of payer rules and guidelines specific to sleep testing and durable medical equipment (DME), when applicable., • Assist with appeals and provide documentation to support claim reconsideration., • Generate and analyze billing and accounts receivable reports to identify trends and areas for improvement., • Ensure compliance with HIPAA, payer policies, and company procedures., • Collaborate with the revenue cycle team to improve workflows and enhance efficiency. Qualifications • High school diploma or equivalent required; Associate’s degree or certification in medical billing/coding preferred., • 2+ years of experience in medical billing, preferably in sleep medicine, diagnostics, or DME., • Knowledge of ICD-10, CPT, HCPCS codes, and insurance claim processes., • Familiarity with electronic health records (EHR) and billing software., • Strong understanding of payer requirements, including Medicare and commercial insurers., • Excellent organizational skills, attention to detail, and problem-solving ability. Blackstone Medical Services is an Equal Employment Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law.

Job DescriptionDescription: Licensed Vocational Nurse / Licensed Practical Nurse (FULL TIME) Company Overview Complete Home Care is a proud member of the Life Care Home Health Family of Companies. Serving Broward, Palm Beach, Naples, Tampa, St. Petersburg, Lakeland, Clearwater Beach, and Miami-Dade areas since 2010. We are a Medicare Certified Skilled Nursing, Therapy, Homecare and Private Duty company. We are AHCA Licensed, CHAP Accredited, fully insured, and a member of the Home Care Association of Florida. We are proud of the difference we make in the lives of our patients during their healthcare journeys, and we invite like-minded individuals to explore this dynamic career opportunity. We are excited about the possibility of you joining our fantastic team. At Complete Home Care, we have a vibrant team culture and are dedicated to our core values of Integrity, Caring, Accountability, Respect, and Excellence (ICARE). We believe that by working together, we can do more as we make a positive difference in the lives of seniors and their families. Top 6 Reasons Why our Caregivers/Clinicians Choose Complete Home Care: 1. Our team is passionate and dedicated to providing the highest quality care to our Seniors., 2. We foster collaboration, open communication, mutual respect, and a sense of belonging to create a supportive work environment., 3. We are committed to helping our Caregivers and clinicians grow professionally through partnerships and CEU opportunities., 4. Our benefits are designed with you in mind, including 401k, life insurance, and health insurance., 5. Full-time Caregivers and Clinicians can receive guaranteed 12-hour shifts in the unique and exciting culture of the clients we serve., 6. Our Career Growth Paths support and offer opportunities for career advancement in the field and in the office. Role Summary Our Licensed Practical Nurse (LPN) serves a pivotal role in our efforts to provide compassionate, top-notch care for our patients in the comfort of their place of residence. By personifying our Mission and Values, our Licensed Practical Nurse (LPN) acts as a bridge to independent living for our clients who may also require nursing care, under the supervision of a registered nurse, coordinate care with the interdisciplinary team, clients and their families, and the referring Agency. Patient Population: Has contact with patients of all ages in a clinical setting; understands and demonstrates appropriate behavior when interacting with patients in all populations. Essential Functions: • Promote /exemplify the Company's mission, vision, and values at all times., • Under the direction of the RN, assist in identifying the client’s physical, psychosocial, and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, and evaluations., • Participate in planning and implementing care with the RN through the Plan of Care (POC). Assist clients in recovering or maintaining life functions; prevent illness and relapse., • Provide care utilizing infection control measures that protect clients and staff (OSHA)., • Assure the continuity of care through the delivery of quality patient care., • Provides effective communication to clients, their families, team members, and other health care professionals, and regular participation in Case Conference/Team Meetings., • Monitors assigned cases to ensure compliance with the requirements of third-party payers., • Completes appropriate documentation promptly to ensure compliance with company policy., • Demonstrates commitment and professional growth by participating in in-service programs and maintaining/improving competency. Supervision: N/A Requirements: Experience: • 1-year experience as an LPN in a clinical care setting. (Nursing Home, Rehabilitation Center, Hospital (Med-Sug), • Nursing skills as defined as generally accepted standards of practice., • Excellent interpersonal skills and ability to communicate effectively., • Demonstrates proven decision-making skills., • If required to make visits, Hepatitis profile., • A current license that is in good standing to practice as an LPN in any/all applicable states., • Current CPR certificate. Physical Requirements: • Prolonged standing/walking is required., • The ability to lift/transfer up to 50 lbs., • Ability to meet deadlines and patient needs, make quick decisions, and allocate resources under stressful conditions., • Meet patient/family individualized psychosocial needs., • Works in patients’ homes in various conditions., • Possible exposure to blood-borne pathogens, bodily fluids, and infectious diseases., • Some exposure to unpleasant weather; PRN emergency call., • Reliable transportation and auto liability insurance, • Manual blood pressure cuff, • Stethoscope, • Thermometer

Job Description Attorney Partner Transitions are a monumental decision for any profitable attorney with an established client-base which relies on them to have certain systems in place, processes running and procedures developed. That's why it is tantamount to consider the benefit of a transition when considering one. It is no light decision, but when it is done right, can transform a billing lawyer's practice and life. People Placers Staffing is partnered with one of the most supportive, integrated litigation firms outside of the Am Law 100 league that offers a new, fresh outlook towards the private practice of law. Practice Area: (Healthcare regulatory, medical malpractice defense, Medicare/Medicaid fraud, drug/device products liability, professional liability defense, nursing home/ALF litigation, premises liability & negligence, insurance defense and civil litigation of personal injury and other general liability claims) Location: Greater Tampa or Orlando area (South Florida is the focus for the healthcare law practice group) Salary: Commensurate with proven book of business Interview Process: 3 to 4 stages, immediate introductory call with practice group partner(s), final meeting with CRO and leadership, rapid interview process with decisive results. About the Firm: This national law firm represents one of the largest minority-women-owned legal platforms in the United States and has a track record that spans over four decades of remarkable growth that has been seen primarily within this century. The firm emphasizes diversity, personalized service, and collaborative, high-touch legal solutions. Its model is built on an inclusive culture and continuous investment in attorney development, mentorship, and innovation. Partners benefit from a robust national platform that includes business risk management, state-of-the-art regulatory defense, and resources to expand their practice across healthcare, insurance defense, and other complex civil litigation areas. Job Description: The firm seeks experienced, self-starting attorneys capable of generating and maintaining a substantial portable book of business while adeptly managing their own caseload. Candidates should have a history of client origination, business development, and leading complex, high stakes legal matters. Practice areas of focus for the Tampa/Orlando region are mainly within healthcare regulatory and medical litigation, professional/products/general liability defense litigation, general insurance defense, administrative law, and related fields—however partners unique specialties are always welcome to consider. This opportunity allows for significant practice growth and collaboration across multiple practice areas, locations and disciplines. You will be offered the opportunity to teach and to learn new areas of litigation perhaps you have been wanting to lean into. All partners brought on are supported by strong mentorship within a large circle of highly performing peers within litigation practice. Qualifications: • Juris Doctor from an ABA-accredited law school, • Active license in at least one U.S. state (certain states highly sought), • Demonstrated portable book of business ($500k+ collections in the last 12 months) Preferred Skills: • Experience in business development and client origination, • Proven record of managing complex matters in healthcare, insurance defense, or related areas, • Excellent written and verbal communication skills, • History of delivering results from case inception to conclusion

Job DescriptionCompany Description Extraordinary opportunity. Exceptional experience. Sometimes in life, you find yourself in the right place, at the right time, looking at an opportunity so extraordinary it cannot be ignored. At Trucordia, our company is built on wildly successful businesses in our communities across the country, and now we’ve come together to create the next great insurance brokerage. We offer an unrivaled combination of people, tools and solutions, and deliver exceptional experiences and unrivaled opportunities for our employees, clients and stakeholders. We celebrate both individual successes and collective accomplishments, making sure the industry recognizes the remarkable company we’re building together, as well as the impact we’re having on our clients and communities. Ranked as one of the fastest-growing companies in the U.S. for three consecutive years, we have more than 5,000 team members across 200 offices across the country, who actively, genuinely care about our clients, each other and the quality of our work, and in every interaction, represent a company that people want to work for and do business with. Trucordia Values • We actively, genuinely CARE about our clients, each other and the quality of our work, and in every interaction, represent a company that people want to work for and do business with., • We COLLABORATE continuously because, together, we are more powerful and make amazing things happen for our clients and company., • We LEAD with intelligence, hunger, curiosity, energy and a future-focused attitude of “what’s next”?, • We are RESULT-ORIENTED, growth-focused and driven to out-perform expectations of what an insurance brokerage can achieve., • We CELEBRATE both individual successes and collective accomplishments, making sure the industry recognizes the remarkable company we’re building together, as well as the impact we’re having on our clients and communities.Job Description The primary objective of a 1099 contracted agent is to generate new business, manage client renewals annually, and provide ongoing service to members. As a licensed 215 agent, you will build a book of business under Florida Blue exclusively, focusing on ACA (Under 65) and Medicare (Over 65) segments. This is an outside sales position requiring proactive outreach and full-cycle sales execution. Agents may opt in to Apple’s year-round lead distribution system. Participation requires a mutually agreed-upon production schedule. This role is ideal for agents who are adaptable, proactive, and focused on long-term client relationships. Core Responsibilities • Maintain a current Florida 215 Health License and active Florida Blue appointment, • Complete all mandatory training, certifications, and carrier onboarding, • Sell Florida Blue products through compliant sales processes: face-to-face, phone, and electronic, • Guide prospects through the entire sales process from lead to close, • Manage book of business through renewals, service, and retention efforts, • Address and resolve policy delinquencies and member account issues, • Engage in age-in, age-out, and life event transitions with professionalism and accuracy, • Analyze member needs and conduct product comparisons using carrier-approved tools, • Present plan options clearly, explaining benefits and value-added services, • Educate clients on Florida Blue’s self-service platforms and enrollment resources, • Adhere to Florida Blue and CMS marketing and compliance standards, • Demonstrate high ethical standards in sales practices and member interactions, • Follow up on leads in a timely and professional manner, • Remain up-to-date with industry and product changes, • Be responsive to administrative and support team requests, • Represent Apple Insurance and Florida Blue in a professional manner at community or marketing events when applicableQualifications, • Holds a Florida 215 Health License, • Previous Health Insurance Sales Experience Additional Information Work Environment • Location: Join us at our vibrant office in Boca Raton, Florida., • Schedule: Full-time role with flexibility for evening or weekend shifts, especially during open enrollment seasons.

Job Description Position Overview: We are seeking a Credentialing Specialist to join our growing administrative team. This individual will play a vital role in supporting provider onboarding and compliance, ensuring that all practitioners are properly credentialed and contracted with insurance payers. Responsibilities: * Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers * Oversee contracting for new providers and ensure timely addition and removal of providers from payer rosters * Update and maintain provider information in CAQH, NPPES, and payer portals * Collaborate closely with the billing department to resolve credentialing-related issues impacting claims * Track and monitor credentialing status, expirations, and renewals to ensure compliance * Assist with provider enrollment and payer contract negotiations as needed Qualifications: * Minimum 2 years of experience in medical credentialing (dermatology or multi-provider group experience preferred) * Strong understanding of insurance contracting, CAQH, Medicare, and Medicaid enrollment * Excellent organizational skills and attention to detail * Proficient with payer portals and credentialing software * Strong communication and problem-solving skills Why Join OnSpot Dermatology: * Be part of an innovative, patient-centered mobile healthcare organization * Support a mission-driven team improving access to dermatologic care across Florida * Competitive compensation and benefits package

Job Description About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers—Raj and Neil Machhar—and inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients. About the Role Primary Care Physicians provide daily care to patient panels capped at approximately 500 patients. This model emphasizes work-life balance while delivering a concierge-like experience for patients. With a panel size limited to 500, physicians typically see around 12 patients per full day, allowing 30 to 45 minutes per visit to address each patient's needs thoroughly. Patient appointments are generally scheduled between 9:00 a.m. and 3:30 p.m., leaving additional time for urgent patient needs and administrative tasks. Administrative burdens are significantly reduced thanks to a dedicated team of coders who handle pre-charting and post-visit reviews, streamlining clinical documentation. Medical assistants manage administrative and care coordination tasks, enabling physicians to focus entirely on patient care and providing an exceptional experience. Location: We are seeking providers for new clinics and expansion clinics in the following locations: • Hudson, FL, • Spring Hill, FL, • Brooksville, FL, • Central Tampa, FL, • New Port Richey, FL, • Brandon, FL, • Sun City Center, FL, • Potential other Greater Tampa Bay Area locations Office Hours: Monday-Friday 8am-5pm Key Responsibilities Primary Care Physicians will provide comprehensive, patient-centered care to geriatric patients within a managed care, value-based care model, ensuring optimal health outcomes and a high-quality care experience. Deliver Patient-Centered Care • Perform thorough assessments and develop personalized care plans for geriatric patients., • Manage chronic conditions, preventive care, and acute issues within the scope of value-based care principles., • Collaborate with your team and specialists to ensure seamless care delivery., • Achieve quality metrics by proactively addressing care gaps, reducing unnecessary hospitalizations, and improving patient engagement., • Leverage electronic medical records (Epic or eCW) to document care, track patient outcomes, and support care coordination., • Build trusting relationships with patients and families, addressing their unique needs and concerns., • Educate patients and caregivers on disease management, preventive care, and healthy aging. Accountabilities • Collaborate with the growth and onboarding team to build and maintain a thriving patient panel of 500 individuals., • Proactively identify and address care gaps to ensure comprehensive and preventive care for patients., • Monitor and work to reduce hospitalization rates by delivering effective outpatient management and follow-up care., • Strive to achieve high Patient Net Promoter Scores (NPS) by fostering trust, communication, and satisfaction in every patient interaction. About You • MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required, • Must be able to obtain a Florida State Medical License or already have a current, active Florida State Medical License, • Strong communication and interpersonal skills., • Collaborative mindset with a willingness to learn and grow., • High attention to detail and commitment to excellence., • Innovative and open to outside-the-box clinical management approaches., • Strong ability to build trusting relationships., • Results-oriented with a strong work ethic., • Intellectually curious with a sense of integrity and humility., • Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. Why You Should be Excited • Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care., • Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors., • Growth: With the growth of our company, there will be exciting growth opportunities for our team, such as future leadership roles. Compensation & Benefits: • We offer market-leading compensation. Our contracts involve three components: a base salary, a qualitative performance bonus, and beginning in your third year of employment, a clinic performance bonus. Your compensation in the first two years should approach $300k, with the opportunity to exceed $400k including your clinic performance bonus., • Paid time off, health, dental and vision benefits, and 401K with employer match. Our Selection Process Our selection process typically includes an online application, initial interview, clinic visit, in-depth interview and reference check. Equal Employment Opportunity and Commitment to Diversity At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at .

Job Description Job Title: Inside Medicare Sales Agent Company: Senior Benefits Agency Location: Remote/Office Based About Us: At Senior Benefits Agency, we prioritize delivering exceptional value and personalized support to our clients navigating the complexities of Medicare. Our team is driven by a commitment to educate and empower seniors by providing tailored insurance solutions that meet their healthcare needs. We cultivate a collaborative environment where agents thrive and grow. Job Overview: We are in search of an enthusiastic Inside Medicare Sales Agent to join our dynamic team. In this role, you will engage with potential clients through phone calls, email communications, and online meetings to educate them about Medicare products and assist with their enrollment needs. You will play a crucial part in our sales team, providing compassionate guidance and support throughout the decision-making process. Key Responsibilities: • Initiate outbound calls to prospects and follow up on leads to assess their Medicare insurance needs., • Provide comprehensive information about Medicare Advantage plans, Supplement plans, and other related products., • Guide clients through the application and enrollment process, ensuring compliance with regulations., • Build and maintain strong relationships with clients through ongoing communication and support., • Collaborate with team members to share knowledge, strategies and improve overall sales effectiveness. This is a 1099 independent position Requirements Requirements: • Valid health insurance license (or willingness to obtain one)., • Previous experience in insurance sales, preferably in the Medicare sector., • Exceptional communication and interpersonal skills., • Proficient in building rapport and establishing trust with clients., • Strong organizational skills with the ability to manage multiple client interactions., • Goal-oriented with a proven track record in sales., • Comfortable using technology and CRM tools to manage client relationships.

Job Description About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers—Raj and Neil Machhar—and inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients. About the Role Primary Care Physicians provide daily care to patient panels capped at approximately 500 patients. This model emphasizes work-life balance while delivering a concierge-like experience for patients. With a panel size limited to 500, physicians typically see around 12 patients per full day, allowing 30 to 45 minutes per visit to address each patient's needs thoroughly. Patient appointments are generally scheduled between 9:00 a.m. and 3:30 p.m., leaving additional time for urgent patient needs and administrative tasks. Administrative burdens are significantly reduced thanks to a dedicated team of coders who handle pre-charting and post-visit reviews, streamlining clinical documentation. Medical assistants manage administrative and care coordination tasks, enabling physicians to focus entirely on patient care and providing an exceptional experience. Coming Soon: We are seeking providers for new clinics and expansion clinics in the following locations: • Spring Hill, FL (summer to fall 2026), • Sun City Center, FL (fall 2026), • Potential other Greater Tampa Bay Area locations Office Hours: Monday-Friday 8am-5pm Key Responsibilities Primary Care Physicians will provide comprehensive, patient-centered care to geriatric patients within a managed care, value-based care model, ensuring optimal health outcomes and a high-quality care experience. Deliver Patient-Centered Care • Perform thorough assessments and develop personalized care plans for geriatric patients., • Manage chronic conditions, preventive care, and acute issues within the scope of value-based care principles., • Collaborate with your team and specialists to ensure seamless care delivery., • Achieve quality metrics by proactively addressing care gaps, reducing unnecessary hospitalizations, and improving patient engagement., • Leverage electronic medical records (Epic or eCW) to document care, track patient outcomes, and support care coordination., • Build trusting relationships with patients and families, addressing their unique needs and concerns., • Educate patients and caregivers on disease management, preventive care, and healthy aging. Accountabilities • Collaborate with the growth and onboarding team to build and maintain a thriving patient panel of 500 individuals., • Proactively identify and address care gaps to ensure comprehensive and preventive care for patients., • Monitor and work to reduce hospitalization rates by delivering effective outpatient management and follow-up care., • Strive to achieve high Patient Net Promoter Scores (NPS) by fostering trust, communication, and satisfaction in every patient interaction. About You • MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required, • Must be able to obtain a Florida State Medical License or already have a current, active Florida State Medical License, • Strong communication and interpersonal skills., • Collaborative mindset with a willingness to learn and grow., • High attention to detail and commitment to excellence., • Innovative and open to outside-the-box clinical management approaches., • Strong ability to build trusting relationships., • Results-oriented with a strong work ethic., • Intellectually curious with a sense of integrity and humility., • Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. Why You Should be Excited • Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care., • Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors., • Growth: With the growth of our company, there will be exciting growth opportunities for our team, such as future leadership roles. Compensation & Benefits: • We offer market-leading compensation. Our contracts involve three components: a base salary, a qualitative performance bonus, and beginning in your third year of employment, a clinic performance bonus. Your compensation in the first two years should approach $300k, with the opportunity to exceed $400k including your clinic performance bonus., • Paid time off, health, dental and vision benefits, and 401K with employer match. Our Selection Process Our selection process typically includes an online application, initial interview, clinic visit, in-depth interview and reference check. Equal Employment Opportunity and Commitment to Diversity At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at .

Job DescriptionPosition: Lead Palliative Care Physician Monogram Health is seeking a full-time physician, specialized in palliative care, to join the team due to continued nationwide growth. This physician will be an in-market specialist and care for the seriously ill population in their community, including patients with CKD/ESRD, COPD, and CHF. The Lead Palliative Care physician will be integrated into their local market with the Market Physician Executive (MPE) and primarily renders care in the home. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits • Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care, • Autonomous schedule with In-home visits in a value-based care model, • Competitive salary plus company bonus program, • Full benefits including medical, dental, vision and life insurance, • Paid time off and 401(k) with matching contributions, • Relocation assistance and sign on bonus on case-by-case Roles & Responsibilities, • Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel, • Developing and presenting metrics to executive leadership, as requested, • Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below, • Treat panel of patients in-home to drive healthcare outcomes, • Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc., • Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists), • Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms, • Support patients utilizing our IDT, including Palliative Care Chaplain, • Assist with hospice transitions as appropriate, • Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment, • Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs, • Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communicationPosition Requirements, • Must be willing and able to obtain hospital privileges at required facilities., • Desire to practice in a forward-looking renal care environment focused on population health management, • Demonstrated experience applying evidence-based clinical criteria, • Comfort and skill in goals of care discussions and advance care planning, • Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations, • Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers, • Expertise in managing medication panels for complex patients, • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare., • Willingness to become licensed in multiple states as company and patient needs require, • Doctorate Degree in Medicine, • Board Certified in Hospice and Palliative Medicine Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. Monogram Health is based in Nashville, Tennessee, operates throughout 37 states, and is privately held by Frist Cressey Ventures, Norwest Venture Partners, TPG Capital, as well as other leading strategic and financial investors. To learn more about Monogram Health, ranked by Inc. Magazine as 2024’s No. 3 fastest growing private company in the United States, please visit here.

Job Description POSITION SUMMARY Post all payments to the practice management system. Process End of Day. Perform duties, processes and functionsassigned by management. . Work is conducted remotely, outside of a traditional office environment. Must be able to perform work at a dedicated work space with limited interruption or distraction, and high speed internet capability with 25 Mbps download speed/10 Mbps upload speed. ESSENTIAL FUNCTIONS · Review credit balance reports for potential refunds to insurance companies and/or patients. · Transfer patient overpayment to existing patient balance if appropriate. · Research insurance company requests for refunds and either dispute or submit as appropriate. Process refund requests for charges with missing documentation. · Monitor and work unresolved accounts (#0099999, #0099996, #0099995). Submit all refund requests for approval. · Work patient credit balances and manage insurance refund report and overpaid claims work list in Athena in a timely manner. · Report to the office location, as needed. · Perform other responsibilities associated with this position as deemed appropriate to ensure the success of the Business Office. GENERAL COMPENTENCIES DESIRED · Self-motivated, with the ability to work independently, with minimal supervision. · Knowledge of insurance terminology, CCI/bundling issues, CPT, ICD-10, HCPC and contractual agreements. · Familiarity with Medicare, Medicaid, HMO and commercial guidelines. · Ability to maintain confidentiality of patient and personnel information. · Detail-oriented paying close attention to accuracy. · Strong interpersonal skills. · Ability to be comfortable in learning and using digital tools. · Strong PC skills required to include all Microsoft applications, practice management systems and electronic health records. · Good problem solving skills required in order to maximize effectiveness and efficiency of job duties. PHYSICAL DEMANDS Requires sitting for long periods of time. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, scanner, telephone, calculator and other office equipment. Requires normal range of hearing and eye sight to record, prepare and communicate appropriate reports. Requires the ability to work under stressful conditions and/or irregular hours to meet deadlines. CREDENTIALS DESIRED Must have a high school diploma or equivalent education and at least one year of prior work experience in a medical business office. HOURS: Monday-Friday Orthopaedic Solutions Management is a Drug Free Workplace We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.

Job Description HMC Dental Services Inc. is seeking a highly experienced and detail-oriented Dental Billing Specialist to join our elite, technology-driven dental practice. The ideal candidate will have a strong background in dental billing, ADA coding, insurance verification, and account reconciliation. This role is pivotal to maintaining an efficient revenue cycle and providing an outstanding patient experience through accurate and transparent billing practices. Key ResponsibilitiesInsurance Claims Management • Prepare and submit dental claims accurately and timely (electronic and manual)., • Verify dental insurance eligibility and benefits (PPO & Medicare Advantage)., • Attach necessary documentation (e.g., x-rays, perio charting, narratives) through platforms,, • Follow up on unpaid, denied, or underpaid claims to ensure maximum reimbursement., • File appeals and corrections for denied claims, including submission of supplemental information., • Submit pre-authorizations and predeterminations as required.Patient Account Management, • Post insurance and patient payments (EFT, checks, and patient payments)., • Reconcile and manage accounts receivable, ensuring accurate and timely follow-up., • Generate and send monthly patient statements, particularly for balances following insurance denials., • Respond to billing inquiries and resolve patient account issues professionally and promptly., • Assign overdue balances to collections when necessary, following internal protocols.Billing Accuracy & Compliance, • Ensure accurate use of ADA procedure codes., • Identify and correct account errors, such as inaccurate demographics or insurance setup., • Stay current with dental insurance billing policies and coding updates., • Maintain compliance with federal, state, and payer-specific regulations.Reporting & Collaboration, • Prepare daily, weekly, and monthly billing and production reports., • Collaborate with front desk, dental assistants, and providers to ensure accurate documentation and timely billing., • Support credentialing and re-credentialing processes for providers as needed., • Assist Financial Coordinator with cost estimates and patient financial responsibility reviews., • Maintain the cleanliness and confidentiality of all billing-related documentation. Qualifications & Skills • Minimum 2 years of dental billing experience required., • Strong knowledge of ADA coding, PPO and Medicare Advantage plans., • Experience with dental software Open Dental., • High attention to detail and ability to multitask in a fast-paced environment., • Excellent communication, organizational, and analytical skills., • Strong customer service orientation with a problem-solving mindset., • Must work on-site; remote work is not available for this position., • Bilingual in English and Spanish is a plus. • Paid time off (PTO), • Paid Holidays, • 401K, • Voluntary Life Insurance, • Employee Assistance Program (EAP), • Medical, Dental and Vision Benefits Work Location: 4200 W Cypress St. Suite 690

Job DescriptionDescription:EXPERIENCED HOME HEALTH AIDESCNA HHALocation: Tampa and Surrounding Areas Company Overview Complete Home Care is a proud member of the Life Care Home Health Family of Companies. Serving Broward, Palm Beach, Naples, Tampa, St. Petersburg, Lakeland, Clearwater Beach, and Miami-Dade areas since 2010. We are a Medicare Certified Skilled Nursing, Therapy, Homecare and Private Duty company. We are AHCA Licensed, CHAP Accredited, fully insured, and a member of the Home Care Association of Florida. We are proud of the difference we make in the lives of our patients during their healthcare journeys, and we invite like-minded individuals to explore this dynamic career opportunity. We are excited about the possibility of you joining our fantastic team. At Complete Home Care, we have a vibrant team culture and are dedicated to our core values of Integrity, Caring, Accountability, Respect, and Excellence (ICARE). We believe that by working together, we can do more as we make a positive difference in the lives of seniors and their families. Top 6 Reasons Why Our Caregivers/Clinicians Choose Complete Home Care: 1. Our team is passionate and dedicated to providing the highest quality care to our Seniors., 2. We foster collaboration, open communication, mutual respect, and a sense of belonging to create a supportive work environment., 3. We are committed to helping our Caregivers and clinicians grow professionally through partnerships and CEU opportunities., 4. Our benefits are designed with you in mind, including 401k, life insurance, and health insurance., 5. Full-time Caregivers and Clinicians can receive guaranteed 12-hour shifts in the unique and exciting culture of the clients we serve., 6. Our Career Growth Paths support and offer opportunities for career advancement in the field and in the office. General Summary: Assists clients, in their place of residence, with personal healthcare and health maintenance activities as assigned. Includes, but is not limited to, transferring, health maintenance activities, feeding, mobility, and exercises. Essential Functions: • Assist clients with tasks within the scope of a home health aide based on the Plan of Care (POC)., • Communicate effectively with administrative staff regarding client/family needs assessments, including reporting any significant changes in client condition., • Provide care as outlined in the Home Health Aide Care Plan and accurately document the cares provided., • Contribute to continuity of care, effective communication between all care team members, and regular participation in Case conferences/Team Meetings., • Apply concepts of infection control and universal precaution in coordination/performing client care activities to protect both staff and patients., • Demonstrate commitment and professional growth by participating in in-service programs and maintaining/improving competency. Completes training or in-services in a timely manner as assigned by your supervisor. Supervision: N/A Requirements: Experience: • Ability to establish and maintain effective working relationships with all segments of the staff, and the Agency leadership team., • Home Health Aide Certificate or CNA, • CPR, • Driver's License, • Reliable transportation, • Auto insurance., • HIV CEU, • Alzheimer's CEU, • Prolonged standing/walking is required., • The ability to lift/transfer up to 50 lbs., • Requires working under stressful conditions to meet deadlines and patient needs and make quick decisions and resource acquisition., • Meet patient/family individualized psychosocial needs., • Works in patients’ homes in various conditions., • Possible exposure to blood-borne pathogens, bodily fluids, and infectious diseases., • Some exposure to unpleasant weather., • Ability to travel locally and work a flexible schedule.

Job Description Primary Care Opportunity in Tampa, FL - 1st year compensation over $300k Position Overview Join a forward-thinking, value-based care organization focused on delivering exceptional preventive primary care for adults 65+. This model empowers physicians to build meaningful patient relationships, spend more time with each individual, and practice medicine the way it was meant to be practicedwithout RVU pressure. We welcome physicians with Value-Based Care (VBC) experience as well as those eager to learn. Compensation & Incentives • Base Salary: $235,000$270,000 (commensurate with experience & location), • Commencement Bonus: $20,000$60,000+ (varies by clinic), • Annual Performance Bonus: 20% of base salary, • Full Benefits on Day 1, • Malpractice: Occurrence-based coverage, • Relocation Assistance: Available for moves >50 miles, • Early Sign-On Bonus Opportunities, • Patient Population: Adults 65+ (majority Medicare Advantage, chronic disease & preventive care focus), • Census: 1215 patients per day, • Visit Length: 2040 minutes per visit, • Integrated Care Team:, • NP/PA, • Medical Assistants, • Social Workers, • Lab & Pharmacy support, • Referral coordination, • Value-Based Care training, • Documentation best practices, • EMR optimization (Athenacurrently in transition), • Board Certified / Board Eligible in Internal Medicine or Family Medicine, • Geriatric experience preferred, • HEDIS experience a plus, • Mission-driven and passionate about improving outcomes for older adults, • Comfortable practicing within a value-based care model For More Information contact 863-528-7715 #PL #PM

Job Description TGH Home Care powered by VNA of Florida provides a full array of home care services for TGH patients, and those in the community needing home care. This office continues the same level of care and experience received at Tampa General Hospital. The Visiting Nurse Association of Florida (VNA) is a 45-year-old home health agency that is growing and looking to hire in multiple locations throughout Florida. Why join our VNA family? • Flexible Scheduling- We know how important work/life balance is., • Independent practice, • Great scheduling team who understands and respects you., • Variety of clients with different needs, ages and diagnosis., • Providing treatment and care to patients in their home, who will smile when they see you., • Interviews available within 24 hours., • Positions available NOW! If you have a passion for helping others and want to work for a home care agency that treats their employees like family, we would love to hear from you. Please apply now. SUMMARY This is a general invite to apply. Job descriptions will be provided in the next application process. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE Requires a college degree with study emphasis in communication, public relations or related field. Suitable experience may substitute. Prefer knowledge of the home health industry and Medicare guidelines for home health. LANGUAGE SKILLS Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors. MATHEMATICAL SKILLS Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. Ability to apply concepts of basic algebra. REASONING ABILITY Ability to define problems, collect data establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in diagram form and deal with several abstract and concrete variables. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to sit. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to outside weather conditions. The noise level in the work environment is usually moderate. EOE DFW Job Posted by ApplicantPro

Job Description Hi, we're Oscar. We're hiring a Manager, Formulary & Medical Pharmacy Operations to join our Pharmacy team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will oversee and manage clinical pharmacy initiatives driving affordability savings including core formulary management operations. You will partner across Pharmacy, Medical Economics, and the Office of Clinical Affairs to operationalize pharmacy related workflows and monitor existing savings initiatives for drugs on both the pharmacy and medical benefits. You will report to the Senior Manager, Formulary Operations and Pharmacy Utilization Management. Work Location: This is a remote position, open to candidates who reside in: Florida. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $144,000 - $189,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Provide insights and recommendations for trend management and clinical effectiveness, including serving as a key contributor in the enterprise affordability process for pharmacy, • Manage the pipeline of enterprise affordability projects across the pharmacy department (program operations and clinical) and oversee the performance of active initiatives, • Partner with leads across the organization as necessary in order to communicate, understand and identify upstream and downstream impacts to the business, • Contribute to the design and implementation of clinical programs focused on improving patient outcomes and reducing costs., • These programs may include medication adherence initiatives, chronic disease management programs, and patient education efforts, • Operationalize, develop and maintain a clinically appropriate and cost-effective formulary by operating and managing Oscar's P&T committee, which includes evaluating new developments in the drug treatment landscape and providing recommendations on how to manage new to market drugs and new drug indications., • Oversee and optimize medical pharmacy preferred drug lists and strategies to supports utilization of lowest unit cost infusion products, • Provide written recommendations with responses and corresponding documentation for regulatory inquiries, feedback on future legislation, and other business questions that probe at formulary operations., • Accountable and responsible for maintaining mental health parity NQTL responses and working cross-functionally for future filings and responding to ongoing objections during the audit process., • Compliance with all applicable laws and regulations, • Doctor of Pharmacy degree (PharmD), • 4+ years working for PBM or Payer in clinical pharmacy operations, • 4+ years leading cross-functional teams/projects and change management, • Residency Training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description About Discovery At Home Discovery At Home is part of the Discovery Senior Living family of companies, a recognized industry leader in performance, innovation, and lifestyle customization. Today, Discovery ranks among the two largest senior living operators in the U.S. Established in 2012 with the creation of a Medicare-certified agency in Southwest Florida, Discovery At Home has grown steadily, expanding operations across Tampa, Florida; Plano, Texas; Houston, Texas; and West Palm Beach, Florida. While DAH primarily supports residents living in communities managed by the Discovery Senior Living family, our care extends far beyond these communities. We now offer a full continuum of Part A services, Part B services, and Private Duty services. If you have a caring spirit and a passion for helping others, you possess the most important quality needed to be part of the Discovery At Home team. We are dedicated to making every day better for our patients and our staff. We value empathetic, committed professionals who show up ready to do work that matters. Apply today to help us comfort, care, and honor our community while improving quality of life for all. About the Opportunity We are seeking a Full-Time Registered Nurse (RN) to join our growing team. This RN will play a key role in providing skilled Medicare home health visits and assisting with the case management of Private Duty (non-skilled) services to ensure seamless coordination of care across service lines. The RN will work collaboratively with the interdisciplinary team, physicians, patients, and families to develop and implement individualized plans of care. This position serves Hillsborough County and supports ongoing clinical growth and quality initiatives within the agency. Responsibilities • Provide high-quality, patient-centered nursing care while ensuring safety in the home environment, • Conduct skilled Medicare visits including assessments, wound care, medication management, IV therapy, and other skilled services, • Assist in overseeing and supporting Private Duty case management, ensuring clear communication and continuity of care, • Assess, plan, implement, and evaluate patient care in collaboration with the interdisciplinary team, • Educate patients and caregivers on disease processes, medication management, and prevention of complications, • Collaborate with physicians and healthcare professionals to optimize patient outcomes, • Complete all clinical documentation accurately and in a timely manner, • Participate in QAPI activities and contribute to ongoing agency improvement initiatives, • Active Florida RN license, • Minimum 1 year of nursing experience (Home Health experience required), • Strong clinical judgment and critical-thinking skills, • Ability to work independently with strong organizational skills, • Excellent communication and interpersonal skills, • Reliable transportation This role requires the ability to perform physical activities such as lifting, balancing, walking, stooping, and handling materials. The RN must be able to navigate diverse home settings and adapt to different environmental conditions.

Job Description Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most –– at home. Pinnacle Home Care, Florida’s largest Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Clinical Manager to join our award-winning team. Key Responsibilities • Supervise the Clinical Team and report to Director of Clinical Services., • Ensure the coordination and management of patient care in a home health setting., • Oversee the delivery of quality care, supervising clinical personnel and ensuring compliance with agency standards and healthcare regulations., • Lead and inspire clinical teams and clinician retention., • Operate in a dynamic environment, balancing administrative responsibilities with field-based interactions., • Ability to be flexible, adaptable, and committed to supporting the delivery of exceptional patient care., • Educate and support clinicians to promote effective performance and the delivery of high-quality home care services., • Assist in the screening, interviewing, and hiring process for new personnel. Participate in the orientation and training of newly hired staff to ensure they are well-prepared for their roles., • Ensure adherence to accepted professional standards and principles. Consistently follow and enforce agency policies and procedures to set an example for employees., • Lead the team in alignment with the agency’s mission, vision, and values. Promote a culture of accountability and continuous improvement., • Conduct ongoing assessments of clinicians to evaluate their understanding and compliance with policies and procedures. Utilize ride-alongs, elevate calls, and daily touchpoints as tools for evaluation and feedback., • Participate in public relations and community activities to enhance the agency’s visibility and reputation as a valuable member of the healthcare delivery system., • Conduct regular 1:1 meetings and ride-alongs with clinicians., • Provide quarterly SHP scorecard reviews with clinicians and continuous education to ensure clinical excellence., • Perform weekly field visits with clinicians to mentor, guide, and support their professional growth and clinical expertise., • Instruct on the use of patient and physician portals, use of EMR system, and clinician scheduling tools to enhance communication and care coordination., • Must have a current RN license (state-specific)., • Minimum two years of experience in home health or a related field., • Strong leadership and management skills., • Excellent communication, organizational, and time management skills., • Knowledge of healthcare regulations and home health standards of care., • Personalized, One-on-One Care: Help patients heal and regain their independence by delivering individualized care in the comfort of their homes., • Growth & Stability: Over two decades as Florida’s largest home health agency., • Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement., • Competitive Benefits & Perks: Including an employee referral program where you can earn rewards., • Recognized Excellence: Ranked as a USA Today Top Workplace. Be part of a company that empowers clinicians to make a difference in the lives of over 10,000 patients across Florida every day. Apply now!

Job Description Join the Team at Concierge Home Care – Where Care Changes Lives! At Concierge Home Care, we believe in the power of home health care to change lives—for patients and team members alike. Our mission, “Caring for people who care for people,” is the foundation of who we are and what we do. Guided by our values—Integrity, Caring, Quality, Service, Innovation, and Team—we are dedicated to delivering compassionate, high-quality care that empowers patients to heal in the comfort of their own homes. Since we opened our doors in 2015, Concierge Home Care has grown to serve over 57 counties across Florida, offering incredible opportunities for growth and career advancement. Location: This is an in-office position based in South Tampa, FL. Your Role as a Clinical Manager, RN: • Supervise home health services to ensure patients receive high-quality care as prescribed by physicians., • Review clinical documentation to ensure compliance with Medicare, Federal, Insurance, and Company guidelines., • Follow and enforce Agency policies and procedures to set a strong example for the team., • Maintain compliance with accepted professional standards, principles, and Standard Operating Procedures., • An unencumbered Florida Registered Nurse (RN) License (required)., • Valid driver’s license, auto insurance, and reliable transportation (required)., • Two years of experience as an RN in acute care, med/surge, ICU, or ER settings (required). Whether you’re new to home health leadership or an experienced professional, you’ll have access to the tools and support needed to excel. You’ll also be part of a team that values collaboration and autonomy. While you’ll have the independence to manage your role, you’ll never be without the support of experienced clinical supervisors and a dedicated team focused on delivering exceptional care. And when it comes to what we offer, we’ve got you covered: • Compensation: This is a salaried position with a robust bonus structure!, • Setting: This is a Monday-Friday, 8:30 AM to 5 PM position, • Additional Earning Opportunities: Receive extra compensation for on-call and after-hours visits, • Professional Development: Ongoing training, mentorship opportunities, and support for career development., • Comprehensive Benefits:, • Enjoy three weeks of PTO and annually increases to four weeks after five years., • Earn quarterly bonuses based on individual and team performance., • Plan for the future with our 401(k) options., • Employee Assistance Program (EAP), pet insurance, legal assistance, and employee referral bonuses., • Health, dental, vision, and HSA options., • Mileage reimbursement or company vehicle (per company policy). Join Concierge Home Care and make a meaningful impact! Apply today to begin an exciting and rewarding career where care truly changes lives. INDCRI1 Monday-Friday 8:30 AM to 5 PM

Job Description POSITION DESCRIPTION Prosper Infusion is looking for experienced and motivated AR & Collections Specialist to join our dynamic team! The AR & Collections Specialist is responsible for a broad range of billing processes related to paid and unpaid claims. Responsible for contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred. Major Responsibilities: • Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined., • Strong skills and knowledge in collections and timely follow ups with insurance companies for positive outcome is highly recommended., • Processes unpaid claims quickly to ensure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims., • Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets., • If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed., • Works within specified deadlines and stressful situations., • Works overtime when necessary to meet department goals and objectives., • High School Diploma or equivalent (GED) required., • College degree preferred in accounting or business., • Excellent interpersonal, communication and organizational skills required., • Ability to prioritize, problem solve, and multitask is required. S6N1m4CYnk

Job Description Prosper Infusion is looking for a Healthcare Accounts Receivables (AR) Specialist to help manage our accounts receivables and unpaid claims. This position will work directly with our AR Lead to ensure the company its paid promptly and correctly by insurance plans. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred. Major Responsibilities: • Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined., • Strong skills and knowledge in collections and timely follow ups with insurance companies for positive outcome is highly recommended., • Processes unpaid claims quickly to ensure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims., • Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets., • If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed., • Works within specified deadlines and stressful situations., • Works overtime when necessary to meet department goals and objectives., • High School Diploma or equivalent (GED) required., • College degree preferred in accounting or business., • Excellent interpersonal, communication and organizational skills required., • Ability to prioritize, problem solve, and multitask is required. dYLSKinHMS

Job Description Prosper Infusion is a home infusion pharmacy looking for talented and motivated AR & Collections Specialist to join our dynamic team! The AR & Collections Specialist is responsible for a broad range of billing processes related to paid and unpaid claims. Responsible for contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred. Major Responsibilities: • Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined., • Strong skills and knowledge in collections and timely follow ups with insurance companies for positive outcome is highly recommended., • Processes unpaid claims quickly to ensure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims., • Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets., • If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed., • Works within specified deadlines and stressful situations., • Works overtime when necessary to meet department goals and objectives., • High School Diploma or equivalent (GED) required., • College degree preferred in accounting or business., • Excellent interpersonal, communication and organizational skills required., • Ability to prioritize, problem solve, and multitask is required. OfCLWl8fWM