• Healthcare Reimbursement Analyst,…

    LogixHealth (Dania, FL)
    …issues and appeal if necessary, using software or other resource tools + Prepare audit results and keep department manager current of all findings and audits ... teams to provide cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and bring… more
    LogixHealth (07/24/25)
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  • SOC2 Audit Specialist - (Heathcare/Pharma)

    AssistRx (Orlando, FL)
    …Health Information Management, Accounting, or a related field, three to five years of experience in audits, preferably within the healthcare or healthcare IT ... This position is for an Audit Specialist. The Audit Specialist is...+ Stays informed of applicable regulation changes in the healthcare and pharmaceutical industries. + Collaborates with various teams… more
    AssistRx (07/31/25)
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  • Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (07/29/25)
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  • Reimbursement Manager

    HCA Healthcare (Orlando, FL)
    …Do you want to join an organization that invests in you as a Reimbursement Manager ? At HCA Healthcare , you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated Reimbursement Manager like you to be a part of our...Bachelors degree required + 3+ years of relevant work experience is preferred HCA Healthcare (Corporate), based… more
    HCA Healthcare (07/09/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (FL)
    …* Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position… more
    Molina Healthcare (07/31/25)
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  • Manager , Claims (Portal Response)

    Molina Healthcare (Miami, FL)
    …License, Certification, Association** + Certification in Training and Development preferred for manager overseeing Training unit + Internal Audit Certification a ... plus for manager overseeing Regulatory Quality Audit unit To all current Molina employees: If you are interested in applying for this position, please apply… more
    Molina Healthcare (07/30/25)
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  • Manager Social Services

    HCA Healthcare (Tallahassee, FL)
    …Each year about five percent of all US hospital services happen at an HCA Healthcare facility. Be an impact as a(an) Manager Social Services where your passion ... ready to manage in a new era as a Manager Social Services where building a healthier tomorrow is...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
    HCA Healthcare (07/23/25)
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  • National Manager , Delegation Oversight

    Molina Healthcare (Orlando, FL)
    …with national and state delegates. + Coordinates, evaluates, and reviews delegation audit assessment tools as necessary to comply with state, federal, NCQA, and ... Compliance Committees as applicable. + Manages department processes to monitor the audit and monitoring performance of delegated entities on a regular interval and… more
    Molina Healthcare (07/09/25)
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  • Provider Inquiry Manager

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …as assigned by management Qualifications: + Minimum of 10 years of healthcare operations or Medicare Advantage experience ; strong knowledge of Medicare ... The Provider Inquiry Manager provides leadership and oversight of claim disputes....Lead special claim dispute projects + R eview and audit high-dollar and complex claim disputes + Identify opportunities… more
    DOCTORS HEALTHCARE PLANS, INC. (07/26/25)
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  • Operational Regulatory Oversight Analyst…

    Molina Healthcare (St. Petersburg, FL)
    …in health care industry in related field **Preferred Education** Bachelor's degree in healthcare related field **Preferred Experience ** 3-5 years experience ... and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, performs oversight audits and… more
    Molina Healthcare (07/19/25)
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