- Cardinal Health (Tallahassee, FL)
- …well as the development and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all ... E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS… more
- Healthfirst (FL)
- …assigned. **MinimumQualifications** + Bachelors degree from an accredited institution + Experience in Healthcare /Health Plan customer service, operations, vendor ... supervising staff, including recruiting, hiring, and training staff. + Demonstrated experience developing and performing audit testing; implementing statistics… more
- CVS Health (Plantation, FL)
- …may sit in any US location.** **Minimum Requirements** + Minimum 4 years audit experience or in related field + Healthcare or TPA industry experience + ... all appropriate parties and **implements best practices and writes Audit Policies & Procedures.** + Acts as a liaison...offer will depend on a variety of factors including experience , education, geography and other relevant factors. This position… more
- 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
- Elevance Health (Tampa, FL)
- …Qualifications** : + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience ; or any combination of education and ... ** Audit & Reimbursement Senior** **_Virtual:_** _This role enables...This position provides a valuable opportunity to gain advanced experience in auditing and financial analysis within a growing… more
- 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 (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
- HCA Healthcare (Sunrise, FL)
- **Description** **Introduction** Do you have the career opportunities as an Operations Manager WFH you want with your current employer? We have an exciting ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** HealthTrust Workforce...colleagues. Do you want to work as an Operations Manager WFH where your passion for creating positive patient… more
- 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
- 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