- Molina Healthcare (Miami, FL)
- …+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit , and overpayment recovery initiatives to ensure Health Plan SAI targets are ... + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in… more
- ManTech (Doral, FL)
- …and utilization are key responsibilities + The Senior Assessment Specialist conducts in-depth assessments of FMS implementations, evaluating their effectiveness ... degree. + 9+ years of position-specific relevant experience in IT systems assessment, audit , or a related role. + Knowledge of various IT domains, including… more
- Guidehouse (Tampa, FL)
- …clinical education. + Serves as a technical expert/resource for department manager , staff, physicians, administrative, and external customers to provide information ... (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) + A inpatient coding background at a...as well as well as data management and coder audit and education experience. + Must maintain credential throughout… more
- Sciolex Corporation (Tampa, FL)
- …for use and review by authorized Govt and contractor personnel, as well as audit purposes. + Provide resourcing support to the development and maintenance of the ... program budget. The contractor shall provide recommended COAs to the program manager and appropriate J3 POCs. Programming Support Specifics: + Provide decision… more