• Payment Integrity Clinician

    Highmark Health (Tallahassee, FL)
    …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of… more
    Highmark Health (11/14/25)
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  • Senior Investigator, Special Investigations Unit…

    CVS Health (Tallahassee, FL)
    …(CFE) - An accreditation from the National Health Care Anti-Fraud Association (AHFI). - Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA) - ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (12/11/25)
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