• Program Manager, Health Plan Payment Integrity…

    Molina Healthcare (Tampa, FL)
    …all payment integrity (PI) solutions. * Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial ... thought partner to health plan leadership, and provides well-reasoned recommendations that support short- and long-term business goals. * Partners with the network… more
    Molina Healthcare (01/10/26)
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  • Facets Dental Configuration Specialist

    Cognizant (Tallahassee, FL)
    …Type: Full-Time** **Job ID: 67014021** **About the role** As a Technical Analyst - Dental Configuration, you will make an impact by designing, developing, ... and optimizing benefit, pricing, and configuration solutions that directly enhance claim processing accuracy and auto‑adjudication rates. You will be a valued member… more
    Cognizant (01/15/26)
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  • Consultant - Business Transformation

    Sedgwick (Orlando, FL)
    …with clear ROI and EBITDA implications. + Coordinate RFI/RFP process; support contract negotiations and SLAs. **Technical Discovery & Solutioning** + Facilitate ... 25%). **SUPERVISORY RESPONSIBILITIES** + Lead small cross-functional teams; mentor Analysts/ Analyst Sr. No direct reports. **QUALIFICATIONS** + **Education** :… more
    Sedgwick (01/16/26)
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  • QA Manager

    Public Consulting Group (Tallahassee, FL)
    …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... required techniques for the testing process. Team Leadership: Lead, mentor, and support the testing team, setting goals, providing guidance, and managing their… more
    Public Consulting Group (12/06/25)
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