- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... include, but not be limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge of heath care coding… more
- Prime Therapeutics (Tallahassee, FL)
- …with a high level of detail and accuracy, to clearly and concisely support conclusions and recommendations. + MISCELLANEOUS DUTIES: + Provide backup support ... Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the...terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer… more
- Air National Guard Units (Tyndall AFB, FL)
- …to qualify for this position, you must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must ... Instructs same to function within established joint doctrinal principles to support the planning and prosecution of theater level joint operations. Monitors… more
- Highmark Health (Tallahassee, FL)
- …or alleged fraud/waste and abuse cases or special projects. + Provides advisory support as needed to internal and external law enforcement and regulatory agencies, ... **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC)… more