• Specialist EHS

    Southern Glazer's Wine and Spirits (Lakeland, FL)
    …(Depots). This position will complement these teams with technical, data management, compliance, auditing , and tactical support. The EHS Specialist will serve as ... that truly cares about its people. **Overview** The EHS Specialist reports to the Director of EHS and supports...national programs, and corrective actions associated with our compliance auditing program. This role supports SGWS in achieving our… more
    Southern Glazer's Wine and Spirits (11/06/25)
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  • Sr Supplier Medical Process Specialist

    Zurich NA (Tallahassee, FL)
    …workstreams + Experience in a transactional, operational or customer service environment + Quality auditing experience + Knowledge of the insurance industry and ... Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am...continuous process and system enhancements to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims more
    Zurich NA (12/19/25)
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  • Investigation Specialist II

    MyFlorida (Gainesville, FL)
    INVESTIGATION SPECIALIST II - 79001410 Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 867813 Agency: Business and Professional Regulations Working Title: INVESTIGATION SPECIALIST II - 79001410 Pay Plan: Career Service Position Number: 79001410… more
    MyFlorida (01/08/26)
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  • Ops Investigation Specialist II

    MyFlorida (Lee, FL)
    …action, equal employment opportunity, regulatory work as a paraprofessional or higher, claims adjusting, auditing , financial examining, land appraisal work, land ... OPS INVESTIGATION SPECIALIST II - 64801132 Date: Jan 8, 2026...Estimator Tool (https://compcalculator.myflorida.com/) Department of Health Division of Medical Quality Assurance Bureau of Enforcement Investigative Services Unit -… more
    MyFlorida (01/08/26)
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  • DRG Coding Auditor Principal

    Elevance Health (Lake Mary, FL)
    …at least one of the following: AA/AS or minimum of 15 years of experience in claims auditing , quality assurance, or recovery auditing . + Requires at ... spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid...and generate audit findings letters. + Validates accuracy and quality standards as set by audit management for the… more
    Elevance Health (12/24/25)
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  • DRG Coding Auditor (ICD-9/10cm, MS-DRG, AP-DRG,…

    Elevance Health (Tampa, FL)
    …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing , quality assurance, or recovery auditing . + Requires at ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
    Elevance Health (12/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing , quality assurance, or clinical documentation improvement, and a ... The **Diagnosis Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the… more
    Elevance Health (01/07/26)
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  • Medical Review Nurse (RN)- Remote

    Molina Healthcare (Miami, FL)
    …review, medical claims review, long-term services and supports (LTSS), claims auditing , medical necessity review and/or coding experience, or equivalent ... appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates… more
    Molina Healthcare (01/09/26)
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