• Senior Specialist, Member & Community…

    Molina Healthcare (FL)
    …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with… more
    Molina Healthcare (07/31/25)
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  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …goal through analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding, and utilization used to support ABH programs. They ... a model consisting of an internal, cross-functional team of clinical , analytics, provider relations and medical personnel. The PTA...+ RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW… more
    CVS Health (07/12/25)
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  • Remote Senior Internal Healthcare Audit Consultant

    Banner Health (FL)
    …and staff, to executives and managers with external partners or companies, clinical departments such as pharmacy to the accounting treatment of specific ... designations such as Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or Certified Healthcare Internal… more
    Banner Health (08/03/25)
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  • Quality Systems Manager

    BPC Plasma, Inc. (Hollywood, FL)
    …of equipment and documentation of procedures. * Ensures that Clinical Lab Improvement Amendments (CLIA) proficiency test surveys, complaint investigations, ... certification from American Society for Quality to be a Certified Quality Auditor . Certification as a Designated Trainer for quality area is required. \#BiomatUSA… more
    BPC Plasma, Inc. (07/16/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Jacksonville, FL)
    …team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on ... data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources to assure coding knowledge and skills remain current… more
    HCA Healthcare (06/21/25)
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