- Molina Healthcare (Miami, FL)
- …proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- Oracle (Tallahassee, FL)
- …degree (MD, DO, or equivalent) required; board certification or clinical specialty training preferred. . Minimum 7 years' experience in clinical leadership roles ... directly with regulatory authorities, notified bodies, and in external audit situations. **Responsibilities** **Key Responsibility** **Cross-Organizational and Cross-Team Oversight**… more