- CHS (Clearwater, FL)
- …as well as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with Preferred Provider Organizations ... sent to re-pricing entities, unable to be systematically "matched", auto-adjudicated, in Examiner queues waiting to be adjudicated, and in either audit or needing… more
- University of Miami (Miami, FL)
- …Clinical support for staff Support hospital operations in collaboration with senior leadership Foster a positive, collaborative, and patient-focused culture. + Acts ... management of Clinical and Non-clinical emergencies and subsequent notification to senior leadership. + Supports policies and procedures to improve operational… more
- MyFlorida (Tallahassee, FL)
- …Systems Auditor (CISA), + Certified Public Accountant (CPA), + Certified Fraud Examiner (CFE), + Other highly desirable knowledge, skills, abilities, and credentials ... through work on teams or as directed. Duties and Responsibilities: This is a senior auditor position in the Office of Inspector General (OIG). The position is… more
- MyFlorida (Tallahassee, FL)
- …This is a highly technical position, reporting to the Technology Services Section, Senior IT Analyst. Specific duties and responsibilities of this position are as ... * Seeks certifications associated with job duties such as Certified Fraud Examiner (CFE) Knowledge, Skills, and Abilities: Knowledge of principles and techniques of… more
- University of Miami (Miami, FL)
- …a Subject Matter Expert. Supports hospital operations and collaborates with senior leadership. + Fosters a positive, collaborative, and patient-focused culture and ... including notifications to leadership and external agencies (eg, medical examiner , law enforcement). + Ensures compliance with healthcare regulations (CMS,… more
- Prime Therapeutics (Tallahassee, FL)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as assigned. + ... codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer knowledge of managed… more