• Medical Claim Review Nurse (RN)

    Molina Healthcare (St. Petersburg, FL)
    …Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in Healthcare Quality or other ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides… more
    Molina Healthcare (08/08/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Miami, FL)
    …and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and deliverables are ... met * Evaluate results from audit activities to address barriers, gaps, opportunities for improvement,...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (07/25/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (St. Petersburg, FL)
    …COB and TPL processing logic. + Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act as subject matter expert for ... + Assists manager in establishing standards, guidelines, and best practices for the audit team + Interprets and validates accuracy of complex reports and automated… more
    Molina Healthcare (07/24/25)
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  • Assistant Controller

    HCA Healthcare (Sarasota, FL)
    **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Assistant Controller ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...in adherence with corporate accounting policy (APG) and internal audit guidelines; interprets data, and prepares financial analyses of… more
    HCA Healthcare (08/09/25)
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  • Assistant Controller

    HCA Healthcare (Hudson, FL)
    **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Assistant Controller ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...in adherence with corporate accounting policy (APG) and internal audit guidelines; interprets data, and prepares financial analyses of… more
    HCA Healthcare (08/09/25)
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  • Assistant Controller

    HCA Healthcare (Brooksville, FL)
    **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...in adherence with corporate accounting policy (APG) and internal audit guidelines; interprets data, and prepares financial analyses of… more
    HCA Healthcare (08/01/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Tampa, FL)
    …while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing ... solutions to maximize national HEDIS audit success. * Partner with other teams to ensure...running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge… more
    Molina Healthcare (07/31/25)
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  • Assistant Chief Financial Officer

    HCA Healthcare (Atlantis, FL)
    …This position is incentive eligible. **Introduction** Executives thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...+ Minimum of three years in finance/accounting or public accounting/ audit experience + Experience as a hospital Controller preferred… more
    HCA Healthcare (07/14/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Gainesville, FL)
    …you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon, offers a total rewards package ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
    HCA Healthcare (07/11/25)
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  • Reimbursement Manager

    HCA Healthcare (Orlando, FL)
    …to join an organization that invests in you as a Reimbursement Manager? At HCA Healthcare , you come first. HCA Healthcare has committed up to $300 million in ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...contractual adjustments budgets. + Prepare annual and final external audit work papers. + Communicate issues to both the… more
    HCA Healthcare (07/09/25)
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