• Medical Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …Consumer Support Program (ICSP). PAY: Salary will be commensurate with experience and qualifications, ranging from $47,668.08 to $55,000.04, annually. DUTIES AND ... + Bachelor's degree or at least four (4) years' experience in a health-related program, human services, social work,...and explain any gaps in employment so that the hiring process is not delayed. Gaps of employment for… more
    MyFlorida (08/20/25)
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  • Project Manager

    Elevance Health (Tampa, FL)
    …and participates in quality review checkpoints + Obtain/secure and archive necessary approvals + Manage and update project plan. **Minimum Requirements:** Requires ... field and minimum of 3 years professional project management experience , which at least 2 years are spent leading...Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of… more
    Elevance Health (08/19/25)
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  • Government Operations Consultant II

    MyFlorida (Tampa, FL)
    …monitors program corrective action plans. + Provide in-service training when necessary . + Perform analysis to ensure programmatic activities are adequately funded. ... the ESS Program including FLORIDA, AMS, People First- Time Entry and Hiring and Recruiting, MES, Analytics systems, Tivoli, FLAIR, Document Viewing and knowledge… more
    MyFlorida (08/16/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Tampa, FL)
    …medical records prior to payment. Researches new healthcare-related questions as necessary to aid in investigations. + Collaborates with the Special Investigation ... (AAPC or AHIMA) and minimum of 4 years related experience , including minimum of 1 year experience ...Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of… more
    Elevance Health (08/16/25)
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  • Senior Project Manager- Health Plan

    Elevance Health (Tampa, FL)
    …for defining, recommending, and securing contractual agreements for necessary services and products, and coordinating requirements, scheduling implementation, ... field and minimum of 5 years professional project management experience required during which at least 3 years are...Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of… more
    Elevance Health (08/16/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (Tampa, FL)
    …and interprets data and makes recommendations for change based on judgment and experience . + May perform Part A provider enrollment responsibilities as needed. + ... minimum of 5 years of audit/reimbursement or related Medicare experience ; or any combination of education and experience...ability to travel to worksite and other locations as necessary . For candidates working in person or virtually in… more
    Elevance Health (08/14/25)
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  • Registered Nurse Supervisor

    MyFlorida (Chattahoochee, FL)
    …of employment. + Account for and explain gaps in employment so that the hiring process is not delayed. + Experience , education, training, knowledge, skills ... practical nurses assigned. + administering appropriate counseling and/or disciplinary action necessary to insure a safe, individualized regimen for the residents… more
    MyFlorida (08/13/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …step in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and ... a AA/AS and minimum of 4 years medical coding/auditing experience , including minimum of 1 year in fraud, waste...Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of… more
    Elevance Health (08/13/25)
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  • Medical Director

    Elevance Health (Miami, FL)
    …Utilization Management experience is a plus. + Ability to meet necessary internet speed requirements and adhere to work-at-home agreements. For URFAC accredited ... the US. + Minimum of 10 years of clinical experience ; or any combination of education and experience...Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of… more
    Elevance Health (08/13/25)
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  • Budget Analyst (Pending Reclassification)

    MyFlorida (Tallahassee, FL)
    …employment. + Account for and explain any gaps in employment so that the hiring process is not delayed. + Experience , education, training, knowledge, skills ... (Word, Excel, Outlook). + Two (2) years professional work experience with State of Florida Budgets - (ie state...be required on short notice to perform duties and necessary attendant travel in support of disaster relief efforts.… more
    MyFlorida (08/13/25)
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