• DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …systems and reference information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality standards as set ... issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality more
    Elevance Health (08/13/25)
    - Related Jobs
  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (St. Petersburg, FL)
    …validates accuracy of complex reports and automated configuration processes/solutions + Assist manager in establishing peer review standards and methodology + ... confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for...Research and review new audit tools and techniques and provide recommendations to management… more
    Molina Healthcare (07/24/25)
    - Related Jobs
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make… more
    Elevance Health (08/23/25)
    - Related Jobs
  • Operational Risk Officer Vice President

    Citigroup (Tampa, FL)
    The business risk senior manager accomplishes results through the management of processes. Integrates subject matter and industry expertise within a defined area. ... areas and occasional external customers. Has responsibility for volume, quality , timeliness and delivery of end results of an...cause identification and resolution. * Ad hoc control / audit related requests as needed. * Serve as partner… more
    Citigroup (08/30/25)
    - Related Jobs
  • Market Investigator

    Family Dollar (North Miami, FL)
    …Stores LP Audit and score store performance based on specific criteria. Report audit findings to Store Manager , Field Manager and Corporate Management. + ... position will report directly to the Director, Loss Prevention or Regional Manager , Loss Prevention and will interface frequently with Field Managers and Corporate… more
    Family Dollar (08/28/25)
    - Related Jobs
  • Credit Administration Officer - Waterford

    FirstBank PR (Miami, FL)
    …the follow-up with various action plans that transpire from the regulatory, audit and/or loan review examinations. Support managing, identifying, and monitoring ... The CREDIT ADMINISTRATION OFFICER reports to the Credit administration workout manager / Senior Credit Officer providing support for Commercial Credit Administration,… more
    FirstBank PR (07/22/25)
    - Related Jobs
  • Pharmacy Graduate Intern (Non-US Education)

    Walgreens (Bradenton, FL)
    …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
    Walgreens (08/23/25)
    - Related Jobs
  • Bilingual Customer Service Sr Analyst

    Citigroup (Miami, FL)
    …+ Actively supports a Private Banker in delivering consistently high quality banking, credit, trust, fiduciary, capital markets and investment services to ... individual banking, credit and investment products. Ensure transactions are completed within audit and compliance standards as well as timely execution. + Be… more
    Citigroup (07/18/25)
    - Related Jobs
  • SVP, Operational Risk Sr Officer I

    Citigroup (Jacksonville, FL)
    Reporting to the 2nd Line Operational Risk Senior Group Manager , who has responsibility for oversight of US Personal Banking (USPB) Operations. Chief Operating ... USPB ORM Head + ORM Independent Senior Operational Risk Manager (ISORM) business coverage leads for other US Businesses...ensure it is within the acceptable risk appetite. + Review and challenge the effectiveness of risk mitigation strategies… more
    Citigroup (07/29/25)
    - Related Jobs
  • Final Estimates Specialist II

    MyFlorida (Alachua, FL)
    …Department procedures. Makes technical geometric and mathematical calculations. Prepares a Post Audit Review (PAR) report on each submittal detailing errors and ... competitiveness, prioritizes Florida's environment and natural resources, and preserves the quality of life and connectedness of the state's communities. Our Vision… more
    MyFlorida (08/22/25)
    - Related Jobs