- Molina Healthcare (FL)
- …the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. + Create Business Requirements ... Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- Audacy (Miami, FL)
- …with a comprehensive benefits package to include: health care coordinator, medical , dental, vision, telemedicine, flexible spending accounts, health savings account, ... 401(k) retirement plan, discounted employee stock purchase, student loan payment assistance program, legal assistance, life assistance program, identity theft… more
- US Army Medical Command (Pensacola, FL)
- Summary **This announcement has been updated from original posting date to align with requirements per the Merit Hiring Plan** This position is located at the NAS ... and injuries, conduct surgeries. Perform administrative duties such as maintaining legal medical health records. Collect body tissue, feces, blood, urine, and other… more
- Elevance Health (FL)
- …payer, managed care, or healthcare leadership preferred. + Experience advising medical cost management, utilization management, payment integrity, or provider ... **Manager, Medical Director - Transformation Initiatives** Location: This role...candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless… more
- Molina Healthcare (Tampa, FL)
- …the database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated ... Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review… more
- MyFlorida (Miami, FL)
- OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448 Date: Oct 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 860738 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448 Pay Plan: Temp Position Number:… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement change by… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more