• Audit & Reimbursement II (US)

    Elevance Health (Tampa, FL)
    …in accordance with Government Auditing Standards (GAS). The Auditor II will gain experience on Medicare Part A Audit and Reimbursement as part of our Medicare ... ** Audit & Reimbursement II** **_Location:_** This role enables...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare more
    Elevance Health (06/06/25)
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  • Audit & Reimbursement Senior- Appeals

    Elevance Health (Miami, FL)
    Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (Miami, FL)
    Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (Tampa, FL)
    …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare more
    Elevance Health (05/22/25)
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  • Certified Pharmacy Technician, Specialty/Home…

    Walmart (Orlando, FL)
    …process Medicare orders to ensure compliance; and interpreting and documenting Medicare audit documents. + Ensures fulfillment of pharmacy prescriptions in a ... documentation; and maintaining a safe and clean work environment. + Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules… more
    Walmart (04/30/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Tampa, FL)
    Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II** will support our Medicare Administrative Contract ... ** Audit & Reimbursement II** **Location:** This role enables...(MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department… more
    Elevance Health (05/30/25)
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  • Audit and Compliance Supervisor - Patient…

    BayCare Health System (Clearwater, FL)
    … Fiscal Intermediaries) Equal Opportunity Employer Veterans/Disabled **Position** Audit and Compliance Supervisor - Patient Financial Services **Location** ... 8:00AM -4:00PM + **Days:** Monday through Friday, occasional weekends This Audit and Compliance Supervisor opportunity is a full-time position. This position… more
    BayCare Health System (06/03/25)
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  • Quality Audit Professional

    Humana (Tallahassee, FL)
    …part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The Quality Audit ... and independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports the Healthcare Quality Management Team in administering… more
    Humana (06/06/25)
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  • Compliance Manager - D-SNP Product

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …with our business partners, the State Medicaid Office and/or the Centers for Medicare and Medicaid Services (CMS). The Compliance Manager will work closely with ... Audits, monitors activities and provides training and clarification of Medicare requirements and other general processes (includes delegates). + Reviews… more
    DOCTORS HEALTHCARE PLANS, INC. (05/29/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
    Highmark Health (05/09/25)
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