• Clinical Fraud Investigator II

    Elevance Health (Tampa, FL)
    …as appropriate regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. + Assists with training ... **Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud… more
    Elevance Health (08/30/25)
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  • Wind Manufacturing - Quality Operations…

    GE Vernova (Pensacola, FL)
    …and process improvements to prevent escapes to our customers. This role will lead the quality continuous improvement programme, the business processes and QMS and ... and implemented. + Own and manage the Wind Manufacturing audit program for the nacelle factories **Required Qualifications** +...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
    GE Vernova (08/21/25)
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  • Manager, DRG Validation

    Zelis (St. Petersburg, FL)
    …on DRG validation to team members and other departments within the organization + Lead and manage a team of coding professionals by providing guidance, training, and ... to Zelis standards regarding privacy What you'll bring to Zelis: + Registered Nurse licensure required + Inpatient Coding Certification required (ie, CCS, CIC, RHIA,… more
    Zelis (08/02/25)
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