- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- University of Miami (Miami, FL)
- …UHealth-University of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity . The Business ... unit-level policies and procedures and safeguards University assets. Department Specific Functions: Business Systems Analyst 3 - Revenue Integrity supports the… more
- The ODP Corporation (Boca Raton, FL)
- …Social Responsibility & Product Integrity Manager will effectuate the day to day compliance operations to reach these goals and be an integral part of the ... and Experience:** + Bachelors degree or equivalent experience in Logistic, Trade Compliance , Business , Auditing, Ethics, International Business , Product… more
- Monro Muffler/Brake (Tampa, FL)
- …in our retail locations across our many brands, in field management, and in store operations at our Store Support Center in Rochester, New York. If you like helping ... and building guest relationships, if you value honesty and integrity - we have a Destination for you at...-Your Career is Here! Reporting to the Director of Operations Support, this individual will evaluate, inspect, audit, and… more
- Molina Healthcare (St. Petersburg, FL)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of ... EXPERIENCE:** + 5 + years of experience with oversight, auditing, government regulations/ compliance , operations + Must have strong understanding of QNXT claims… more
- CVS Health (Tallahassee, FL)
- …growth and revenue. + Provides regular reports and updates regarding business operations , strategic initiatives, financial performance, and key achievements ... scope of 25-30 to develop enterprise-wide solutions (medical cost containment and payment integrity ) to address business problems, resulting in lower cost of… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... member of the Elevance Health family of companies, within our Carelon business . CareBridge Health exists to enable individuals in home and community-based settings… more
- Trinity Health (Fort Lauderdale, FL)
- …to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to educate on improved documentation to support ... within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding… more
- Ascension Health (Jacksonville, FL)
- …Advocate and follow best practice process adoption, suggest opportunities to improve operations within scope, leading to business process harmonization. + Create ... negotiations and third party billing. + Oversee development, monitoring and compliance of departmental budget(s). + Support accounts receivable and revenue valuation… more
- Siemens Energy (Orlando, FL)
- **A Snapshot of Your Day (position overview)** The O&M Asset Integrity Project Manager plays a key role in supporting Siemens Energy's operational excellence across ... this role works closely with remotely located sites to ensure asset integrity and efficient performance! This position requires close collaboration with internal… more