• Lead Analyst, Configuration Oversight…

    Molina Healthcare (St. Petersburg, FL)
    …a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and ... EXPERIENCE:** + 5 + years of experience with oversight, auditing, government regulations/ compliance , operations + Must have strong understanding of QNXT claims… more
    Molina Healthcare (07/24/25)
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  • Health Plan Operations , Payment…

    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 ... Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/ compliance adherence. + Familiarity with… more
    Molina Healthcare (08/14/25)
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  • Lead Director, Payment Integrity…

    CVS Health (Tallahassee, FL)
    …and competitive dynamics. + Communicates with cross-functional teams, including operations , sales, regulatory/ compliance , and finance, to ensure alignment ... + Minimum 8 years in healthcare industry experience in product, finance, operations , network/out of network, payment integrity , and/or related disciplines +… more
    CVS Health (08/28/25)
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  • Lead Cybersecurity Engineer…

    Oshkosh Corporation (Orlando, FL)
    …be all-inclusive, and other duties may be assigned. + Participate in or lead Cybersecurity compliance efforts across the organization, including preparation for, ... for defense, municipal and commercial customers worldwide. Protecting the confidentiality, integrity and availability of our information assets is foundational to… more
    Oshkosh Corporation (08/02/25)
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  • HR Operations Delivery Lead…

    Jabil (St. Petersburg, FL)
    … Operations Leadership + Lead the delivery of global HR operations services, ensuring consistency, scalability, and compliance across regions. + Partner ... : We are seeking a strategic and results-driven HR Operations Delivery Lead to drive the delivery...Collaborate with HRIS and IT teams to ensure system integrity , data accuracy, and continuous improvement. + Drive innovation… more
    Jabil (08/12/25)
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  • Department of Defense Information Network (DoDIN)…

    Cambridge International Systems Inc (Doral, FL)
    …Systems, Inc. has a full-time Department of Defense Information Network (DoDIN) Operations Lead opportunity available based in Doral, FL. Qualified candidates ... is united by a set of core values: commitment, integrity , and perseverance. Join our team and help us...hired for our Department of Defense Information Network (DoDIN) Operations Lead will perform the following types… more
    Cambridge International Systems Inc (07/12/25)
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  • Operations Program Lead

    Paragon Cyber Solutions (Tampa, FL)
    …integrity , and innovation. We are seeking a driven, reliable, and solution-focused Operations Program Lead to oversee remote staff, serve as a customer-facing ... you. Requirements + Oversee onsite team members across contracts, ensuring compliance , productivity, and operational excellence + Conduct regular check-ins, track… more
    Paragon Cyber Solutions (07/20/25)
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  • Clinical Documentation and Claims Integrity…

    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 ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working in… more
    Elevance Health (08/14/25)
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  • Revenue Integrity Coding Specialist - CPC…

    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
    Trinity Health (08/14/25)
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  • Payment Integrity Subrogation Manager…

    Molina Healthcare (St. Petersburg, FL)
    …Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. This includes ... applicable third-party liability scenarios. **Key Responsibilities:** + Oversee subrogation operations , including internal teams and multiple vendor partners managing… more
    Molina Healthcare (07/23/25)
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