• Senior Clinical Medical/Financial Risk…

    Humana (Tallahassee, FL)
    …help us put health first** The Senior Clinical Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and ... risk and healthcare fraud. The Senior Clinical Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to complex fraud… more
    Humana (12/23/25)
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  • Operations Review Specialist - LW - 1 1 1

    MyFlorida (Tallahassee, FL)
    …to system design, development, testing, implementation, and ongoing operations. + Oversee policy analysis and evaluation to ensure compliance with federal ... Number: 60060348 Salary: $52,434.72, in accordance with DCF salary policy Posting Closing Date: 12/29/2025 Total Compensation Estimator Tool… more
    MyFlorida (12/22/25)
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  • Information Resource Manager II

    MyFlorida (Tallahassee, FL)
    …Knowledge, Skills, and Abilities: + Knowledge of state programs and resources, public policy , and program evaluation . + Knowledge of principles, theories, and ... and propose quality solutions. + Ability to provide technical and policy leadership and direction, develop short- and long-range project plans, schedules,… more
    MyFlorida (12/05/25)
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  • Staff Software Engineer, Autonomy…

    General Motors (Tallahassee, FL)
    **Job Description** **Role:** As a Staff Software Engineer for Autonomy Evaluation within the Simulation and Testing organization, you will play a critical role in ... comparative strategies to benchmark autonomy systems' performance. + Create simulation evaluation methods to support decision-making in continuous release cycles. +… more
    General Motors (12/12/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Tallahassee, FL)
    …Economist approach to build and maintain analytical models that performs evaluation of reimbursement models. Continuously evaluates models and seeks for innovative ... the Company's Handbook of Privacy Policies and Practices and Information Security Policy ._ _Furthermore, it is every employee's responsibility to comply with the… more
    Highmark Health (10/29/25)
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  • Healthcare Case Manager

    US Tech Solutions (Miami, FL)
    …compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives ... the use of care management tools and resources. + Conducts comprehensive evaluation of Members using care management tools and information/data review + Coordinates… more
    US Tech Solutions (10/17/25)
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  • Healthcare Consultant I

    US Tech Solutions (Hialeah, FL)
    …compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives ... the use of care management tools and resources. + Conducts comprehensive evaluation of Members using care management tools and information/data review + Coordinates… more
    US Tech Solutions (10/17/25)
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  • Director - Third Party Resilience 2nd LOD Sr.…

    Citigroup (Tampa, FL)
    …expert counsel on resilience and third-party risk-related matters, ensuring independent evaluation of policy , regulatory adherence, and effectiveness of ... monitoring and prevention, using advanced analytical and statistical skills to identify policy gaps and recommend changes to current policies. This role is crucial… more
    Citigroup (10/16/25)
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  • Supervisor Patient Account Revenue Cycle

    Intermountain Health (Tallahassee, FL)
    …management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation , and policy and procedure development. ... management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation , and policy and procedure development. With… more
    Intermountain Health (12/23/25)
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  • Evaluation Actuary

    Public Consulting Group (Tallahassee, FL)
    …and interpret financial data. + Ability to research, analyze and interpret policy , legal briefs and regulations. + Able to work independently and consistently ... achieve excellent results. + Able to work effectively with all members of project teams. + Outstanding oral and written presentation skills + Demonstrated initiative and the ability to successfully identify new business opportunities and up-sell to existing… more
    Public Consulting Group (11/04/25)
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