• Home Health Quality Assurance Auditor

    Humana (Miramar, FL)
    …community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high accountability of ... compliance and quality. The Quality Assurance, Clinical Professional 1 work assignments are often straightforward and of moderate complexity. The Quality Assurance,… more
    Humana (10/01/25)
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  • Clinical Provider Auditor II (CPC)

    Elevance Health (Tampa, FL)
    **Clinical Provider Auditor II (CPC)** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (09/30/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (09/06/25)
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  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Orlando, FL)
    …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
    Molina Healthcare (09/17/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …experience equal to approximately 5 years for CPC. + CPC (Certified Professional Coder) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified ... recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with...Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO (Certified Documentation… more
    CVS Health (09/30/25)
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  • Internal Audit IT Analyst

    Coinbase (Tallahassee, FL)
    …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to...such as Python, Ruby, etc. *Nice to haves:* * Professional Internal Audit / IT / Security qualification (eg,… more
    Coinbase (09/19/25)
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  • Cloud Security Solutions & Advisory, VP

    MUFG (Tampa, FL)
    …reports + Participate in security governance of SDLC, design reviews and secure coding standards (OWASP) + Utilize the MITRE ATT&CK framework to identify and ... experience in a combination of risk management, Cloud information security, secure coding , application security, and IT roles. Audit and Cyber Risk Institute… more
    MUFG (09/12/25)
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  • Operations & Mgmt Consultant II SES

    MyFlorida (Tallahassee, FL)
    …Additionally, this position audits and processes invoices for payment utilizing various coding techniques to distribute and account for cost. This position requires ... approved budget and reporting requirements. + Provide necessary assistance to the Auditor General and other state auditors in their review of Departmental accounting… more
    MyFlorida (10/02/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives, ... them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as...by the CDI group. + Assumes personal responsibility for professional growth, development and continuing education to maintain a… more
    AdventHealth (08/07/25)
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