• Program Manager -Payment Integrity…

    Molina Healthcare (Tampa, FL)
    Molina Healthcare is hiring for a ** Program Manager - Payment Integrity /Prepayment Solutions Implementation.** This role is remote and can be worked from states ... of claims / claims processing. + Experience working within Payment Integrity and/or Prepayment solutions. + Project Management, and/or Technical Project Management.… more
    Molina Healthcare (04/25/25)
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  • Program Manager, Payment Integrity

    Molina Healthcare (FL)
    …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
    Molina Healthcare (05/08/25)
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  • Ops Medical/Health Care Program Analyst

    MyFlorida (Miami, FL)
    …budgeted dollars are lost to fraud, abuse, and waste. The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of ... support the fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity . MPI is organized by the functions that fall within the Bureau's… more
    MyFlorida (04/25/25)
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  • Program Controls Scheduling Manager

    AECOM (Miami, FL)
    …between projects, proactively mitigating risks and resolving conflicts to maintain program integrity . + Engage in strategic collaboration with project ... of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that… more
    AECOM (04/30/25)
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  • Program Controls Senior Manager

    AECOM (Fort Lauderdale, FL)
    …actionable intelligence. + Implement and maintain stringent control measures to safeguard program integrity and ensure optimal resource allocation. + Develop and ... **Company Description** **Job Description** AECOM is seeking a Program Controls Senior Manager for a critical leadership role within our organization. + Oversee and… more
    AECOM (03/25/25)
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  • Business Compliance Manager (Aetna SIU)

    CVS Health (Tallahassee, FL)
    …and every day. As the Manger of Business Compliance of Quality Review, Training, and Program Integrity . You will lead a team responsible for ensuring the quality ... Summary** As the Manger of Business Compliance of Quality Review, Training, and Program Integrity . You will lead a team responsible for ensuring the quality and … more
    CVS Health (04/10/25)
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  • Senior Management Analyst Supv - SES - 1

    MyFlorida (Tampa, FL)
    …and delivery of the program and to increase and maintain exceptional program integrity . + Have a detailed working knowledge of all public assistance ... on the road to economic recovery. Under the ESS Program , theOffice of Public Benefits Integrity (OPBI)...the ESS Program , theOffice of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud… more
    MyFlorida (05/02/25)
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  • Director, Payment Integrity - DRG…

    Elevance Health (Tampa, FL)
    **Director, Payment Integrity - DRG Validation (Dir Program Management)** _Location: Alternate locations may be considered. This position will work a hybrid model ... miles of one of our Elevance Health PulsePoint locations._ The **Director, Payment Integrity - DRG Validation** will lead a team of talented auditors and clinical… more
    Elevance Health (04/22/25)
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  • Ops Senior Clerk

    MyFlorida (Tallahassee, FL)
    …budgeted dollars are lost to fraud, abuse, and waste. The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of ... suspected fraud or other criminal activities for law enforcement investigation. Medicaid Program Integrity is a fast-paced bureau that addresses abusive behavior… more
    MyFlorida (04/24/25)
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  • Inspector Specialist

    MyFlorida (Miami, FL)
    …budgeted dollars are lost to fraud, abuse, and waste. The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of ... substantially similar discipline. *Preference will be given to candidates with a program integrity related professional certification, such as: Certified Fraud… more
    MyFlorida (05/07/25)
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