- Molina Healthcare (Orlando, FL)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Meta (Tallahassee, FL)
- …click "Apply to Job" online on this web page. **Required Skills:** Project Manager , Business Integrity Responsibilities: 1. Partner with product, engineering and ... to successfully identify, design, implement and test various safety and integrity initiatives. 2. Coordinate projects, making detailed plans to accomplish goals… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …and processes provider invoices, reviews line-by-line entries, and submits to finance for payment . The UM Program Manager reconciles ARGOS Dependency Cases ... Salary: $65,000/year Position Summary: The UM Program Manager provides oversight and management of service authorization data validation, reporting and trend… 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 ... need for accurate and complete documentation to ensure revenue optimization and integrity . Educate clinical staff on need for accurate and complete documentation to… more
- Lockheed Martin (Orlando, FL)
- **Description:** You will be the Program Management\-Subcontract Manager for the Rotary Wing Sensors program team\. Our team is responsible for managing ... the Apache M\-TADS program \. **What You Will Be Doing** As the Program Management\-Subcontract Manager , you will be responsible for leading a team of… more
- Sarasota County Government (Sarasota, FL)
- …Office of Financial Management is looking for a Housing and Community Development Program Manager to administer these major initiatives. This position will play ... board agendas, procurements, and municipal partner input. + Reviews and approves program related invoices and payment requests, draw package submittals,… more
- University of Miami (Miami, FL)
- …. The Department of Anatomic Pathology is currently seeking a full time Clinical Program Manager to work in Miami, FL. The Clinical Program ... Supervises, directs, and coordinates, through subordinate supervisors, assignments for program operations. + Evaluates office production, revises procedures, and… more
- Carnival Cruise Line (Miami, FL)
- …responsible for conceptualizing, developing and maintaining a brand-new planning and program management system encompassing new builds, hotel refurbishments and port ... partners including brand and project orientations, vendor set-up, contracting and deliverable, payment and budget tracking. + Create and maintain a system and… more
- Molina Healthcare (St. Petersburg, FL)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- MyFlorida (Tallahassee, FL)
- …The selected candidate will join the Division of State Group Insurance, Program Integrity Unit as an Audit Manager and will serve as an auditor and ... contract manager for the state group insurance program 's post payment claims audits and the Pharmacy Benefits Manager compliance audit. This position is… more