• Provider Auditor (Certified Medical Coder)

    Elevance Health (Tampa, FL)
    …select claims to be reviewed, conducts reviews using medical charts, medical notes, and provider contracts . + Verifies dollar amount on claim is correct in ... Auditor** _This position will work a hybrid model ( remote and office), 1 time per week. The Ideal...that a claim is paid in accordance with the contract , provider reimbursement policies, and industry standards.… more
    Elevance Health (09/24/25)
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  • Project Manager (Railroad Bridge)

    Olsson (Tallahassee, FL)
    Project Manager (Railroad Bridge) Dallas, TX; Florida - Remote ; Fort Worth, TX; Georgia - Remote ; Illinois - Remote ; Kansas City, MO; Minnesota - ... Remote ; Ohio - Remote ; St. Louis, MO **Company Description** We are Olsson,...and projects with purpose. **Job Description** As a Project Manager on our Railroad Bridge team, you will serve… more
    Olsson (09/11/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Tallahassee, FL)
    …etc) utilized in Medicaid reimbursement + Reviewing Medicaid RFPs and state contracts to identify provider reimbursement requirements + Supporting implementation ... and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting… more
    Humana (09/09/25)
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  • Senior Manager , Procurement, Capital…

    Bristol Myers Squibb (Tampa, FL)
    …at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Project Contracts Manager will be the primary and ... ** Contract Development and Negotiation** + Draft, review, and negotiate contracts with Suppliers (Construction Manager 's, AE, Project Controls, C&Q and… more
    Bristol Myers Squibb (09/27/25)
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  • Major & Strategic Account Executive - Hospital…

    Wolters Kluwer (Tallahassee, FL)
    …account review meetings and reviewing account utilization management reporting to provide recommendations + Overseeing contract renewals + Collaborating with ... **_ This is a remote position covering the New England territory _**...and so do our people **Clinical Decision Support and Provider Solutions (CDSP)** - a market-leading, mission-driven business unit… more
    Wolters Kluwer (09/10/25)
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  • Sr. Director Labor Relations (100% Remote…

    US Foods (Tampa, FL)
    …where associates feel valued, respected, and supported **This position has been segmented Remote Anywhere meaning the work is completed 100% remote anywhere in ... associate feels valued and respected. + Serve as chief spokesperson in contract negotiations, representing the company and operationalizing labor policies that are… more
    US Foods (09/25/25)
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  • Lead Analyst, Configuration Oversight…

    Molina Healthcare (St. Petersburg, FL)
    …related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work cross-functionally with ... able to identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts , regulatory requirements and various claims related resources +… more
    Molina Healthcare (07/24/25)
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  • HSE Global Contract Safety Specialist

    CBRE (Tallahassee, FL)
    …a candidate's education, training, and experience. The minimum salary for the HSE Manager - HSE Global Contract Safety Specialist position is $85,000 annually ... HSE Global Contract Safety Specialist Job ID 237537 Posted 29-Sep-2025...type Full-time Areas of Interest Health and Safety/Environment Location(s) Remote - US - Remote - US… more
    CBRE (09/30/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (Orlando, FL)
    …assumptions through data, but leads with contextual knowledge of claims processing, provider contracts , and operational realities. + Creates succinct summaries ... executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (09/28/25)
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  • Managed Care Payer Manager

    AdventHealth (Maitland, FL)
    …troubleshoot system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation ... Managers, Central Denials, AH IT, Corporate HIM, and Contract Manager system personnel with intent to...provider relations Preferred Certification in PB Resolute Epic Contract Management Preferred This facility is an equal opportunity… more
    AdventHealth (09/23/25)
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