• Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (FL)
    …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
    Molina Healthcare (09/22/25)
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  • Sr Business Analyst ( Medical Claims Audit)

    Molina Healthcare (Tampa, FL)
    …Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To ... processing functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders and subject… more
    Molina Healthcare (11/08/25)
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  • Senior Field Reimbursement Manager - South East

    Danaher Corporation (Orlando, FL)
    …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics....Value and Access team. This position will be a remote position ideally located in the South East part… more
    Danaher Corporation (10/15/25)
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  • Quality Practice Advisor

    Centene Corporation (Fort Myers, FL)
    …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... a fresh perspective on workplace flexibility. **This is a remote position with regular local travel required for practice...for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports… more
    Centene Corporation (09/24/25)
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  • Senior Guidewire PolicyCenter Developer

    Kemper (Jacksonville, FL)
    Location(s) Jacksonville, Florida, Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -OH, Remote -PA, Remote -WI ... and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises._ Kemper is seeking a Senior… more
    Kemper (08/24/25)
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  • Oncology Data Specialist Certified

    AdventHealth (Daytona Beach, FL)
    …hours per week **Shift:** Days **Location:** Virtual This position will be remote . **The role you'll contribute:** The Oncology Data Specialist Certified is ... applicable changes in the cancer industry with regards to coding and compliance. **The value you'll bring to the...Relocation_ **Sign-on Eligibility:** + One (1) year of applicable experience required. + Internal candidates and rehires within 12… more
    AdventHealth (10/28/25)
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  • Associate Director, Revenue Cycle Management…

    ChenMed (Miami, FL)
    …claims assembly and submission processes. In close collaboration with Billing, Coding , IT, and Business Intelligence departments, gains insight and understanding of ... The incumbent also serves as a subject matter expert on risk-adjustment and medical economics to aid in the development of revenue related products and tools.… more
    ChenMed (11/06/25)
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  • Manager Clinical Documentation Improvement Program

    BayCare Health System (Largo, FL)
    …dignity, respect, responsibility and clinical excellence. **Positions Details:** **Location:** Remote /Hybrid (Must reside in State of Florida) **Status:** Full Time, ... CDI Program. + Promotes effective and efficient provider documentation in the medical record, with accurate, ethical capture of the patient's conditions and precise… more
    BayCare Health System (10/21/25)
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  • Reimbursement Analyst

    Medtronic (FL)
    …+ Requires a Baccalaureate degree + Minimum of 2 years of relevant experience in medical device or pharmaceutical reimbursement, health economics, healthcare ... patients first in everything we do. This position is remote to enhance our competitive edge and expand our...the Health Economics, Policy, and Reimbursement staff to identify/solve coding , coverage or payment issues and provide support as… more
    Medtronic (11/18/25)
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  • Security Engineering Intern

    Modernizing Medicine (Boca Raton, FL)
    …cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane ... FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is seeking… more
    Modernizing Medicine (11/05/25)
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