• Senior Actuarial Analyst (Medicare Risk…

    Molina Healthcare (Tampa, FL)
    …Pay Range: $77,969 - $140,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment… more
    Molina Healthcare (07/25/25)
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  • Auditor, Risk Adjustment ( Remote )

    Molina Healthcare (Miami, FL)
    …Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Identifies and analyzes potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through the proper combination of casualty and liability insurance, ensures that the provider organization is adequately… more
    Molina Healthcare (07/25/25)
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  • Medicare Compliance Manager (Medicare Advantage…

    Molina Healthcare (Tampa, FL)
    …Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations.… more
    Molina Healthcare (07/25/25)
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  • Payment Integrity Subrogation Manager…

    Molina Healthcare (St. Petersburg, FL)
    …cases. Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... This includes direct management of internal teams and external vendors handling both first-pass and second-pass recovery efforts. The role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP),… more
    Molina Healthcare (07/23/25)
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  • Senior Process Consultant (Medicare)…

    Molina Healthcare (Miami, FL)
    …Pay Range: $80,412 - $150,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for most complex process analysis, design, and simulation. + Requires… more
    Molina Healthcare (07/19/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Jacksonville, FL)
    …Pay Range: $97,299 - $189,679 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and resolving contracted provider disputes for 20+ states. * Provides direct… more
    Molina Healthcare (07/18/25)
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  • Sr. MES Opcenter OR Camstar Consultant…

    Cognizant (Tallahassee, FL)
    …existing documentation (paper Batch Records) **Why Join Us:** + Opportunity to work on cutting-edge projects in a dynamic and innovative environment. + Collaborative ... and inclusive company culture. + Competitive salary and benefits package. + Professional development and growth opportunities. **Compensation:** - $90,000 to $150,000 +/- and this position are also eligible for Cognizant's discretionary annual incentive… more
    Cognizant (07/18/25)
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  • Senior Accountant ( Remote - Eastern Time)

    Molina Healthcare (Orlando, FL)
    …Pay Range: $77,969 - $105,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Duties include all aspects of the Accounting function, such as, control of accounts and records, recording of transactions, analysis of financial data, preparation budgets, forecasts, financial statements and accounting schedules/reports, and auditing… more
    Molina Healthcare (07/16/25)
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  • Director, Applications (AI/Azure Databricks)…

    Molina Healthcare (Tampa, FL)
    …Pay Range: $117,731 - $209,576 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. ... Applies and promotes key principles (eg stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including people, process,… more
    Molina Healthcare (06/29/25)
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  • Client Account Lead

    Cayuse Holdings (Tallahassee, FL)
    …**Reports to:** Company Managing Director **Working Conditions** + Professionalhybrid remote /onsite/client site work arrangement depending on Client/Program + ... **Overview** **_LOCATION:_** Remote in Olympia, WA; Salem, OR; Sacramento, CA;Austin,...advance more operational efficiency in how we deliver. + Work closely with Business Unit and company leadership to… more
    Cayuse Holdings (08/21/25)
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