• Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor - RN ** **Virtual:** This role enables associates...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (08/01/25)
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  • Provider Auditor ( RN /LPN Medical…

    Elevance Health (Miami, FL)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (08/01/25)
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  • Registered Nurse Specialist

    MyFlorida (Alachua, FL)
    REGISTERED NURSE SPECIALIST - 64082415 Date: Jul 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852184 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64082415 Pay Plan: Career Service… more
    MyFlorida (07/26/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Tampa, FL)
    …AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** + ... The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...+ **Required:** RHIA/RHIT in conjunction with CCS + **Preferred:** RN , CDIP, CCDS, or clinical degree **Education** + **Required:**… more
    BayCare Health System (05/29/25)
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  • Trainer- Auditor (Clinical)

    Centene Corporation (Tallahassee, FL)
    …managed care or healthcare setting. Amisys and CCMS experience preferred. **License/Certification:** RN or LPN license. Pay Range: $55,100.00 - $99,000.00 per year ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work… more
    Centene Corporation (07/18/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (FL)
    …Association** + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare… more
    Molina Healthcare (08/02/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (FL)
    …and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare… more
    Molina Healthcare (07/31/25)
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  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …**Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years' experience in managed ... care with a focus on HEDIS and Quality + Ability to manage relationships with an emphasis on internal and external mid-level relationships + Ability to work across all levels of the organization, including working with executive audiences, vendors, and… more
    CVS Health (07/12/25)
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