- Elevance Health (Tampa, FL)
- …enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent… more
- HCA Healthcare (Atlantis, FL)
- …patient safety and promoting quality care. **What qualifications you will need:** + Registered Nurse or other allied health professional + Bachelors Degree in ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...and patient safety program on a day-to-day basis and claims management program and risk management education for the… more
- HCA Healthcare (Sun City Center, FL)
- …related field required; Master's Degree preferred . Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Trinity, FL)
- …related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- MyFlorida (Fort Lauderdale, FL)
- …examination by a licensed physician, physician assistant, or licensed advanced practice registered nurse , based on specifications established by the commission. ... but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable… more
- Terumo Medical Corporation (Orlando, FL)
- …Date: Oct 1, 2025 Req ID: 5127 Location: Orlando, FL, US Company: Terumo Medical Corporation Department: TIS Sales - North Florida Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
- University of Miami (Miami, FL)
- …potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. Conduct additional investigation and ... + Minimum 5 years of relevant experience required, 7-10 years' experience preferred + Medical /Legal background is a plus + RN Training and licensure is a… more
- University of Miami (Miami, FL)
- …potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation ... Degree in relevant field required + Minimum 5 years of relevant experience required + Medical /Legal background is a plus + RN Training and licensure is a plus… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more