Jobs 1 to 10 of 47
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Appeals Representative
Novitas Solutions, Inc. - Jacksonville, FL 32224
1 or more years Medicare experience. Thorough knowledge of Medicare policies and benefits, internal processing instructions, as well as medical terminology...
Case Manager (RN) - Melbourne, Consulate Health Care of
Consulate Health Care - 704 reviews - Melbourne, FL 32941
Participate in all Medicare and managed care resident interdisciplinary meetings. Report known or suspected incidents of fraud to the Executive Director....
Director of Finance
Central Florida Inpatient Medicine - Orlando, FL
Knowledge of Medicare, Medicaid, Commercial and other medical insurance programs. Including the establishment and maintenance of internal controls to prevent...
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Fraud Investigator - Medicare

DXC Technology - 619 reviews - Miramar, FL  +1 location
DXC Technology has an immediate need in our US Public Sector group for a Medicare Fraud Investigator in Jacksonville, FL....

Investigator, Special Investigations Unit

AmeriHealth Caritas - 228 reviews - Tampa, FL
Certified Fraud Examiner (CFE) preferred. Certified Insurance Fraud Investigator (CIFI) preferred. Experience with Medicaid, Medicare, and/or pharmacy benefit...

Fraud Analyst - Medicare

DXC Technology - 619 reviews - Jacksonville, FL  +1 location
DXC Technology has an immediate need in our US Public Sector group for a Medicare Fraud Analyst in Jacksonville, FL....

Assistant Counsel for Contracts

University of Florida - 588 reviews - Gainesville, FL 32611
$109,000 a year
The Contracts Counsel must have knowledge of, and a high level of expertise in the funding, structures and organizations, and related regulations and laws (e.g....

Senior Investigator

UnitedHealth Group - 5,529 reviews - Miramar, FL
Interview witnesses who have knowledge of alleged fraud / abuse activity. The Senior Investigator , working under the general direction and oversight of the...

RCM Workflow Specialist

ABC Home Medical, Inc. - Port Saint Lucie, FL
$14 an hour
Fraud, Abuse, and Waste Training. Accurate cataloging and coding of Medicare review correspondence. The RCM Workflow Specialist is responsible for a variety of...
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PBM Oversight Coordinator

EnvisionRx - 10 reviews - Fort Lauderdale, FL 33308 (Coral Ridge Country Club area)
Create reports of findings and recommend appropriate corrective action plansMonitor website posting of plan documents to include episodes of coverage (EOCs),...
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Data Analyst

DXC Technology - 619 reviews - Miramar, FL
The position requires the individual to conduct research on Medicare and potentially Medicaid claims data and other sources of information to identify problems,...

Appeals Analyst

First Coast Service Options, Inc. - Jacksonville, FL
Identify potential aberrances, including, fraud and abuse of the Medicare program in accordance with CMS rules and regulations....

Access Service Coordinator

NORTH - MAIN MEDICAL CENTER - Martin Health System - Stuart, FL
Must obtain passing (90% or better) score on Medicare Fraud & Abuse test during 90-day probationary period. Together we create peace of mind through exceptional...

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