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Risk Adjustment Data Driven Coding Qa

Miami,FL

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1708 Risk Adjustment Data Driven Coding Qa jobs in Miami,FL

New, Posted 14 hours ago
Easy Apply

Call Center Rep Work From Home

Hire Standard Staffing

Miami, FL

$120,000/yr
RemoteHealth Insurance

  • Must be a U.S. or Canadian citizen
SmartExplore AI is experimental.
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New, Posted 5 hours ago
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Scholar Recruiter

Success Academy Charter Schools

Miami, FL 33164

Bilingual Preferred
New, Posted 4 hours ago
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Benefits Specialist - Remote

Serur Organization

Miami, FL

Remote

  • Customer Service Rep Work From Home
  • Benefits Representative
  • Remote work
SmartExplore AI is experimental.
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New, Posted 2 hours ago
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Investigator, Special Investigative Unit

Molina Healthcare

Miami, FL 33135

$21.82-$42.55/hr
Onsite

  • At least 2 years of investigative experience in the health care industry, or equivalent combination of relevant education and experience.
  • Valid and unrestricted driver's license.
  • Proven investigatory skills including ability to organize, analyze, and effectively determine risk with corresponding solutions, and remain objective and separate facts from opinions.
  • Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
  • Knowledge of managed care and Medicaid, Medicare, and Marketplace programs.
  • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
  • Understanding of datamining and use of data analytics to detect FWA.
  • Ability to research and interpret regulatory requirements.
  • Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.
  • Strong presentation skills with ability to create and deliver training, informational and other types of programs.
  • Strong logical, analytical, critical-thinking and problem-solving skills.
  • Strong sense of initiative, excellent follow-through, and persistence in locating and securing needed information.
  • Fundamental understanding of audits and corrective actions.
  • Ability to multi-task and operate effectively across geographic and functional boundaries.
  • Detail-oriented, self-motivated, and able to meet tight deadlines.
  • Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities.
  • Energetic and forward-thinking with high ethical standards and a professional image.
  • Collaborative and team-oriented.
  • Effective verbal and written communication skills.
  • Microsoft Office suite and applicable software program(s) proficiency.
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New, Posted 4 hours ago
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Area Manager, Data Center Operations

Flexential

Fort Lauderdale, FL 33301

$120,000-$140,000/yr
New, Posted 2 hours ago
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COO Cross: CIB New Product and Business Activities Program Associate

Santander Holdings USA

Miami, FL 33131

OnsiteBilingual Preferred

  • Bachelor's degree in Business, Finance, Data Analytics, or a related field.
  • 3-6 years' experience in one or a combination of the following: project management, business analysis, reporting, operations, or similar roles.
  • Experience with business intelligence and reporting tools (e.g., Excel, Power BI, or similar).
  • Strong Microsoft Office skills, particularly Excel and PowerPoint.
  • Solid understanding of data structures and experience working with databases or large datasets.
  • Ability to analyze data, identify trends, and present insights clearly and concisely.
  • Strong attention to detail and commitment to data accuracy and integrity.
  • Effective organizational and time management skills, with the ability to manage multiple priorities.
  • Strong written and verbal communication skills.
  • Ability to work collaboratively in a cross-functional environment.
  • Interest in learning about CIB products, governance processes, and risk frameworks.
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New, Posted 10 hours ago
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Restaurant Team Member

Shake Shack

Coral Gables, FL 33114

$14/hr
~ 10 min OnsiteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

  • 16 years or older
  • Ability to learn quickly in fast-paced, high-volume environment
  • Adaptability to various roles within the restaurant
  • Consistently demonstrates integrity by doing the right thing and taking accountability
  • Flexible schedule availability, including evenings, weekends, and holidays
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New, Posted 8 hours ago
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Intake Specialist (300068)

Lutheran Services Florida

Miami, FL 33131

Flexible ScheduleBilingual Preferred
Easy Apply

CWR-Warehouse Associate I

Adecco

Miami, FL 33186

$17-$18/hr
OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • Dock or warehouse experience in the transportation industry.
  • Experience loading and unloading trailers.
  • Experience using handheld scanners.
  • Must be able to lift, push or pull at least 75 pounds.
  • Ability to load and unload trucks.
SmartExplore AI is experimental.
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New, Posted 13 hours ago
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Systems Adminstrator / Communications Analyst Advisor

GovCIO LLC

Miami, FL 33172

$117,000/yr
Onsite

  • High School with 6 - 9 years (or commensurate experience)
  • Clearance Required: Top Secret
  • Must be able to obtain and maintain a DoD TS/SCI clearance.
  • Bachelor's degree in related discipline from an accredited college or university.
  • Two additional years of experience may be substituted for a degree.
  • 6+ years direct/related experience
  • DoD 8570 compliance with Information Assurance Technical (IAT), Level II or higher
  • Working technical competency in one or more of the following supported platforms: Microsoft Windows Server, Red Hat Enterprise Linux servers, MS Hyper-V/VMWare/ESx/Xen Hypervisors, Enterprise networking/firewalls/intrusion detection/prevention systems, forensic analysis/vulnerability assessment, Group Policy management and configuration.
SmartExplore AI is experimental.
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  1. Miami,FL Jobs
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  3. Risk Adjustment Data Driven Coding Qa Jobs

What companies are hiring Risk Adjustment Data Driven Coding Qa jobs in Miami,FL?

  1. Hire Standard Staffing
  2. Success Academy Charter Schools
  3. Serur Organization
  4. Molina Healthcare
  5. Flexential
  6. Santander Holdings USA
  7. Shake Shack
  8. Lutheran Services Florida
  9. Adecco
  10. GovCIO LLC

What is the hourly salary range for Risk Adjustment Data Driven Coding Qa jobs in Miami,FL?

The hourly salary range is $14 - $42.55.

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