California Licensed Health Plans Auditor
VirtualVocationsMiami, Florida, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Specialty Health Plans Auditor III, Claims.
Key Responsibilities
Lead planning, execution, reporting, and corrective action monitoring for claims processing compliance across specialized health programs
Conduct annual claims audits and ensure compliance with regulatory and contractual requirements
Act as a Subject Matter Expert, mentoring staff and shaping best practices for continuous improvement
Qualifications
Bachelor's Degree in Accounting, Finance, or a related field, or equivalent education and / or experience
Minimum 5 years of experience in claims audits or claims processing related to managed care product lines
Demonstrated background in managed care, healthcare, or health insurance
Proven experience in healthcare claims audit and financial compliance
Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint)
serp_jobs.job_alerts.create_a_job
Health Plans Auditor • Miami, Florida, United States
Job_description.internal_linking.related_jobs
Elevate Your Healthcare Insurance Career With a Top-Performing Agency.We specialize in connecting top-tier talent to dynamic career opportunities.
We are thrilled to offer a rewarding position for L...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Where Your Success is Our Priority!.Are you a licensed and driven health insurance agent looking for consistent leads, real support and top-tier earning potential? At Legacy Health, we're commi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process.
To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At NationsBenefits, we are committed to helping health plan members achieve a better quality of life through supplemental benefit solutions.
We are also passionate about supporting the goals of our ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Therapist - Adult IOP (Part-time / Remote).Key Responsibilities Oversee a caseload of clients, ensuring comprehensive delivery of individual and family therapy Co-facili...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
At Morgan & Morgan, the work we do matters.For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods.
From attorneys in all 50 st...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process.
The UHealth system at the Univer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Join Florida One Insurance as a Full-Time Licensed Life & Health Agent and experience the excitement of transforming lives through our customer-centric service.
With a competitive pay range of.T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
ARC Group seeks two Bodily Injury Claims Adjuster to work in a remote contract role for our direct client based in Fort Lauderdale, FL.
This is a 90 day contract to start and could possibly extend.T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
AlliedTravelCareers is working with Unizon Health Choice LLC to find a qualified LISAC in Saint Petersburg, Florida, 33701!.
Certified Addiction Professional Counselor.Reports to the Health and Well...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click.Workday to use the internal application process.
To learn how to apply for a faculty or staff posit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Miami, FL / Hybrid / Remote / Tampa, FL.CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
This position will be responsible for growing local healthcare business within the South Florida Region (Miami, Boca Raton, etc.
Acute Care, Senior Living, and Long-Term Care sectors that traditiona...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Miami, FL / Remote / Hybrid / Tampa, FL.Employment Type : Full Time, Mid-level.Department : Financial Services.CGS is seeking a Senior Auditor who will assist the district legal staff by conducting m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Corporate Finance 340B Internal Auditor.At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care.An unwavering commit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Remote Medical Benefits Representative.Key Responsibilities Perform inbound and outbound calls assisting patients with prescription benefits Verify insurance, billing,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Bodily Injury Claims Adjusters.At Morgan & Morgan, the work we do matters.For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective go...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Senior Wealth Advisor Safe Act - Miami.Working at Citi is far more than just a job.A career with us means joining a team of more than 230,000 dedicated people from around the globe.At Citi, you'll ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 AlliedTravelCareers is working with Greenstaff Medical to find a qualified Echo Tech in Miami, Florida, 33155!.Why Choose Greenstaff Medical US?.
Your Trusted Partner in Healthcare Staffing.At Green...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Florida International University is a top public university that drives real talent and innovation in Miami and globally.
Very high research (R1) activity and high social mobility come together at F...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Licensed ACA Health Insurance Agent
Worxweb SolutionsFort Lauderdale, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Insurance Sales Specialist
Legacy Health, LLCPembroke Pines, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Analyst, UHealth Management Reporting
University of MiamiMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Health Insurance Agent
NationsBenefitsHollywood, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Ohio Licensed Therapist
VirtualVocationsMiami, Florida, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Seeking Claims Adjusters!Fort Lauderdale, Florida, United States
Morgan & Morgan, P.A.Fort Lauderdale, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Accounting Analyst - UHealth Finance
University of MiamiMiami, FL, USserp_jobs.job_card.full_time
Life & Health Insurance Agent
Florida One InsuranceMiami Gardens, FL, USAserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Claims Adjustor (BI)
American Recruiting & Consulting GroupFort Lauderdale, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Licensed Independent Substance Abuse Counselor (LISAC) - $28 to $29 per hour in Saint Petersburg, FL
AlliedTravelCareersMiami, Florida, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Manager, UHealth Management Reporting
University of MiamiMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Auditor
Contact Government ServicesMiami, FL, USserp_jobs.job_card.temporary
- serp_jobs.job_card.promoted
Healthcare Solutions Specialist - South Florida Region
SyscoMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Auditor
Contact Government ServicesMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Internal Auditor - 340B Corporate Finance - FT - Days - MHS
Memorial Regional HospitalHollywood, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Medical Benefits Rep
VirtualVocationsHollywood, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Seeking Bodily Injury Claims AdjustersFort Lauderdale, Florida, United States
Morgan & Morgan, P.A.Fort Lauderdale, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Wealth Advisor SAFE Act - Miami
CitigroupMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Echo Tech - $2,722 to $2,838 per week in Miami, FL
AlliedTravelCareersMiami, Florida, USserp_jobs.job_card.full_time
Adjunct Lecturer in Health Promotion & Disease Prevention Job at Florida Interna
MediabistroMiami, FL, United Statesserp_jobs.job_card.part_time