2945 Analyst Aadvantage Program Strategy jobs in Miami,FL

Bachelor's degree in Business, International Trade, Criminal Justice, Supply Chain, Economics, Logistics, or a related field, or equivalent professional experience.
Strong analytical, problem-solving, and organizational skills.
Advanced proficiency in Microsoft Excel, including data analysis and reporting.
Ability to manage multiple priorities and maintain attention to detail in a fast-paced environment.
Excellent written and verbal communication skills.

Investigator, Special Investigative Unit Coding-Miami Florida

Molina Healthcare

Miami, FL 33135

At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
Critical-thinking, problem-solving and analytical skills.
Ability to prioritize and manage multiple tasks.
Ability to work in a team setting.
Strong verbal/written communication skills, and presentation skills.
Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Ability to research and interpret regulatory requirements.

Year Up United

Miami, FL 33134

A high school graduate or GED recipient
Eligible to work in the U.S.
Available Monday-Friday throughout the duration of the program
Have not obtained a Bachelor’s degree
You may be required to answer additional screening questions when applying
During the internship phase, Year Up United students earn an educational stipend of $525 per week