Tampa, Florida, United States · Hybrid
Anticipated End Date: 2026-07-28 Position Title: Clinical Provider Auditor I Job Description: Clinical Provider Auditor I LOCATION: This position is virtual eligible, but you must be within a reasonable commute of one of…
Skills: Medical Coding, Medical Auditing, Fraud Detection, Claims Analysis, ICD-10
Tampa, Florida, United States · On-site
Overview Apogee has an exciting new opportunity for an Acquisition Analyst in support of Special Operations Forces Acquisition, Technology and Logistics (SOF AT&L) Program Executive Office for Tactical Information System…
Skills: Acquisition Strategy, Market Research, Cost/Benefit Analysis, Program Management, Risk Mitigation
Tampa, Florida, United States · On-site
Responsible for Design, Build & deployment the Solution in Bigdata, HIVE, UNIX, Spark SQL, Hadoop. Knowledge in Big data tools like Spark, HiveQL is desirable. Ability to effectively use complex analytical, interpretive …
Skills: PySpark, Big Data, Hive, Unix, Spark SQL
Tampa, Florida, United States · Hybrid
$95k–$180k/yr
Are you ready to make an impact at DTCC? Do you want to work on innovative projects, collaborate with a dynamic and supportive team, and receive investment in your professional development? At DTCC, we are at the forefro…
Skills: Corporate Actions Processing, Risk Management, Operational Control, Client Service, Talent Development
Tampa, Florida, United States · On-site
$100k–$113k/yr
Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, w…
Skills: Marketo, Marketing Automation, AI Automation, Lead Lifecycle Management, Lead Scoring
Tampa, Florida, United States · On-site
$45k/yr
POSITION TITLE: Membership Specialist DEPARTMENT: Data & Governance REPORTS TO: Senior Outcomes & Measurement Manager SALARY/FLSA STATUS: Full Time/Non-Exempt ORGANIZATION MISSION: We prepare youth and young adults to be…
Skills: Membership Administration, Database Management, Customer Service, Data Integrity, System Configuration
Brooksville, Florida, United States · On-site
Under the general supervision of the Manager of Performance Improvement, conducts quality improvement projects to achieve the goals and objectives of Tampa General Hospital. Must lead improvement projects in his/her assi…
Skills: Quality Improvement, Project Management, Team Facilitation, Action Planning, Mentoring
Brooksville, Florida, United States · On-site
Under the general supervision of the Manager of Performance Improvement, conducts quality improvement projects to achieve the goals and objectives of Tampa General Hospital. Must lead improvement projects in his/her assi…
Skills: Quality Improvement, Project Management, Team Facilitation, Action Planning, Mentoring
Tampa, Florida, United States · On-site
Under the general supervision of the Manager of Performance Improvement, conducts quality improvement projects to achieve the goals and objectives of Tampa General Hospital. Must lead improvement projects in his/her assi…
Skills: Quality Improvement, Project Management, Team Facilitation, Action Planning, Mentoring
Tampa, Florida, United States · Hybrid
Open to several SE locations in a Hybrid (3x a week in office) capacity: Tampa, FL Miami, FL Atlanta, GA Greensboro, NC This highly visible position reports to the Commercial Finance Manager, assisting with strategic pro…
Skills: Financial Modeling, ROI Analysis, P&L Management, Pricing Strategies, Bid Design
Tampa, Florida, United States · On-site
Vice President of Sales: Marty AI Marty AI · Powered by Lavu Hunter. Analytical. Operator mindset. First commercial hire. Reports to CEO Location Tampa, FL in office Employment Full-Time Deal Size $100,000 – $300,000 ACV…
Skills: Full Sales Cycle, Outbound Prospecting, Pipeline Generation, Middle-Market Closing, Financial Analysis
Phoenix, Arizona, United States · Hybrid
$92k–$164k/yr
This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. are…
Skills: Financial Planning And Analysis, Month-end Close, Forecasting, Long-range Modeling, Scenario Modeling
Tampa, Florida, United States · On-site
$126k–$158k/yr
Axogen is committed to building and maintaining a strong and gratifying company culture that fosters professional growth. Our hands-on and personal approach makes transitioning to a new job a seamless and enjoyable proce…
Skills: Microsoft Dynamics 365 Finance & Operations, X++ Development, Power Platform, Azure Integration, SQL
Phoenix, Arizona, United States · Hybrid
$73k–$130k/yr
This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. are…
Skills: Oracle EPM, Financial Planning & Analysis, Financial Modeling, Financial Statement Analysis, Microsoft Excel
Phoenix, Arizona, United States · Remote OK
$60k–$107k/yr
This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. are…
Skills: Model Governance, Model Validation, Risk Management, Stress Testing, Back Testing
Tampa, Florida, United States · On-site
D.R. Horton, Inc., the largest homebuilder in the U.S., was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high-quality homes designed princ…
Skills: Financial Reporting, Forecasting, Financial Modeling, Budgeting, Variance Analysis
Tampa, Florida, United States · On-site
D.R. Horton, Inc., the largest homebuilder in the U.S., was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high-quality homes designed princ…
Skills: Financial Reporting, Forecasting, Financial Modeling, Budgeting, Variance Analysis
Tampa, Florida, United States · On-site
D.R. Horton, Inc., the largest homebuilder in the U.S., was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high-quality homes designed princ…
Skills: Financial Reporting, Forecasting, Financial Modeling, Budgeting, Variance Analysis
Tampa, Florida, United States · On-site
Who We Are: Coca-Cola Beverages Florida, LLC (Coke Florida) is a family-owned independent Coca-Cola bottler that is the third largest privately-held and the sixth largest independent Coca-Cola bottler in the United State…
Skills: Consumer Insights, Category Management, Shopper Analytics, Nielsen Discover, Nielsen Spectra
Washington, District of Columbia, United States · On-site
$175k–$250k/yr
We do Consulting Differently BRG Healthcare supports life sciences companies, payors, providers and their legal teams facing high-stakes investigations and disputes, complex regulations, evolving payment models, and frag…
Skills: Financial Analysis, Strategic Planning, Practice Management, Project Management, Resource Planning
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The Clinical Provider Auditor I identifies potential fraud and abuse by examining claims for compliance with billing and processing guidelines. They analyze medical records and collaborate with the Special Investigation Unit to recommend risk avoidance interventions.
Requires an associate degree and at least one year of medical coding or auditing experience. Candidates must obtain a coding certification (CPC, CCS, or CPMA) within one year of hire.
Clinical Provider Auditor I
Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Clinical Provider Auditor I is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.
Primary duties may include, but are not limited to:
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control.
Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle.
Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.
Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.
Requires a AA/AS and minimum of 1 year related medical coding/auditing experience; or any combination of education and experience, which would provide an equivalent background.
Must achieve coding certification (CPC, CCS, CPMA) within one year of starting in this position.
Current CPC certification very strongly preferred.
Prior auditing experience is a must for this role!
Facility and/or behavioral health experience is preferred .
Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology strongly preferred.
You must have a strong team spirit and a collaborative mentality.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
Based on 437 listings with disclosed salaries, most data & analytics jobs in Tampa, FL pay between $74k–$193k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 764 open data & analytics positions in Tampa, FL listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Citi, PwC, USAA, JPMorganChase, Elevance Health, among others. Browse the listings above to see every active employer.
Yes — 362 of the 764 open data & analytics positions offer remote or hybrid work (72 remote, 290 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
