- Ensono (Miami, FL)
- …related security breach to Client's Ensono hosted environment + Interface with Client's internal staff to support Client's IT security audit requests related to ... frameworks and compliance requirements specific to government agencies including IRS ( Internal Revenue Service) SSA (Social Security Administration) and FBI (… more
- Humana (Tallahassee, FL)
- …policies and determinations, Medicaid state contracts, clinical reference materials, internal teaching conferences, and other sources of expertise. The Behavioral ... participate in meetings involving care management, provider relations, quality of care, audit , grievance and appeal and policy review. The Behavioral Health Medical… more
- AssistRx (Orlando, FL)
- …by identifying, analyzing, and developing improvements in productivity, quality, internal team relationships, and customer service. The Quality Assurance Specialist ... + Conduct a minimum of 8 quality reviews per associate per month. Monitor processes including call handing to...call center experience participating in quality call and system audit performance reviews preferred. + Previous experience in patient… more
- Synchrony (Altamonte Springs, FL)
- …and related documentation as part of effective governance, as well as internal and external review. The lead analyst will collaborate across different functions ... of models, supports validation efforts as well as provides audit support. **_Our Way of Working_** **_We're proud to...such applicant. L1 visa would be considered for an internal candidate meeting all requirements for the L1 and… more
- City of Lakeland (Lakeland, FL)
- …maintains training logs, sign-in sheets, and qualification records in accordance with internal policy and audit requirements. + Applies thorough working ... accuracy, completeness, effectiveness, and compliance with applicable regulations and internal standards. This is a Part-Time Regular position. ESSENTIAL FUNCTIONS… more
- Molina Healthcare (Miami, FL)
- …facilitates integrated, proactive management, ensuring compliance with state and federal regulatory and accrediting standards. * Manages and evaluates team ... and other performance indicators. * Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends… more
- Florida Atlantic University (Boca Raton, FL)
- …please visit www.fau.edu/jobs. Note: Current FAU employees must apply as an internal applicant by logging into their existing Workday employee account. Position ... an Award Administrator - Boca Raton, FL. The Award Administrator reports to the Associate Director of Awards Services and works closely with the award services team… more
- Bank of America (Miami, FL)
- …feedback by providing feedback to team managers and as input to formal associate education. Understand and determine if associate actions and decisions are ... Qualifications:** + 1+ years of experience working with customers ( internal /external) + Experience interpreting quality assurance standards and procedures for… more
- CenterWell (Tallahassee, FL)
- …Analyzes, enters, and manipulates database. Responds to or clarifies internal requests for coding and/or documentation related information. Understands department, ... in real-time. + Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding… more
- CenterWell (Tallahassee, FL)
- …Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational ... in real-time. + Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding… more