- Sedgwick (Tallahassee, FL)
- …appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. + Acts as second ... level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. + Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. +… more
- Kiewit (Tampa, FL)
- …* Travel to project site for short duration as needed to carry out audit , review energization plan, and assist with major energization evolution if needed * Work ... with projects start-up team with onsite activities such as the following if needed * Familiarity with component testing and commissioning aspects of following major electrical equipment & protection scheme will be an added advantage: + 220KV, 345KV Breakers +… more
- Elevance Health (Tampa, FL)
- …Conduct experience studies to support pricing decisions and assumption development. + Audit support: Assist with CMS bid desk reviews and audits by preparing ... documentation and explanations of pricing methodologies. + Leadership & Collaboration: Lead special projects, develop process improvements, and provide guidance and training to junior analysts. **Minimum Requirements:** Requires a BA/BS and to have passed a… more
- Leonardo DRS, Inc. (Melbourne, FL)
- …reports and analysis of the impact of various projects and transactions + Audit accounts to ensure adherence to corporate policy + Conduct cost systems studies ... + Ensure integrity of expense, tax, insurance, overhead, accounts payable & receivables, and special fund amounts + May lead tasks or aspects of a task or project; provide guidance to less experienced staff members + Recommend improvements to accounting… more
- Parker Hannifin Corporation (Naples, FL)
- …develop and implement new methods of quality management and systems, and audit existing systems to meet division initiatives, ISO9000, and other customer ... requirements. + Provide quality-oriented leadership in achieving facility quality objectives. Interfaces with internal and external customers to provide comprehensive responses and technical assistance regarding quality systems and/or products. + Develop,… more
- AdventHealth (Orlando, FL)
- …and hospital policies. Support hospital initiatives related to compliance, audit readiness, and quality reporting metrics. Participate in CDI-related committees ... and performance improvement initiatives. Collaborate with quality teams on initiatives related to hospital-acquired conditions (HACs), patient safety indicators (PSIs), and mortality reviews. Contribute to hospital-wide efforts to improve revenue integrity and… more
- Iron Mountain (Tallahassee, FL)
- …or ISO 27001 is a plus, with a focus on cloud-based service delivery, audit support, and security controls is a plus. **Essential Job Functions:** * Facilitate Agile ... ceremonies: Daily Standups, Sprint Planning, Backlog Grooming, Sprint Reviews, Retrospectives * Ensure adherence to Scrum principles, Agile values, and team best practices * Remove impediments and coordinate with cross-functional teams to resolve blockers *… more
- Ascension Health (Port St. Joe, FL)
- …+ Ensure that adequate supply levels are maintained. Perform quarterly audit **Requirements** Licensure / Certification / Registration: + BLS Provider obtained ... within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted. + One or more of the following required: + Cardiographic Tech credentialed from the Cardiovascular Credentialing International (CCI)… more
- AdventHealth (Maitland, FL)
- …First Coast, SMRC Noridian, and ZPIC. + Performs pre-operative surgical reviews for high audit risk surgeries for all payers based on a specific algorithm at least 7 ... days pre-operatively. + Collaborates with Pre-Access, IP auth teams, Utilization Management, Physician Advisors, Nursing, Physicians, Care Management, Coding, and others to ensure appropriate patient statusing based on data and information compilation. +… more
- Iron Mountain (Tallahassee, FL)
- …judgment to present detailed customer reporting packages, including customer audit participation; ensures reporting and communication is frequent and bi-directional ... + Ensures high-quality service delivery and customer satisfaction through proactive service management and rapid customer response; works in partnership with Sales, CSM, OPS, and other cross-functional team members to ensure high service quality + Develop and… more