- Datavant (Brevard County, FL)
- …Communicate and collaborate with leadership on issues, opportunities, or challenges. + Lead Audit Team which receives requests from Payors + Review data and provide ... client and leadership solutions + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. + Manage the Request coming in from the Risk Management Team of the client + Be the leader of client locations and plan… more
- Compass Group, North America (Jacksonville, FL)
- …Drive compliance to merchandising standards + Assess performance by location through audit reports (Quarterly District Evaluations) + Perform the job functions of ... the Route Driver position, when needed, including driving a company vehicle over an established route to deliver products, render services, and fill and maintain vending and related equipment. **Preferred Qualifications:** + A Bachelor's degree is preferred;… more
- Immigration and Customs Enforcement (Miami, FL)
- …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... by State or Federal health facility surveyors and in collaboration with IHSC Medical Quality Management Unit. Requirements Conditions of Employment Qualifications TECHNICAL HEALTHCARE DUTIES AND RESPONSIBILITIES: Using and/or carrying out standard procedures… more
- CRC Insurance Services, Inc. (FL)
- …professionally. 4. Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy. 5. Process incoming and outgoing claims ... and vendor payments. 6. Perform claim status requests and updates. **QUALIFICATIONS** **Required Qualifications:** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable… more
- MyFlorida (Gainesville, FL)
- …Assist nutrition supervisors with data collection for biannual nutrition plan and audit activities. Valid Driver's License required to drive county/state vehicles to ... assigned clinic daily. Follow all procedures listed in Vehicle Operation Policy (DOHP 250-12-18) -Accurately and completely fill out DH1345 for each trip -Responsible for fueling vehicles, maintaining vehicle cleanliness, etc - Report any maintenance issues… more
- SolomonEdwards (Tallahassee, FL)
- …investment products (ideal), and/or o Second line (2LOD) compliance or audit functions with operational implementation experience. * Proven ability to design ... and implement policies, procedures, and reporting structures in a regulated environment. **Skills and Job-Specific Competencies:** * Strong understanding of compliance, TPRM, and supplier risk management frameworks. * Excellent organizational and communication… more
- Centene Corporation (Tallahassee, FL)
- …guidelines + Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns + Resolve ... complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team + Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process + Assist with the pharmacy utilization review and… more
- ManTech (Doral, FL)
- …+ Quality & Process Improvement Certified CMMI Associate - Information System Audit and Control Association, Certified Six Sigma Black Belt (CSSBB) - American ... Society of Quality (ASQ), and Certified Six Sigma Master Black Belt - SixSigma.US. + Quality Management Systems AS9100 Rev D Requirements and Internal Auditor Training, ISO 14001:2015 Requirements, and ISO 9001:2015 Requirements and Internal Auditor Training.… more
- HCA Healthcare (Tampa, FL)
- …preferred. + Inpatient/outpatient professional fee coding experience required. + Previous audit experience preferred. + Coding certification through AHIMA or AAPC ... required. Experience may be accepted in lieu of coding certification. " **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification,… more
- Deloitte (Miami, FL)
- …while ensuring all development activities meet federal security, documentation, and audit standards. Working in an agile project environment, you will collaborate ... with cross-functional teams-including business analysts, functional consultants, and project managers-and prepare comprehensive technical documentation, such as design specifications, test scripts, and deployment guides, to support the overall success of the… more