- USAA (Tampa, FL)
- …us special and impactful. **The Opportunity** We are seeking a dedicated Director Business Process Ownership - Advanced Capabilities - Claims Optimization. This role ... and design methodologies, eg Six Sigma and Lean, business operations , risk management, quality assurance and control, or internal..., risk management, quality assurance and control, or internal audit (in addition to the minimum years of experience… more
- AdventHealth (Orlando, FL)
- …other employees of AdventHealth. The role you'll contribute: The Assistant Director of Records and Registration oversees student registration processes, maintenance ... official grade changes of student records, and the degree audit system; Computes student grade point average for honors,...in related area + Two years of experience with operations in the Office of the Registrar + Experience… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …month in our St Petersburg, FL Corporate Office. **Job Summary:** The ** Director of Data Management Technical Platforms** is responsible for designing, delivering, ... data platforms, reporting solutions, and data ingestion/processing pipelines. + ** Operations & Service Delivery** + Ensure tooling platforms are available,… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …+ Establish and monitor robust internal control frameworks tailored to fiduciary operations , ensuring audit readiness and regulatory compliance. + Remain up ... closely with management to achieve organizational objectives. + Lead audit engagements by coordinating deliverables, streamlining documentation, and implementing… more
- MTC (Quincy, FL)
- …cost containment and utilization management for inmate care and facility operations . 12. Maintain absolute security and confidentiality of all medical records; ... to determine all provided services are documented. 14. Closely monitor illnesses. 15. Audit pharmacy use for adherence to formulary and compliance with all pharmacy… more
- MTC (Graceville, FL)
- …assurance and mental health services. Is familiar with all aspects of facility operations to assist in other areas as needed. 2. Possess extensive knowledge of ... quality improvement committee. 6. Monitor delivery of mental health care, audit patient records, review and complete monthly statistical reports, analyze,… more
- Molina Healthcare (St. Petersburg, FL)
- …Claims, and other departments within Molina Medicare and Medicaid regarding A&G operations and dependencies. * Responsible for the A&G department service levels to ... external reporting requirements. * Reviews and analyzes, collects data along with audit results on unit's performance; analyzes and interprets trends and prepares… more
- MUFG (Tampa, FL)
- …and Architecture, plus independent risk (second line of defense), internal audit , and external regulators. REQUIRED QUALIFICATIONS + 10-15+ years of technology ... QA and reports on OpenPages issues + Stakeholder engagement: + Engaged with Operations & Technology key stakeholders, management, BURMs, SLoD, and TLoD to ensure… more
- MyFlorida (Tallahassee, FL)
- …DVR programs, systems and controls to improve the efficiency and effectiveness of operations . This includes the development of audit programs, work papers, and ... OPERATIONS & MGMT CONSULTANT II - SES -...consulting services as requested by the Inspector General or Director of Auditing, in accordance with OIG policies and… more
- Prime Therapeutics (Tallahassee, FL)
- …all applicable state and federal guidance. + Coordinates with external auditors for yearly SOC-1 audit . + Works directly with Director to fulfill OIG and CMS ... every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative oversight and… more