- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing… more
- Molina Healthcare (Orlando, FL)
- …with national and state delegates. + Coordinates, evaluates, and reviews delegation audit assessment tools as necessary to comply with state, federal, NCQA, and ... Compliance Committees as applicable. + Manages department processes to monitor the audit and monitoring performance of delegated entities on a regular interval and… more
- Molina Healthcare (Orlando, FL)
- …EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated ... Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of… more
- Molina Healthcare (Orlando, FL)
- …and compliance information including regulatory, external, and internal audit review (including Sarbanes-Oxley Act requirements). **JOB QUALIFICATIONS** **Required ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Jacksonville, FL)
- …and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, coordinates and performs ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
- Cardinal Health (Tallahassee, FL)
- **_Company Overview:_** Cardinal Health, Inc. (NYSE: CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, ... healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician...every day. We are seeking a **strategic** and **experienced** ** Manager of IT Compliance** , and in this role,… more
- Molina Healthcare (St. Petersburg, FL)
- …COB and TPL processing logic. + Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act as subject matter expert for ... able to confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for the audit… more
- Immigration and Customs Enforcement (Miami, FL)
- …and quality of work performed or to protect the quality of life or healthcare services. Applying a range and depth of knowledge acquired specifically through an ... to unexplored areas and phenomena. Nurses collaborate with physicians and other healthcare professionals to develop the nursing care patient plan and determine how… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...units. **About the role** As a **Senior Technical Program Manager - Security** , you will own the delivery… more
- Walgreens (Mims, FL)
- …insurance companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager ... using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible for assisting pharmacist in the delivery… more