- Molina Healthcare (Miami, FL)
- …of Degree) **Required Experience ** * Min. 5 years operations or administrative experience in healthcare / health plan industry, including 1+ years as a ... Certification, Association** n/a **Preferred Education** Associate's or Bachelor's Degree **Preferred Experience ** 3+ years of healthcare or health plan… 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)
- …/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated knowledge of ... Master's Degree or higher in a clinical field, Public Health or Healthcare . **PREFERRED EXPERIENCE :** * STARS improvement experience * CAHPS improvement … more
- Molina Healthcare (Jacksonville, FL)
- …health care industry in related field **PREFERRED EDUCATION:** Bachelor's degree in healthcare related field **PREFERRED EXPERIENCE :** 4-6 years experience ... and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, coordinates and performs… more
- Molina Healthcare (Orlando, FL)
- …and compliance information including regulatory, external, and internal audit review (including Sarbanes-Oxley Act requirements). **JOB QUALIFICATIONS** **Required ... Bachelor's Degree in Accounting, Finance or Business Administration **Required Experience ** 5-6 Years **Preferred Education** Graduate Degree **Preferred … more
- Cardinal Health (Tallahassee, FL)
- …experience with the ability to foster an inclusive and engaging culture. + Prior experience working with Internal or External Audit functions are a plus. + ... every day. We are seeking a **strategic** and **experienced** ** Manager of IT Compliance** , and in this role,...frameworks as well as key regulatory requirements that impact healthcare organizations. + Direct experience in managing… more
- Molina Healthcare (St. Petersburg, FL)
- …knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment ... + Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act...confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for… 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)
- …access, or audit readiness, you stay grounded in architecture, developer experience , and risk. + **You see how delivery systems, architecture, team dynamics, and ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...units. **About the role** As a **Senior Technical Program Manager - Security** , you will own the delivery… more
- Walgreens (Mims, FL)
- …the best experience possible when using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible ... activities; Ensures efficient pharmacy workflow and a positive patient experience . Serves as a full-time certified pharmacy technician. +...medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager … more