- Datavant (Tallahassee, FL)
- …closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality ... realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The… more
- CDM Smith (Orlando, FL)
- …and eager to lead impactful projects? Join our dynamic team as a Project Manager and play a key role in advancing innovative solutions to address critical water ... managers and proper implementation of safety plans. Provides timely response to audit corrective actions identified by external or internal audits. Plans and… more
- Molina Healthcare (Orlando, FL)
- …Access). + Knowledge of applicable state and federal law; National Committee for Quality Assurance (NCQA) standards. + Ability to independently manage multiple ... with national and state delegates. + Coordinates, evaluates, and reviews delegation audit assessment tools as necessary to comply with state, federal, NCQA, and… more
- CDM Smith (Boca Raton, FL)
- …managers and proper implementation of safety plans. Provides timely response to audit corrective actions identified by external or internal audits. Plans and ... maintains and manages strong client relationships. Ensures client satisfaction by delivering quality , on-time project outcomes as a result of good planning and… more
- Citigroup (Jacksonville, FL)
- …of work performed. Other job-related duties may be assigned as required. + **Lead Quality Assurance & Control:** Direct and manage a team responsible for ... The Ops Sup Manager is an intermediate management level position responsible...Act as a subject matter expert for entitlements and quality processes, collaborating effectively with senior stakeholders, audit… more
- Zelis (St. Petersburg, FL)
- …client and concept trends and implement improvement strategies + Implement and conduct quality assurance program to ensure accurate results to our clients + ... and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is responsible for… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …inquiries, compliance testing, and internal audit . + Uses metrics data and quality assurance feedback to identify key areas of risk and inefficiency to ... **Job Summary** The Senior Manager of Conflicts of Interest ("COI") Supervision will...well as Raymond James policies and procedures. The Senior Manager - COI Supervision reports directly to the Director… more
- Intermountain Health (Tallahassee, FL)
- … Manager of Cash Control is responsible for leading and overseeing the Quality Assurance (QA) and Electronic Data Interchange (EDI) functions within the ... expert on QA and EDI-related processes within the revenue cycle. Communicate audit findings, system issues, and process changes to stakeholders clearly and… more
- MUFG (Tampa, FL)
- …**Foster a culture of accountability, collaboration, and continuous learning.** **Process & Quality Assurance ** **.** **Review and refine SOPs and playbooks for ... **Job Summary** As a GSOC (Global Security Operations Center) Manager , you will lead a regional team of Tier...Tier 1 and Tier 2 operations.** **.** **Monitor quality of alert handling and incident response; implement corrective… more
- American Express (FL)
- …improvements + Identifying areas of risk for intervention, including conducting independent quality assurance and process testing + Reviewing thematic risk ... and strategic risk advisory specific to product and service areas. The Manager -Control Managment Amex Offers will: + Support providing strategic risk advice… more