- Highmark Health (Tallahassee, FL)
- …ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies_ _As a component of job responsibilities, ... Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to… more
- Highmark Health (Tallahassee, FL)
- …ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, ... Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to… more
- Humana (Tallahassee, FL)
- …our entire portfolio of applications * Create and supports metrics that improved code quality, reduced security defects and progress over time * Manage continuous ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- Acxiom (Tallahassee, FL)
- …CI/CD practices for Databricks notebooks/jobs using DevOps principles and infrastructure-as- code (eg, Terraform, GitHub Actions, Azure DevOps). + Develop and ... tools (Informatica, dbt, Airflow, etc.). + Experience with security and compliance controls on Databricks: encryption, auditing, access controls. + Familiarity with… more
- CenterWell (Port Saint Lucie, FL)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... the care team through daily huddles. Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a...in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol… more
- Evolent (Tallahassee, FL)
- …and financial scope within Evolent Specialty Services. Reporting to the Director , Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... prior authorization and financial scope reconciliations, ensuring accuracy and compliance . + Conduct ongoing surveillance of coding updates from authoritative… more
- Citigroup (Tampa, FL)
- …audit delivery (set against both IA's own internal standards and the Standards and Code of Ethics of the Institute of Internal Auditors). This role in the Quality ... Assurance function focused on the activities of the Legal, Compliance and Risk internal audit team involves close liaison...global QA team. The role reports to the QA Director in New York. **Responsibilities:** + Responsible for executing,… more
- Evolent (Tallahassee, FL)
- …Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and ... coding of claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices maintaining high standards and adherence… more
- CenterWell (Royal Palm Beach, FL)
- …and lead with the care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in ... in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and...program of Conviva Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. **Use your… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for...contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop… more