- Datavant (Tallahassee, FL)
- …Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both ... vendors + Provides expertise as it relates to coding compliance for new and existing services, while ensuring ...experience in risk adjustment both ACA and MA. + Expert knowledge of Risk Adjustment . + Research and… more
- NextEra Energy (Juno Beach, FL)
- …important to ensure all information gathered is properly logged to facilitate compliance and an effective shift turnover. + Monitor market conditions, coordinate ... energy price, transmission, counterparty contracts, and credit limits, while adhering to compliance and risk policies. + Comply with and support all corporate… more
- JPMorgan Chase (Jacksonville, FL)
- Bring your expertise to JPMorgan Chase. As part of Risk Management and Compliance , you are at the center of keeping JPMorgan Chase strong and resilient. You help the ... by anticipating new and emerging risks, and using your expert judgement to solve real-world challenges that impact our...customers and communities. Our culture in Risk Management and Compliance is all about thinking outside the box, challenging… more
- Molina Healthcare (St. Petersburg, FL)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim...to COB claim reviews. + Act as subject matter expert for Medicaid COB claim adjudication, configuration testing, and… more
- Omnicell (St. Petersburg, FL)
- …and communicating security policies in driving business unit awareness and compliance and monitoring their adoption across the business. Responsibilities include: ... and development of new features and products. + **Risk Management & Compliance :** Support the Information Technology Risk Program by collaborating with business… more
- Eliassen Group (Tallahassee, FL)
- …with a specific focus on SAP Fieldglass. You'll act as a functional expert , working with cross-functional teams to analyze, design, and implement system solutions ... that align with business goals and compliance standards. You will support Fieldglass configuration and integrations, handle enhancement requests, and help manage the… more
- Deloitte (Tampa, FL)
- …+ Ensure that all cloud solutions follow internally defined security and compliance controls. + Define standards and best practices by conducting POCs for ... and deploy new cloud environments. + Serves as a subject matter expert on major IT environment upgrades, enhancements, new functionality, capacities, performance,… more
- First Horizon Bank (Orlando, FL)
- …being active and well connected in the community. + Expected to be the expert level "market moving" advisor with ability to handle the most challenging, sensitive ... legal, operating and regulatory controls to manage risk and compliance . Works within the existing audit, compliance ...and compliance . Works within the existing audit, compliance and regulatory framework to ensure a high quality,… more
- MyFlorida (Arcadia, FL)
- …fund; Independently orders special formula & compiles with the Prompt Compliance Payment Section 215.422, Florida Statutes & Chapter 3A-24, Florida Administrative ... during the prenatal and postpartum period. Refers clients to the Designated Breastfeeding Expert (DBE) or the breastfeeding peer counselors (PC) as needed. Plans and… more
- Citigroup (Tampa, FL)
- …assisting in identification, measurement and reporting, data policy adoption and compliance , data controls framework performance and issue management process, and ... Lending data and system process flows + Serve as the subject matter expert for Wholesale Lending Data strategic data analysis providing recommendations, insight, and… more