- Highmark Health (Tallahassee, FL)
- …SUMMARY** This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality ... current issues regarding client activities; disseminates necessary information to the management . Follows up on pended claims in accordance with department… more
- MyFlorida (Orlando, FL)
- …High School Diploma or its equivalent. + ACTIVE Florida Law Enforcement Compliance /Certification of Equivalency of Training from the Florida Department of Law ... person. Our Salary & Benefits - CAREER SERVICE SPECIAL RISK + LEI I annual salary: $60,000.00 + LEI...mediation and negotiating skills. + Documents investigation activity in compliance with Division Policies and Procedures. + Complies with… more
- University of Miami (Miami, FL)
- …and for the growth of new and existing service lines.15. Ensures compliance with all applicable federal, state, and local pharmacy-related laws, regulations, and ... reduce legal risks.16. Ensures internal control oversight, safeguarding of assets, compliance with University policies and procedures, reliability of internal and… more
- CenterWell (Tallahassee, FL)
- …and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory guidelines, and optimize documentation for accurate reimbursement. ... years of experience as a certified medical coder + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + Standard working hours… more
- USAA (Tampa, FL)
- …are effectively identified, measured, monitored, and controlled. + Follows written risk and compliance policies, standards, and procedures for business ... liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a… more
- Humana (Tallahassee, FL)
- …modernization, and event-driven architectures. * Exposure to enterprise domains like Compliance , HR, Finance, Legal, or Risk . **Additional Information** ... CI/CD. * Understanding of IAM (Azure AD) and secret management (HashiCorp Vault). * Strong communication and documentation skills....the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Oracle (Tallahassee, FL)
- …customer's business critical applications. **What is IAM at OCI?** Identity and Access Management (IAM) allows users to control who has access to their cloud ... to travel long distances, but have to abide by compliance and regulations. The ideal candidate will be technically...features + Expertise in applying threat modeling or other risk identification techniques to develop security solutions + FedRAMP,… more
- Bristol Myers Squibb (Tampa, FL)
- …within People Services to ensure optimal operational service deployment, service delivery management , and support for business growth in key regions. + Monitor and ... Legal teams to assess and influence impacts on People Services ensuring risk mitigation and optimal operational outcomes. + Monitor and assess workforce transition… more
- BMO Financial Group (Bonita Springs, FL)
- …to week in terms of days worked, hours, and shifts. + Follows through on risk and compliance processes and policies to ensure we safeguard our customers' assets, ... and the customer experience. + Supports operational activities (eg inventory management , escalated service requests, following up on customer applications, filing,… more
- Sarasota County Government (Sarasota, FL)
- …especially in acquiring relevant understanding and skills via coaching and performance management . + Keep abreast of developments, new trends, and innovations in ... libraries. + Oversee financial, compliance , operational and performance audits, ensuring appropriate controls are established and implemented. + Handle employee… more
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