- Humana (Tallahassee, FL)
- …and representing Humana IT with internal business partners along with State and Federal regulators. The Lead contributes to RFP responses to ensure they are accurate ... discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on outages, impacts,… more
- Humana (Tallahassee, FL)
- …tax provisions under ASC 740 and SSAP 101, ensuring accuracy and compliance with US GAAP and statutory accounting principles. + Oversee tax-related disclosures ... appropriate internal controls over tax accounting and reporting, including compliance with SOX 404 requirements. + Collaborate cross-functionally with Finance,… more
- University of Miami (Miami, FL)
- …sites, 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 rules, including but not limited to CMS (Centers for Medicare and Medicaid Services), the Joint Commission, the Agency for Health Care… more
- CenterWell (The Villages, FL)
- …of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team ... Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical… more
- Humana (Tallahassee, FL)
- …financial drivers, and forecasting including headcount planning to ensure compliance with Commonwealth requirements + Performs financial impact analysis for ... that meet the short- and long-term plan objectives + Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives +… more
- CVS Health (Coral Gables, FL)
- …services. + Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the ... member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of… more
- Aveanna Healthcare (Miami, FL)
- …Aveanna branch. Additionally, this individual is responsible for initiating and maintaining compliance with all Federal and State regulations governing Home ... program improvement * Consistently meet reporting deadlines * Branch compliance with federal and state regulations *...and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Humana (Tallahassee, FL)
- …on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. ... Experience (ME) and Medicaid Module (MED) requirements, advising stakeholders on compliance . + Works closely with operational areas to prepare documentation and… more
- Humana (Tallahassee, FL)
- …insurance operations. This role is responsible for driving process improvements, ensuring compliance , and leading a large team to elevate member and provider ... process improvements to enhance efficiency, member satisfaction, and regulatory compliance . + Oversee resolution of member enrollment issues, claim disputes,… more
- Elevance Health (Tampa, FL)
- …analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and ... identifying trends, and providing insights to support decision-making and regulatory compliance . **Location:** Norfolk, VA; Grand Prairie, TX; Tampa, FL; Mason, OH;… more
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