- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify… more
- Valor Health (Vero Beach, FL)
- …government service. We aim to deliver high-quality care in a way that upholds the health of our nation's greatest asset: its people. Valor works hard to earn the ... patients on the use of prescription medications, educates patients, assesses mental health issues, and provides routine health maintenance. + Evaluates patients'… more
- Highmark Health (Tallahassee, FL)
- …**Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as ... Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance , partners at Enterprise and leadership to identify and deliver high… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …education and limited research. Comprehensive healthcare is provided through primary care, mental health and long- term care. In addition to the main facility in St. ... and to determine acceptability of patient samples for processinq. - Ensure compliance with the standards of regulatory agencies, such as The Joint Commission… more
- Community Health Systems (Crestview, FL)
- …clinical staff on system utilization, ensuring effective adoption and compliance with clinical documentation standards. + Troubleshoots and resolves facility-related ... system testing, software upgrades, and implementation of new features, ensuring compliance with facility-specific regulations and quality standards. + Ensures that… more
- Valor Health (Fort Pierce, FL)
- …set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. Please note: we are not federal government employees. ... patients on the use of prescription medications, educates patients, assesses mental health issues, and provides routine health maintenance. + Evaluates patients'… more
- Highmark Health (Tallahassee, FL)
- …analysis of the results tying back to customer impacts. + Ensure compliance for required standards and all necessary approvals have been obtained throughout ... related field **Substitutions** + Degree in Nursing, Informatics, Business Management, Health Administration, Public Health or related field **Preferred** +… more
- Community Health Systems (Crestview, FL)
- …patients. Our nurses enjoy a robust benefits package including health insurance, 401(k), flexible scheduling, 100% licensure/certification reimbursement, Tuition ... supervises nursing staff, coordinates care with healthcare teams, and maintains compliance with healthcare regulations and hospital policies while fostering a… more
- Highmark Health (Tallahassee, FL)
- …partners relative to payment and producer of record accuracy, appointment compliance and other controls; 6) Maintenance of workflow procedures, form communications, ... **Preferred** + 5 years performing or managing administrative and compliance processes related to Producer Relationships **LICENSES or CERTIFICATIONS** **Required**… more
- Highmark Health (Tallahassee, FL)
- …and improve processes within the underwriting lifecycle, ensuring efficiency, compliance , and alignment with financial objectives. While primarily focused on ... materials specific to underwriting functions, ensuring clarity for audit and compliance . + Collaborate closely with underwriters to analyze existing processes and… more
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