- Highmark Health (Tallahassee, FL)
- …acts within the parameters of federal and state laws, regulations, and regulatory guidance. The incumbent is also responsible for the administration, interpretation, ... reporting and intake protocols, monitoring and implementation of new or changing regulatory requirements, risk assessment and audit execution, risk treatment plans, … more
- APTIM (Tampa, FL)
- **Job Overview:** APTIM is seeking a highly experienced Environmental, Health , and Safety (EHS) Subject Matter Expert (SME) with 10+ years of proven expertise in ... environmental compliance, air permitting, and regulatory strategy. This key role supports both internal teams...extensive range of benefits that protect and promote the health and financial well-being of our employees and their… more
- Prime Therapeutics (Tallahassee, FL)
- …Medicaid, Medicare Part D, and health plans + Extensive experience with policy and regulatory actions as it pertains to Government Programs business (ie ... such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and pull through execution… more
- CenterWell (Clearwater, FL)
- **Become a part of our caring community and help us put health first** + The **RN Clinical Manager** coordinates and oversees all direct care patient services ... personnel. This role is a focused on both home health clinical quality assurance and home health ...Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final… more
- Elevance Health (Miami, FL)
- …face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance ... post service grievances and appeals requests from customer types (ie member, provider, regulatory and third party) and multiple products (ie HMO, POS, PPO, EPO,… more
- Highmark Health (Tallahassee, FL)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and… more
- GE Aerospace (West Melbourne, FL)
- …the Finance teams and the organization on statutory accounting, filings and regulatory requirements. Assist financial reporting teams as required to ensure all ... filings are completed timely, efficiently and in compliance with state regulatory requirements. + Developing expertise within function. Growing reputation within the… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …classes representing their clinical conditions and resource needs. Monitors ever-changing regulatory and policy requirements affecting coded information for the ... and evaluate the adequacy of the documentation. Ability to determine whether health records contain sufficient information for regulatory requirements, are… more
- BayCare Health System (Clearwater, FL)
- …in Government Relations, Legislative and/or Regulatory Process, Advocacy, Public Relations, Health Care Policy or in Public Health . + Preference ... with 5 or more years in Government Relations, Legislative and/or Regulatory Process, Advocacy, Public Relations, Health Care Policy , or in Public Health .… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- Summary The Orlando VA Healthcare System Mental Health Service is seeking an experienced and dynamic Physician ( Psychiatry) In-Patient Medical Director. Ideal ... You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.… more