- Highmark Health (Tallahassee, FL)
- …and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and ... to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for completing all necessary field (externally)… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... routine and non-routine audits of clinical information, assessing medical policy adherence and consistency in decision-making, identifying non-compliance issues, and… more
- Elevance Health (FL)
- …promoting a dynamic and adaptable workplace. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from ... initiatives that span product, clinical, technology, analytics, marketing, operations, and regulatory functions. The Execution Director will serve as the **central… more
- Highmark Health (Tallahassee, FL)
- …serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively identifying, assessing, and ... mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and...and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the… more
- CVS Health (Clearwater, FL)
- …be immersed in a culture of continuous improvement, with the goal of changing health care for the better. **Job Purpose and Summary:** Health is everything. ... day, we help people on their path to better health - from advising on prescriptions to helping manage...to: + Patient Safety + Pharmacy Professional Practice + Regulatory Requirements + Quality Assurance + Customer Service +… more
- Banner Health (FL)
- …**Privacy Policy :** Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy) EOE/Female/Minority/Disability/Veterans Banner Health ... to leverage your abilities - you belong at Banner Health . Looking for a motivated, experienced **Inpatient Facility |...Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding. CORE… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The E-Referral Specialist is an integral part of the referral process as this role is the ... assignment and departmental standards. + Comply with and adhere to all regulatory compliance areas, policies and procedures and the company's best practices. This… more
- Justice, Bureau of Prisons/Federal Prison System (Tallahassee, FL)
- …Experience in contributing to the establishment of policy and/or program regulatory compliance requirements for a health care entity. Knowledge of fiscal ... successful reentry into our communities. Responsibilities In collaboration with the Health System Administrator (HSA) and the Clinical Director, provides oversight… more
- AdventHealth (Tampa, FL)
- …employee health clinics and associated activities. Ensures compliance with regulatory requirements and works closely with regulatory , workers comp and ... Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …the Bruce W. Carter VA Medical Center Psychiatry Service of the Mental Health & Behavioral Sciences Service in Miami, Florida. This announcement has been amended ... Maintains compliance with internal and external quality initiatives and regulatory agencies. Participates in interdisciplinary projects to improve organizational… more