- Molina Healthcare (Miami, FL)
- …+ Policy & Procedures **PREFERRED QUALIFICATIONS:** + BA/BS and/or CHC (Certified in Healthcare Compliance ) To all current Molina employees: If you are ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare 's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a… more
- Humana (Tallahassee, FL)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
- Highmark Health (Tallahassee, FL)
- …healthcare operations, risk, audit, or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None ... Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance and Ethics Professional (CCEP)… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... + 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including… more
- Prime Therapeutics (Tallahassee, FL)
- …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... + 8 years of progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly… more
- Prime Therapeutics (Tallahassee, FL)
- …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... + 8 years of progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly… more
- Molina Healthcare (St. Petersburg, FL)
- …Advantage or Medicaid programs + Awareness of CMS audit processes or healthcare compliance requirements **Ideal Candidate Attributes** + **Curious and Eager ... opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and cross-functional collaboration. Success in this role… more
- Cardinal Health (Tallahassee, FL)
- …E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS ... normative data, CMS and CCI initiatives, OIG work plans and advisories and healthcare industry best-practices. + Develops and implements compliance training to… more
- AdventHealth (Altamonte Springs, FL)
- …regional activities to identify and address regulatory risks in the areas of healthcare compliance and privacy. Investigate and respond to identified and/or ... subject matter expert supporting staff and leaders on areas of regulatory healthcare compliance including, but not limited to: general compliance , privacy,… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …(A/E) and Construction contracts to ensure the contractor is in compliance with all contractual requirements, healthcare regulations and codes, ... relevant codes, regulations, guidelines and standards to make recommendations to assure compliance with healthcare facility programs. Ability to understand the… more