- Prime Therapeutics (Tallahassee, FL)
- …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... the Corporate Compliance Committee (CCC) and Finance, Compliance & Audit Committee (FCA) meeting materials....8 years of progressive work experience in legal or compliance related roles for a healthcare or… more
- Prime Therapeutics (Tallahassee, FL)
- …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... and external distribution Compliance Committee and the Compliance and Audit Committee and supports the...8 years of progressive work experience in legal or compliance related roles for a healthcare or… more
- Molina Healthcare (Jacksonville, FL)
- …lines of business. This role has decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of enterprise ... + Responsible for encounters accuracy & completeness (ie, Encounter Production, Audit , Production Vendor Oversight) for assigned lines of business. Responsible for… more
- Molina Healthcare (Tampa, FL)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... + Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit , and overpayment recovery initiatives to ensure Health Plan SAI targets are… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... or more direct report supervisors, facilitates integrated, proactive management, ensuring compliance with state and federal regulatory and accrediting standards. *… more
- CVS Health (Tallahassee, FL)
- …and contractual obligations. The position leads cross-functional initiatives to support audit readiness and collaborates with Compliance , Legal, Medicaid Health ... day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance ...**Required Qualifications** + A minimum of 7 years of healthcare payer experience, with at least 5 years in… more
- Molina Healthcare (St. Petersburg, FL)
- **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM ... durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior… more
- Molina Healthcare (Tampa, FL)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare … more
- AssistRx (Maitland, FL)
- …performing internal reviews, research and/or audits to verify compliance with government laws/regulations, client requirements, accreditations/certifications, ... We are in search for a Compliance Specialist. Compliance works to ensure...informed of applicable rule and regulation changes in the healthcare and pharmaceutical industries. + Assists in the day-to-day… more
- Parker Hannifin Corporation (Miami, FL)
- Trade Compliance Specialist Location : Miami, FL, United States Job Family : Supply Chain/Logistics Job Type : Regular Posted : Aug 29, 2025 Job ID : 57292 Back to ... Operations (SSO) division Miami site import and/or export programs. Understand the compliance obligations that Parker and the division has and works to maintain… more