• Medical/Health Care Program Analyst

    MyFlorida (Miami, FL)
    …Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent ... rules, laws, and statutes. A candidate selected for a position with an audit unit (Overpayment Recovery or Managed Care) will be responsible for conducting audits,… more
    MyFlorida (06/04/25)
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  • Ops Medical/Health Care Program Analyst

    MyFlorida (Miami, FL)
    …Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent ... rules, laws, and statutes. A candidate selected for a position with an audit unit (Overpayment Recovery or Managed Care) will be responsible for conducting audits,… more
    MyFlorida (06/04/25)
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  • REMOTE Vendor Management Specialist I, CMS

    Carrington (Jacksonville, FL)
    …system of record are current and entered upon receipt. + Respond to site audit exceptions identified by QCVM for compliance and ensure tracking and timely ... with such vendors to monitor and ensure their continued compliance with our applicable company policies and regulatory guidelines....delivery of completed site audit reports to internal stakeholders based on department procedures,… more
    Carrington (05/21/25)
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  • IPA Coding Associate Director

    CenterWell (Tallahassee, FL)
    …at the division and market level; Partners with Clinical Documentation Improvement, Audit , and Education to develop programs to improve clinical documentation. + ... for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and... with coding standards. + Partner with analytics and audit to identify coder errors and develop plans to… more
    CenterWell (04/24/25)
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  • Assistant Front Office Manager (Full-Time) l…

    IHG (Miami, FL)
    …the event of an emergency. + Oversee the front desk and night audit functions in accordance with established procedures; ensure guests receive prompt, professional ... attention and are greeted upon arrival, and that the audit function and reports are completed on time. Communicate...in educating employees on current safety issues to ensure compliance with all health and safety regulations. Inform management… more
    IHG (05/03/25)
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  • Senior Regulatory Guidance and Assurance Analyst

    Highmark Health (Tallahassee, FL)
    …of increasing accountability and/or progressive role, preferably in an Audit or Compliance discipline in a Healthcare or Healthcare related industry ... regular, executive summaries/abstracts to Risk Partners, Business Unit leadership, and/or the Audit Committee of the Board of Directors as required. + Standardize,… more
    Highmark Health (05/13/25)
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  • Security Advisor - Privacy

    Nelnet (Tallahassee, FL)
    …security services for campus-based organizations including higher education institutions, healthcare providers, city, county and state government agencies and ... firm, we leverage our knowledge combined with the industry standards for compliance and information security issues to provide our customers with world class… more
    Nelnet (04/01/25)
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  • Health Services Administrator RN

    YesCare Corp (Bartow, FL)
    …Requirements** + Active license, if applicable. + Bachelor's degree in healthcare administration/related field required. Licensed or Registered Nurse required in ... of degree. + Minimum of three (3) years of management experience in a healthcare setting. + Correctional healthcare experience preferred. + Subject to initial… more
    YesCare Corp (06/12/25)
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  • Product Manager, Risk Adjustment Analytics…

    Datavant (Tallahassee, FL)
    Compliance , and Scalability** + Ensure analytics products support audit defensibility, regulatory compliance , and documentation traceability. + Design ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...client usability and customization. + Partner with Security and Compliance teams to uphold data privacy and HITRUST standards.… more
    Datavant (06/06/25)
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  • Center Clinical Manager - Duval County

    ChenMed (Jacksonville, FL)
    …operations, which may include but is not limited to: clinical quality, compliance , human resources, patient experience and direct team member supervision. The ... The Center Clinical Manager demonstrates thorough knowledge and proficiency in healthcare data analytics, clinical protocols and leadership to ensure the center's… more
    ChenMed (05/29/25)
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