- Humana (Tallahassee, FL)
- …1-year program designed for recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs to build a foundation for a career in population health. The ... position emphasizes skills related to population health management, healthcare business planning, and leadership. Based on interests, the program may include… more
- Humana (Tallahassee, FL)
- …our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges with technology-enabled solutions. As an Advisor in our ... the evolving and mission-driven intersection of strategy, technology, and healthcare . This role offers you the chance to help...space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position,… more
- Evolent (Tallahassee, FL)
- …service lines, and/or practice group, national oncology networks, or healthcare consulting/equivalent experience. Must demonstrate clinical acumen with proven ... experience (ie, RN, NP) + Must demonstrate knowledge of healthcare delivery operations, population health management best practices with...Ability to travel up to 25-30%. **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… more
- Highmark Health (Tallahassee, FL)
- …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and… more
- Highmark Health (Tallahassee, FL)
- …IT, Legal and other departments, proactively identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their ... processes, and implement effective controls and procedures to maintain compliance . This job performs business analysis tasks by supporting...Health Insurance Industry + 3 - 5 years the Healthcare Industry + 3 - 5 years in Lean/Six… more
- Help at Home (Medley, FL)
- …**Essential Duties/Responsibilities:** + Maintains up-to-date client and employee files in compliance with agency standards. + Ensures confidentiality of all client ... and agency information in accordance with HIPAA . + Assigns caregivers based on client needs and...relationships with clients, staff, and community partners. + Ensures compliance with all relevant laws, regulations, and company policies.… more
- Highmark Health (Tallahassee, FL)
- …achieved. + Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation ... interviewing or dialectical behavior therapy (DBT) + Experience working with the healthcare needs of diverse populations + Understanding of the importance of… more
- Astellas Pharma (Pompano Beach, FL)
- …. **Purpose & Scope:** This individual contributor role will engage with healthcare professionals (HCPs) and their relevant staff members, serving as the account ... compliant access and reimbursement topics. With expertise in payer coverage, healthcare payment models, and utilization management criteria (ie Prior Authorization,… more
- Evolent (Tallahassee, FL)
- …+ Offer **clinical rationale for standard and expedited appeals,** ensuring compliance with UM policies and regulatory requirements. + Collaborate with ... organizational skills.** + Passion for **value-based care and improving healthcare quality.** + **Computer proficiency** and ability to navigate...we'd love to hear from you! **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… more
- Modernizing Medicine (Boca Raton, FL)
- …to cloud-native architectures. + Familiarity with enterprise cloud governance frameworks and compliance requirements (eg, HIPAA , PCI, SOC 2). + Expertise with ... in our mission to make a positive impact on healthcare . Join Us! + South Florida Business Journal, Best...+ Promote a shift-left mentality, integrating testing, security, and compliance early into the development process to detect and… more