- Highmark Health (Tallahassee, FL)
- …Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization ... management activities to ensure compliance with internal policies, state, CMS, and federal regulations....framework, including but not limited to NIST, HITRUST, PCI, HIPAA , SOC, MAR, CMS, JCAHO, in order to identify,… more
- Evolent (Tallahassee, FL)
- …**What You'll Be Doing:** **Sr Director of Product Management - AI & Healthcare Innovation** Evolent is seeking a strategic and experienced Sr **Director of Product ... to lead the vision, planning, and execution of cutting-edge healthcare AI solutions. This leader will own the end-to-end... delivery through intelligent, AI-driven solutions. **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… more
- Evolent (Tallahassee, FL)
- …mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant** The Client Analytics team provides a unique opportunity ... Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers,...for internal teams and external partners. + **Reporting & Compliance ** : Support ad hoc and regulatory reporting needs… more
- Molina Healthcare (Orlando, FL)
- …preparing) for regulatory and compliance audits & assessments. + Ensure compliance with applicable regulations (eg, HIPAA , NYS DFS) and industry standards ... on internal and third-party risk assessments and audits. Assessment and compliance activities include validating controls in the IT department, managing risk… more
- HCA Healthcare (Boynton Beach, FL)
- …the** **flexibility to work during those hours.** Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our ... healthcare team. Grow your career with an organization committed...progress. . Keeps clinic environment clean, orderly and in compliance with company policy and accrediting . standards. .… more
- HCA Healthcare (North Miami, FL)
- …**flexibility to work during those hours.** Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...progress. + Keeps clinic environment clean, orderly and in compliance with company policy and accrediting standards. + Works… 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
- NASCO (Tallahassee, FL)
- …obligations + Serves as the legal subject matter expert on federal and state healthcare laws and regulations, including HIPAA + Provides legal guidance on ... and other licensing agreements + Experience providing counsel on compliance issues, including related to HIPAA +...counsel on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges… more
- Molina Healthcare (Miami, FL)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality… more
- HCA Healthcare (Kissimmee, FL)
- …+ Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements + This practice handles Cardiothoracic procedures: ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more