- AssistRx (Maitland, FL)
- … Manager in the review and management of third-party audits. + Verifies compliance with insurer rules, Medicare, Medicaid, HIPAA , and other applicable ... 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
- NTT DATA North America (Orlando, FL)
- …+ Reviewing the policies and benefits + Comply with company regulations regarding HIPAA , confidentiality, and PHI + Abide with the timelines to complete ... compliance training of NTT Data/Client + Work independently to...fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer… more
- Evolent (Tallahassee, FL)
- …+ Quick learner with good follow-through and experience with interpreting healthcare provider contracts **preferred** **To comply with HIPAA security ... may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final… more
- Molina Healthcare (Jacksonville, FL)
- …pharmacies, and technicians to meet departmental and CMS standards. + Enforce HIPAA compliance standards and regulations while maintaining guidelines and other ... for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring members to… more
- Molina Healthcare (Miami, FL)
- …API integration, automation, configuration management, monitoring, ensuring security and compliance are thorough in all cloud services implementation * Experience ... in working with industry regulations, standards, and frameworks like NIST, PCI, SOX, HIPAA , GDPR * Requires working knowledge of Microsoft technology stack and SQL… more
- Molina Healthcare (Orlando, FL)
- …sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act ( HIPAA ) + Ability to establish and maintain positive and effective work… more
- Molina Healthcare (St. Petersburg, FL)
- …The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. ... populations. + Collaborate with legal, claims, provider relations, finance, and compliance departments to ensure coordination and alignment on recovery efforts. +… more
- Evolent (Tallahassee, FL)
- …preferred** + Basic knowledge of GAAP also **preferred** **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification may ... be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final… more
- Amazon (Miami, FL)
- …with automation and scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA , GDPR) - Strong communication skills with the ... equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, integration,… more
- Medtronic (Jacksonville, FL)
- …Strong knowledge of regulatory changes and trends impacting IT risk assessments, including compliance requirements such as GDPR, HIPAA , and others, ensuring risk ... life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with...the team, you will provide expertise in risk management, compliance , and security strategy, while also playing a key… more