- Veterans Affairs, Veterans Health Administration (Pensacola, FL)
- Summary Supervisory Healthcare Engineers serve as experts in the design of the medical care environment, including all hospital building features, automated building ... construction including construction in and adjacent to operational healthcare environments. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Healthcare Engineer:… more
- HCA Healthcare (Atlantis, FL)
- …consultation with administration, department supervisors and staff, in‑service education, investigation of accidents and incidents, and regulatory compliance ... **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in...of the network's Safety Committee. To ensure the network's compliance with safety management and other environment of care… more
- Molina Healthcare (Miami, FL)
- …or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. + Manages defect reduction by ... **REQUIRED EXPERIENCE:** 2-3 years customer service, claims, provider and investigation /research experience. Outcome focused and knowledge of multiple systems. 1+… more
- Humana (Tallahassee, FL)
- … sector, preferably with government agencies. + Strong understanding of healthcare IT standards, interoperability, and compliance requirements. + Expertise ... complex IT solutions that support the VA's mission to provide high-quality healthcare services to veterans. This role involves close collaboration with business… more
- NASCO (Tallahassee, FL)
- …campaigns. Creates and delivers training programs for employees + Assists in the investigation of compliance issues and works to resolve any identified ... **Overview** The Senior Corporate Counsel, Compliance & Commercial operates under general direction and...the legal subject matter expert on federal and state healthcare laws and regulations, including HIPAA + Provides legal… more
- Zelis (St. Petersburg, FL)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across… more
- Elevance Health (Tampa, FL)
- …to Legal on associate relations matters. + Regularly partners with Ethics and Compliance on crossover investigations . + Partners with AR leadership and HRBP ... for associate relations issues including but not limited to: investigations , agency charges (EEO, DOL), employment litigation, associate complaints, performance… more
- MyFlorida (Tallahassee, FL)
- …proactively identify qualified leads for potential fraud, waste, and abuse (FWA) investigations . The incumbent will be accountable to conduct data mining to identify ... data analyses, and final results into comprehensive reports for bureau investigations . This position requires a high degree of confidentiality, accuracy, and… more
- Elevance Health (Tampa, FL)
- …+ Researches new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Highmark Health (Tallahassee, FL)
- …3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis ... of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and… more