• Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (St. Petersburg, FL)
    …+ Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes ... our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role… more
    Molina Healthcare (07/24/25)
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  • Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (Tampa, FL)
    **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM ... the correct business owner on first touch. 2. Resolution Quality & Compliance Mastery * Track record coordinating cross-functional action plans with Enrollment,… more
    Molina Healthcare (07/13/25)
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  • Representative, Provider Relations HP

    Molina Healthcare (FL)
    …communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
    Molina Healthcare (08/02/25)
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  • Campus Engagement Specialist

    HCA Healthcare (Orlando, FL)
    …ADA related grievances. 2. Collaborate with the 504 Coordinator, campus leadership, and Compliance and Regulatory Affairs to ensure that attempts to mediate and ... with the strength of a nationally recognized institution, HCA Healthcare . That same passion for excellence in the classroom...conducted according to policies and procedures. 4. Cooperate with Compliance and Regulatory Affairs to ensure ADA… more
    HCA Healthcare (07/26/25)
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  • Supv House Admin RN

    HCA Healthcare (Palatka, FL)
    …the achievement of internal/external benchmarks, accreditations, and designations. + Ensures compliance with all policies, procedures, and regulatory standards. ... patients. At HCA Florida Putnam Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) Supv House Admin to join our healthcare … more
    HCA Healthcare (07/13/25)
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  • Director Invision Imaging

    HCA Healthcare (Gainesville, FL)
    …necessary HR documentation. 4. Assures that patient records are maintained and in compliance with local, state, federal and regulatory standards. 5. Processes ... team is looking for a(an) Director Invision Imaging. HCA Healthcare is an advanced healthcare network that...7. Maintains knowledge of current local, state, federal and regulatory requirements. 8. Conducts staff meetings to address employee… more
    HCA Healthcare (07/11/25)
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  • Division Director Clinical Education Programs

    HCA Healthcare (St. Petersburg, FL)
    …efforts to achieve. + ​Develops and implements policies, procedures, and practices in compliance with all legal and regulatory standards. + ​Ensures equipment ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...maintenance is performed regularly and according to regulatory and/or accreditation standards. + ​Collaborates with the Division… more
    HCA Healthcare (07/11/25)
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  • Nurse Manager Critical Care

    HCA Healthcare (Fort Walton Beach, FL)
    …the achievement of internal/external benchmarks, accreditations, and designations. + Ensures compliance with all policies, procedures, and regulatory standards. ... HCA Florida Fort Walton-Destin Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) Manager Critical Care to join our … more
    HCA Healthcare (06/21/25)
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  • Executive Director of Behavioral Health Programs

    HCA Healthcare (Fort Walton Beach, FL)
    …with local, state, and federal regulation, Joint Commission standards, the Hospital Compliance Plan and applicable laws governing healthcare operations; + ... This position is incentive eligible. **Introduction** Managers thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare … more
    HCA Healthcare (07/31/25)
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  • Biomedical Technician I - Broward County

    GE HealthCare (FL)
    …. + Adhere to company policies, procedures, and hospital protocols, to ensure regulatory and compliance requirements are met; ensure documentation of all work ... will respond to service calls within a hospital or healthcare system in Broward County, FL. You will evaluate,...customers. + Identify and report all customer quality or compliance concerns immediately to the Quality Organization to ensure… more
    GE HealthCare (07/25/25)
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