- Highmark Health (Tallahassee, FL)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Datavant (Tallahassee, FL)
- …vulnerability management, asset inventory hygiene, identity and access management, and audit readiness. Depending on priorities, you may lean into one security ... application protection) and broader efforts such as identity and access management, audit readiness, and risk mitigation. + **Translate strategic goals into program… more
- Medtronic (Jacksonville, FL)
- …Risk Analysis continues to meet evolving threat landscape and regulatory (eg HIPAA /Meaningful Use) requirements. + Identifies gaps in existing programs and assists ... metrics; present insights and recommendations to senior leadership and the board. + Audit Support: Support internal and third-party audit processes related to… more
- CHS (Clearwater, FL)
- …and audits for claims which are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded customer service calls within the ... timeliness of claims processing. + Utilize Excel, prepares tracking and trending written audit reports based on findings and communicate audit findings with… more
- City of Jacksonville (Jacksonville, FL)
- …spreadsheet, email, and related software applications. + Ability to analyze and audit accounting, payroll, leave, grant, and procurement data. + Ability to read, ... records management, administrative, customer service, and/or grants management. + HIPAA Compliance training, GovQA training, National Incident Management System… more
- ManTech (Doral, FL)
- …Possess deep knowledge of compliance frameworks and standards, such as NIST, ISO 27001, HIPAA , PCI DSS, and SOX, tailored to the organization's needs + Regularly ... audit IT infrastructure, systems, and applications to ensure compliance...Cybersecurity Framework, FedRAMP, ISO 27001) or regulations (eg, FISMA, HIPAA , GDPR). + Experience at a DoD Combatant Command… more
- Modernizing Medicine (Boca Raton, FL)
- …patching, and cloud control validation for compliance frameworks such as SOC2 and HIPAA . The Role: + Design and enforce AWS cloud security guardrails and IAM ... cloud patching enablement and visibility + Validate security controls and support audit readiness + Monitor and remediate cloud misconfigurations + Mentor engineers… more
- Humana (Tallahassee, FL)
- …+ Identify opportunities across HEDIS processes to ensure compliance and audit requirements are satisfied, while also simultaneously maximizing gap closure + ... Interpretation of the NCQA technical specifications and regulatory audit requirements to partner on data/process updates; and to...space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for… more
- Chewy (Plantation, FL)
- …make recommendations based on federal regulations and company policies. + Audit implemented accommodations to ensure viability and proactively engage when ... complex problem solving to find opportunities for improvement, communicate findings, and audit to ensure effective resolution. + Partner with Payroll to resolve any… more
- Humana (Tallahassee, FL)
- …ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and ... Coding or Healthcare (Medical Chart Review/Insurance Billing) or Internal/External Audit or Regulatory/Compliance OR Claims Investigations or Criminal Investigation/White… more