- Humana (Tallahassee, FL)
- …encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance ... space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position,...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …+ Obtains necessary information and enters data into patient EMR to ensure compliance with state and federal regulatory agencies and ACHC standards. + Cancels ... Commission for Health Care (ACHC)and the company policies and procedures related to HIPAA . + Maintain and update spreadsheet information for each patient. + Exhibits… more
- Concentrix (Tampa, FL)
- …Optimization + Monitor system performance, uptime, and usage metrics to ensure SLA compliance . + Analyze call quality data and user experience metrics to identify ... and carriers to resolve outages or service degradation. 5. Security & Compliance + Ensure communication systems comply with enterprise security standards and… more
- Wellpath (West Palm Beach, FL)
- …in care coordination, emergency transfers, and review committees + Ensure compliance with facility regulations and maintain HIPAA standards **Qualifications ... management. They coordinate care with onsite medical staff and ensure compliance with documentation and clinical protocols. The role includes overseeing psychiatric… more
- Community Health Systems (Naples, FL)
- …of diagnostic quality while while prioritizing patient safety, comfort, and compliance with regulatory standards. This role collaborates with healthcare providers to ... demographics. + Cleans and maintains imaging equipment and modalities in compliance with infection control protocols, ensuring a safe and organized environment… more
- MTC (Graceville, FL)
- …under the direction of a licensed physician or mid-level provider in compliance with American Correctional Association (ACA) standards, MTC Medical, and Florida ... inmates are scheduled to appropriate clinician (physician), monitors medication compliance . 7. Perform contact investigation and referral when appropriate. Maintain… more
- Highmark Health (Tallahassee, FL)
- …implementation of products. + Partner with business units to ensure compliance with governmental, contractual, and corporate guidelines, regulations, and policies ... must comply with both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices and Privacy Policies and… more
- Evolent (Tallahassee, FL)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... care- **Required** + Computer Proficiency- **Required** **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Astellas Pharma (Pompano Beach, FL)
- …with the Patient Support Program (PSP) administrators and reimbursement HUB in a HIPAA -compliant manner. + Maintains awareness of the evolving legal, regulatory and ... compliance environment to ensure ability to conduct business in...ensure ability to conduct business in accordance with Astellas Legal/ Compliance guidance and policies. + Develop relationships with key… more
- Teradata (Tallahassee, FL)
- …clearly to stakeholders from engineering to senior leadership + An understanding of compliance requirements such as FedRAMP, PCI-DSS, HIPAA **Why We Think You'll ... trade-offs and risks effectively. + Collaborate with security leadership, architecture, compliance , and operations teams to execute on security strategies. +… more