- 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 ... action by a state medical board **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
- University of Miami (North Miami, FL)
- …including gathering medical licenses, certifications, CME's, and case log reports ensuring compliance with the medical staff requirements + Liaises with UMH & JHS ... programs. Maintain the electronic faculty files, including licensure and compliance . + Ensures that all administrative/clerical staff and volunteers always… more
- 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 **Interview Format** As part of our hiring...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Highmark Health (Tallahassee, FL)
- …volumes, staff hours and allocation, expenses, and revenue. (10%) + Ensures compliance with all regulatory requirements including on-going education as required and ... 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
- Highmark Health (Tallahassee, FL)
- …implementations, on-call and 24x7 supports when necessary. + Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures. + ... 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
- SHI (Tallahassee, FL)
- …and organizational goal alignment **Preferred Qualifications:** + Familiarity with CJIS, HIPAA , NIST, and other relevant industry standards, compliance , and ... 180 days of hire: + Microsoft Certified: Information Protection and Compliance Administrator Associate, OR + Microsoft Certified: Azure Security Engineer Associate,… more
- Highmark Health (Tallahassee, FL)
- …and rigorous testing against industry standards for quality assurance traceability and compliance . The incumbent requires the technical acumen to develop and execute ... 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
- University of Miami (Doral, FL)
- …manner to patient and family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines (ie, HIPAA ). Uses best practices for ... to physicians, diagnostic testing, and Gyn Procedures in a manner to assure patient compliance . + Adhere to Gyn nursing model directives. + Triage patient calls for… more
- InGenesis (Miami, FL)
- …our client. In this role, you will process, distribute, and file while following HIPAA guidelines If you meet the qualifications outlined below, apply today and will ... system for patients and clinical staff where applicable. * Tracks compliance with scheduled patient appointments, making timely reminders notices, or calls… more
- Humana (Tallahassee, FL)
- …medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD represents ... space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position. **Scheduled weekly...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more