- Humana (Tallahassee, FL)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
- Evolent (Tallahassee, FL)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an ** Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... + Offer **clinical rationale for standard and expedited appeals,** ensuring compliance with UM policies and regulatory requirements. + Collaborate with… more
- NASCO (Tallahassee, FL)
- …obligations + Serves as the legal subject matter expert on federal and state healthcare laws and regulations, including HIPAA + Provides legal guidance on ... agreements, SaaS and other licensing agreements + Experience providing counsel on compliance issues, including related to HIPAA + Experience supporting Medicare… more
- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** ** Associate Director, Correspondence Project and Program Management** This position serves a key ... and on-going maintenance of corporate clinical correspondence to ensure compliance with legislative and accreditation requirements. + Maintains oversight of… more
- ChenMed (Tampa, FL)
- …and medicine disposal, etc. + Conducts trainings and refreshers regarding Medicare and HIPAA compliance , ensures annual OSHA trainings occur and employees have ... they owned the organization. + Maintains an awareness of the competitive healthcare environment; actively drive sales and ensures that ChenMed's family of companies'… more
- Merck (Tallahassee, FL)
- …communication, and networking skills + A thorough comprehension of FDA, OIG, HIPAA , and other ethical guidelines, laws, and regulations relevant to the ... comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement… more
- Molina Healthcare (Jacksonville, FL)
- …pharmacies, and technicians to meet departmental and CMS standards. + Enforce HIPAA compliance standards and regulations while maintaining guidelines and other ... Office programs (Word, Excel, MS Teams, and Outlook) **PREFERRED EDUCATION** : Associate 's Degree **PREFERRED EXPERIENCE** : 3-5 years; healthcare industry… more
- Highmark Health (Tallahassee, FL)
- …a variety of technology systems, designing solutions or developing applications in healthcare + 3 years of translating design mockups, prototypes and user stories ... 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
- NASCO (Tallahassee, FL)
- …and implementation, analytics strategy, platforms and patterns, AI/ML governance, and US healthcare payer regulatory compliance (eg, HIPAA , HITRUST, CMS). ... the US healthcare payer market, regulatory requirements, and industry standards ( HIPAA , HITrust, CMS, FHIR, HL7, EDI) + Hands-on experience with AI/ML model… more
- Humana (Tallahassee, FL)
- …Salesforce Interaction Studio, Adobe Journey Optimizer, or similar + Familiarity with healthcare regulations (eg, HIPAA ) and responsible data usage practices. + ... You will partner across IT, analytics, marketing, legal, and compliance to ensure innovation is both effective and ethical....space lacking ongoing interruptions to protect member PHI / HIPAA information Humana offers a variety of benefits to… more