- Citigroup (Tampa, FL)
- …risk appetite in line with changes in the business environment, regulatory requirements, and strategic objectives. + Work closely with key stakeholders ... processes and identify potential areas for improvement. + Stay informed about regulatory changes and industry best practices related to control management, ensuring… more
- Elevance Health (Tampa, FL)
- …include improving patient care outcomes, enhancing service delivery, and ensuring regulatory compliance. Functions that this role oversees include case management, ... team of clinical, analytic, and pharmacy subject matter experts. + Provide regulatory /legislative expertise on pharmacy issues. + Provide support to grow and sustain… more
- University of Miami (Miami, FL)
- …population and assignments. Ensures compliance with all State and Federal regulatory guidelines to include Health Insurance Portability and Accountability ... The MA 3 provides hands-on care to patients while adhering to regulatory requirements, standards of care, and institutional policies and procedures, under the… more
- University of Miami (Miami, FL)
- …population and assignments. + Ensures compliance with all State and Federal regulatory guidelines to include Health Insurance Portability and Accountability Act ... Medical Assistant 1 provides hands-on care to patients while adhering to regulatory requirements, standards of care, and institutional policies and procedures, under… more
- TEKsystems (Tampa, FL)
- …compliance in accordance with official coding guidelines, payer policies, and regulatory requirements to optimize reimbursement and support the center's financial ... * Monitor and respond to payer coding updates or regulatory changes relevant to ASCs. * Assist in tracking...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Citigroup (Tampa, FL)
- …in mind To Build Risk Data & Technology solutions to deliver on our regulatory commitments. But our mission extends beyond solving our regulatory commitments. We ... including: medical, dental & vision coverage; 401(k); life, accident, and disability insurance ; and wellness programs. Citi also offers paid time off packages,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Management system. + Monitors and complies with all state, federal and regulatory requirements relative to accuracy and turnaround times. + Uses clinical subject ... as knowledge of the interconnection between Utilization Management, claims, and regulatory requirements to respond to complex and/or escalated inquiries. +… more
- SolomonEdwards (Tallahassee, FL)
- …financial crimes. The ideal candidate will bring deep technical expertise, regulatory awareness, and strong leadership capabilities. **Essential Duties:** . Lead ... through audit cycles, ensuring thorough documentation and issue resolution. . Monitor regulatory trends and integrate into risk management audits. . Develop programs… more
- Elevance Health (Tampa, FL)
- …data, identifying trends, and providing insights to support decision-making and regulatory compliance. **Location:** Norfolk, VA; Grand Prairie, TX; Tampa, FL; ... processes and procedures. + Provide support for CMS audits and other regulatory reporting requirements. + Develop and analyze business performance reports (eg, for… more
- Evolent (Tallahassee, FL)
- …partners. + **Reporting & Compliance** : Support ad hoc and regulatory reporting needs efficiently, ensuring compliance with applicable guidelines. + **Communication ... external stakeholders. + Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS, NCQA, Milliman). **To comply with HIPAA… more