• Medical Director - Care Plus - Florida

    Humana (Tallahassee, FL)
    …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
    Humana (06/28/25)
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  • Medical Director - South Carolina SE Region

    Humana (Tallahassee, FL)
    …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
    Humana (07/22/25)
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  • Director of Operations

    Fresenius Medical Center (Pensacola, FL)
    …and activities of dialysis facilities and programs in an assigned area ensuring compliance with established company and regulatory guidelines and procedures in ... containment strategies, maintaining profitability and growth of area while ensuring compliance with all pertinent company policies and regulatory requirements.… more
    Fresenius Medical Center (07/23/25)
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  • IT Director - Cyber Risk and Governance

    Medtronic (Jacksonville, FL)
    …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... around the world. Bring your talents to an industry leader in medical technology and healthcare solutions - we're a market leader and growing every day. You can be… more
    Medtronic (07/31/25)
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  • Care Management Coordinator

    CVS Health (Tallahassee, FL)
    …and Documentation:** Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies. ... and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements. + Conduct oneself with… more
    CVS Health (07/31/25)
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  • Field Activation Specialist - Miami South

    Gilead Sciences, Inc. (Miami, FL)
    …You will quickly establish working relationships with and engage with healthcare providers and deliver timely disease awareness information, clinical updates, and ... education on healthcare changes. The ability to distill complex clinical concepts...ensuring seamless collaboration across departments and organizations. Leadership & Compliance : * Model and uphold Gilead's compliance more
    Gilead Sciences, Inc. (06/12/25)
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  • Senior Professional Business Intelligence Engineer

    Humana (Tallahassee, FL)
    …Implement process improvements to enhance data accuracy, reporting efficiency, and compliance with regulatory requirements, ensuring continuous improvement and ... opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves.… more
    Humana (07/21/25)
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  • VP, Claims Process & Operations

    Humana (Tallahassee, FL)
    …accurate, and customer-focused claims processing, while driving continuous improvement, regulatory compliance , and cos-effective operations. In addition to ... a large corporation). + 5 or more years of healthcare / managed care industry experience. + Proven ability...driving process improvement, leveraging data and analytics, and ensuring regulatory compliance . + Proven ability to build… more
    Humana (08/02/25)
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  • HEDIS Program Manager

    CVS Health (Tallahassee, FL)
    …in quality data analysis, quality improvement projects, and regulatory compliance activities. Collaborates with the healthcare quality team to develop ... + Educates internal and external stakeholders on HEDIS program needs and compliance requirements. + Generates and interprets healthcare data reports and… more
    CVS Health (08/01/25)
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  • Provider Network Account Executive II

    AmeriHealth Caritas (Orlando, FL)
    Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay ... well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions… more
    AmeriHealth Caritas (07/23/25)
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