- Prime Therapeutics (Tallahassee, FL)
- …on fraud, waste and abuse issues and maintains confidentiality and compliance with HIPAA privacyrequirements and applicable state and federal regulations. ... + Prioritize and manage workload to meet internal performance metrics, regulatory and contractual requirements. + Analyze data to find suspicious patterns… more
- Prime Therapeutics (Tallahassee, FL)
- …communication, negotiation, and relationship management abilities + Knowledge of healthcare regulations, payer strategies, and compliance requirements + ... medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work...services + Experience in developing innovation solutions within the PBM/ healthcare industry Every employee must understand, comply with and… more
- Cardinal Health (Tallahassee, FL)
- …closely with internal teams to resolve credit balances and maintaining compliance with regulatory guidelines.** **_Essential Functions:_** **Review EOBs and ... a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The… more
- Robert Half (Tampa, FL)
- …uses technology to protect and enhance enterprise value- controls & regulatory compliance , security, privacy, software development, disaster recovery, technology ... increased effectiveness and efficiencies in audit, risk, control, and compliance domains. This includes leveraging artificial intelligence, advanced analytics and… more
- Banner Health (FL)
- …areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office ... to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of… more
- Healthfirst (FL)
- …departmental information, and adheres to local, state, federal and Healthfirst specific compliance and regulatory guidelines + Additional duties as assigned ... Russian, French, Creole, Mandarin, Cantonese. + Knowledge of medical terminology + Experience in managed care or other area of the healthcare industry working in… more
- Banner Health (FL)
- …to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of ... Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for… more
- Fujifilm (Tallahassee, FL)
- …Function as a Tech Transfer lead/ and Head of site PM as required. + Compliance : Keep current on cGMP, regulatory and quality requirements that impact Company ... a member of the global Operations Leadership Team. Other projects may be managed as well, for example new technology implementations or special studies carried out… more
- Marriott (Kissimmee, FL)
- …for Case Management **Workplace Health and Safety Issues** * Contributes to regulatory compliance regarding worksite health and safety including maintenance of ... culturally appropriate care * Identifies and evaluates the availability of healthcare resources, benefit options & disability related resources * Maintains an… more
- Highmark Health (Tallahassee, FL)
- …responsibilities will include clinical review, assisting in navigating a complex regulatory environment, working with claims data, performing financial analyses, and ... int he area of specialization + An understanding of managed care principles and practices is essential + Demonstration...of CMS regulations/guidance + Thorough understanding of the US healthcare and pharmacy ecosystems **SKILLS** + Be able to… more