- University of Miami (Miami, FL)
- …review of more complex grant activities in order to ensure departmental compliance with applicable guidelines, rules, and regulations. CORE JOB FUNCTIONS Provides ... applications to ensure accuracy. Accesses applicable database(s) to verify regulatory compliance approvals before establishing of the project account. Maintains the… more
- CenterWell (Tampa, FL)
- …value-based care priorities like risk adjustment accuracy, quality performance, compliance , and effective patient management. **Key Responsibilities** + Deliver ... job aids, and point-of-care tools + Translate complex coding and compliance concepts into clear, clinically meaningful information for provider workflows +… more
- University of Miami (Coral Gables, FL)
- …the liaison with funding agencies and facilitates clinical research billing compliance . Ensures that sponsored projects are consistent with sponsors and University ... compliant billing grids for clinical research projects to maintain billing compliance . + Conducts comprehensive analysis and negotiates all applicable research… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …to drive technical excellence and operational efficiency. + Security and Compliance : Ensure proactive transparency and compliance with security standards, ... working with Agile methodologies. OTHER DUTIES AND RESPONSIBILITIES: + Responsible for compliance with all federal, state and local laws, rules and regulations… more
- Humana (Tallahassee, FL)
- …and automation initiatives are aligned with organizational goals and compliance requirements, fostering continuous improvement and operational excellence. **Key ... and resilience of critical systems. + Collaborate with Product, Operations, and Compliance teams to define requirements and deliver solutions that meet regulatory… more
- Humana (Tallahassee, FL)
- …enhance system reliability, and reduce operational overhead-all while ensuring compliance with healthcare regulations (eg, HIPAA, PHI). This individual will ... and implementation of new operational features and functions around Cloud compliance , metrics/reporting and cost optimization + Provide senior level expertise on… more
- Cognizant (Tallahassee, FL)
- …& Enrollment team and work collaboratively with business stakeholders, sales, marketing, compliance , IT, and clients. **In this role, you will** . Gather, analyze, ... Support UAT (User Acceptance Testing), training, and deployment activities. . Ensure compliance with HIPAA and other healthcare regulations in all solution designs.… more
- MyFlorida (Fort Myers, FL)
- …to billing, clinic flow, clinic scheduling, customer service and program/grant compliance . Adheres to Information Security policies and procedures and key custodian ... service issues and developing process improvements to prevent recurrences. Ensures compliance with Title X requirements. Assists with the development of local… more
- Sumitomo Pharma (Tallahassee, FL)
- …of contracts to field staff + Review internal data/reports to ensure compliance with government pricing programs + Provide issue resolution and presentation of ... secondary analytics and financial modeling + Understanding of Commercial and Medicare Part D pharmacy benefit designs + Understanding of gross-to-net and… more
- ChenMed (Orlando, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… more