- Fresenius Medical Center (Pensacola, FL)
- …vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions ... licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies.… more
- Molina Healthcare (FL)
- …for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and ... ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes. + May engage and oversee the… more
- Humana (Tallahassee, FL)
- …customer requirements. + Reviews contract and certificates, working with Product and Compliance areas to evaluate ability to match plans for takeover. + Negotiates ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- HCA Healthcare (Ocala, FL)
- …directors, to enhance documentation accuracy, charging workflows, and overall compliance . + Collaborates with Facility Department Directors in developing ... calls, ensuring continuous education. + Possess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements. + Knowledge of… more
- Fresenius Medical Center (Pinellas Park, FL)
- …core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions ... nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.… more
- Prime Therapeutics (Tallahassee, FL)
- …pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and ... Ensure all contractual obligations are in adherence with company policies, regulatory compliance and legal requirements and engage with Legal and Network Management… more
- Molina Healthcare (St. Petersburg, FL)
- …reviews and appeals. * Supports behavioral health committees for quality compliance . * Implements behavioral health specific clinical practice guidelines and medical ... review criteria. * Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for … more
- Humana (Tallahassee, FL)
- …clearly-especially around generative AI. Design for scalability, reliability, and compliance . + **MLOps & DevOps Collaboration** Work with engineering and ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- AdventHealth (Altamonte Springs, FL)
- …find and implement solutions that balance strategic imperative needs while maintaining compliance with the myriad regulations. **The value you will bring to the ... outside consultants and engaging with hospital associations. + Creates solutions in compliance with regulations + Collaborates with key stakeholders to support the… more
- AdventHealth (Daytona Beach, FL)
- …responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation ... Management Manager is responsible for department engagement, customer experience, compliance of regulatory standards, and employee evaluations. The Care Management… more