- Molina Healthcare (Tampa, FL)
- …+ 2 years' experience completing delegation oversight assessments/audits. + Quality management/ regulatory experience with increasing responsibility. To all ... **JOB DESCRIPTION** **Job Summary** Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to… more
- Otis Elevator Company (West Palm Beach, FL)
- …on schedule, within budget, and meets all technical & safety standards, regulatory compliance requirements, and customer expectations + Coordinate all contract ... join a truly international, talent driven company that values Safety, Ethics, Quality , Innovation and Employee Opportunity? Otis Elevator Company is searching for a… more
- Deloitte (Tampa, FL)
- The team The Quality and Risk Management (QRM) team's mission is to protect the earnings, assets, and reputation of the firm, facilitate consistency of delivery, and ... reduce the cost of quality . The primary responsibility of QRM is to provide...mission by helping identify, mitigate, and manage risk (delivery, regulatory , legal, and reputation) throughout the engagement life cycle.… more
- Highmark Health (Tallahassee, FL)
- …to Government Markets (STARS, ACA, CHIP, Medicaid DE) and Enterprise Quality , Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in ... provider transformation aimed at high- quality , cost-effective care while improving patient outcomes. + Provide consultative workflow transformation and… more
- Trinity Health (Fort Lauderdale, FL)
- …balancing charges and adjustments d. Maintain productivity standards e. Maintain compliance with regulatory requirements Responsible for denial coordination with ... Cross Medical Group this individual performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers and… more
- Healthfirst (FL)
- …or Urdu + Demonstrated ability to document calls into a computer system ** Regulatory or Compliance activities:** n/a **License or Certification:** n/a WE ARE ... or needs and monitoring screening of members effectively to improve quality and cost outcomes + Communicate with Inter/Intra-departments regarding reconciling… more
- Molina Healthcare (FL)
- …support continuous quality improvement of the provider database, compliance with regulatory /accreditation requirements, and Network Management business ... operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other… more
- Truist (Orlando, FL)
- …exceptions and requests in accordance to applicable operating rules and regulatory guidelines. 2. Independently analyze, research, and support electronic payment ... corporate clients and internal departments to resolve wire exceptions maintaining quality client experiences executing the attributes and behaviors as designated for… more
- TD Bank (Fort Lauderdale, FL)
- …of the Compliance Risk Assessment framework to ensure the applicable regulatory compliance risks and internal controls are identified and assessed to ... regulatory remediation + Familiarity with developing and implementing regulatory compliance risk management frameworks and programs, including … more
- TD Bank (Fort Lauderdale, FL)
- …+ 7+ years of experience **Preferred Background & Experience:** + **Certified Regulatory Compliance Manager or similar knowledge of consumer, commercial, and ... Audit and Exam Management manages internal audits and regulatory exams of the Compliance function, tracks...documentation to effectively report on the status of the Compliance program + Represents CGO as a specialist… more