- Confluent (Tallahassee, FL)
- …the Role:** We are seeking a highly experienced and technically proficient **Staff Risk & Compliance Program Manager (Insider Threat)** to join our Trust & Security ... Threat program, including technical control implementation, detection & response processes, risk mitigation, employee training & awareness and so on. You will… more
- ChenMed (Deerfield Beach, FL)
- …and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other ... and 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… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Senior Clinical Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and ... monitoring of medical/financial risk and healthcare fraud. The Senior Clinical Medical/Financial ...+ PowerBI and/or PL-SQL Experience + MRM (Medical Records Management ) Experience + Knowledge of Behavior Health and/or Inpatient… more
- ChenMed (Deerfield Beach, FL)
- …director to ensure compliance with guidelines. This position may require participation in risk and quality management programs, clinical meetings and other ... exam, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up, and clear documentation according to ChenMed standards… more
- Datavant (Tallahassee, FL)
- …healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production ... and quality of employees' work, process improvements and clear communication...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Coinbase (Tallahassee, FL)
- …build a trusted, scalable, and compliant platform to maximize velocity, efficiency and quality . They build the foundations that can be used by multiple products and ... Coinbase so that users can have a consistent and high- quality experience. *What You'll Be Doing (ie. Job Duties)*...Duties)* * Lead Machine Learning teams, such as the Risk Team. * Guide the output of a team… more
- Lumen (Tallahassee, FL)
- …operations, program management plans, change management plans, resource plans, quality assurance plans and risk management plans. **The Main ... Program Office, Pre-sales, Business Development, Planning and Execution, Project Management , Customer Relations, Billing and Contracts) to ensure all contractual… more
- Coinbase (Tallahassee, FL)
- …a trusted, scalable and compliant platform to operate with speed, efficiency and quality . Our teams build and maintain the platforms critical to the existence of ... up this group which include Product Foundations (ie Identity, Payment, Risk , Proofing & Regulatory, Finhub), Machine Learning, Customer Experience, and… more
- Highmark Health (Tallahassee, FL)
- …that is both client facing and supportive to Sales leadership, Client Management , Underwriting leadership and market underwriters. This role is a critical component ... needed to appropriately inform decision makers.Make appropriate recommendations to senior management across teams both within the underwriting department and across… more
- Datavant (Tallahassee, FL)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in ... in a fast paced production environment while maintaining high quality . + Must be able to follow instructions, meet...ability to work in a remote environment, and time management skills. + Working knowledge of the business use… more