• Lead Analyst, Payment Integrity

    Molina Healthcare (Tampa, FL)
    …resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional ... to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter… more
    Molina Healthcare (08/20/25)
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  • Associate VP, Resolution - CTM Oversight…

    Humana (Tampa, FL)
    …operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with cross-functional teams to ... and implement process improvements to enhance efficiency, member satisfaction, and regulatory compliance. + Oversee resolution of member enrollment issues, claim… more
    Humana (08/20/25)
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  • Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …Policies, CCR Review Guidelines and Templates, and Dispute Rationales + Perform regulatory research from multiple sources to keep abreast of compliance enhancements ... assurance guidelines. + Monitor, research, and summarize trends, coding practices, and regulatory changes. + Actively contribute innovative ideas and support ad hoc… more
    Zelis (08/20/25)
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  • REMOTE Vendor Management Specialist I, CMS

    Carrington (Jacksonville, FL)
    …ensure their continued compliance with our applicable company policies and regulatory guidelines. Escalate issues or concerns with compliance to appropriate ... of documentation to complete existing vendor's annual review in accordance with regulatory compliance and internal policy. + Monitor, track and conduct first level… more
    Carrington (08/20/25)
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  • MS&T Specialist

    Teva Pharmaceuticals (Davie, FL)
    …corrective actions to optimize procedures, processes, materials, technology and regulatory compliance issues. Provides direction and training to other staff, ... and Health Administration (OSHA), Environmental Protection Agency (EPA), DEA and other regulatory requirements. . Scale up and post approval changes (SUPAC) in… more
    Teva Pharmaceuticals (08/20/25)
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  • AML Refresh Operations - Ops Professional MKTS

    Bank of America (Jacksonville, FL)
    …due diligence (ECDD) in accordance with internal policies, procedures and regulatory guidelines + Review of refresh requirements for assigned jurisdiction in ... all refresh requirements are met + Ensure all jurisdictional regulatory requirements related to KYC are adhered to +...partners to ensure proper client reporting and assist with regulatory reporting + Escalates potential risks and exposures to… more
    Bank of America (08/19/25)
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  • WIM Superintendent

    The Walsh Group (Jacksonville, FL)
    …subcontracted work to align with project objectives, contract specifications, and regulatory requirements. Additionally, it ensures that all work meets industry ... keeping accidents and injuries to a minimum and complying with company and regulatory safety procedures. Complies with EPA requirements for hazardous materials. + 6)… more
    The Walsh Group (08/19/25)
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  • Operational Risk Officer III- Strategic Planning…

    TD Bank (Jacksonville, FL)
    …or related working group/project teams + Possesses an understanding of the regulatory landscape and requirements, ensuring they are identified and articulated to ... resource on risk issues for assigned businesses/specializations + Participates in regulatory reviews and/or completion of risk management surveys where applicable +… more
    TD Bank (08/19/25)
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  • Imaging Lead

    Merck (Tallahassee, FL)
    …making internally, and assist with vendor audits as needed. + In regulatory inspections, provide responses to any imaging-related information requests. + Identify ... authoring and reviewing imaging documents for clinical trials. + Regulatory experience supporting drug filings. Current Employees apply HERE… more
    Merck (08/19/25)
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  • Manager: Business Disruption & Operational…

    American Express (Sunrise, FL)
    …that risk management activities are conducted in a manner compliant with regulatory requirements and expectations. The team aggregates and reports on key risk ... and efficiently in accordance with the company policies and applicable regulatory requirements. **Essential Job Functions:** + Conduct independent, proactive risk… more
    American Express (08/19/25)
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