- Deloitte (Boca Raton, FL)
- …and technical), and enhancements to deliver insights that address business, regulatory and legal challenges. Leverages analytics, AI and reporting to drive ... and efficiencies within key records processes critical to compliance with regulatory and policy requirements. + Engages with key cross-functional stakeholders (Risk,… more
- Molina Healthcare (FL)
- …and or grievances information concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee ... Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong verbal and written… more
- University of Miami (Miami, FL)
- …and maintains accurate records related to medications and treatments as per regulatory bodies, policies, procedures and physician orders. + Communicates plan of care ... family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines (ie HIPAA). Uses best practices for transition of patient care. +… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …plans, and ensure cost-effective, quality care in accordance with regulatory guidelines and organizational policies. Key Responsibilities: + Conduct comprehensive ... accurately and in a timely manner. + Adheres to Medicare and Medicaid regulatory guidelines as it pertains to patient admission/safe discharge. + Participates in… more
- Intermountain Health (Tallahassee, FL)
- …and receives the highest level of professional service. + Completes all regulatory and compliance training and ensures documentation of regulatory requirements ... is clear and complete. Is knowledgeable and compliant with state and federal laws, regulations, pharmacy policies, procedures, and standard operating procedures. + Supervises and directs activities of interns, technicians, and support personnel as required.… more
- JPMorgan Chase (Miami, FL)
- …You'll provide an outstanding client experience, and maintain adherence to the regulatory , legal, and risk management frameworks unique to these client segments. ... the firm by following sound risk management protocols and adhering to regulatory requirements **Required qualifications, capabilities and skills** + Minimum of 8… more
- RELX INC (Boca Raton, FL)
- …Lex Machina is part of LexisNexis, a leading global provider of legal, regulatory , and business information and analytics. For more information, please visit : ... of choice About the Business LexisNexis Legal & Professional(R) provides legal, regulatory , and business information and analytics that help customers increase their… more
- CVS Health (Tallahassee, FL)
- …process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body. + Thorough ... knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify and communicate documentation deficiencies to allow for continuous education opportunities for peers. + Extensive knowledge of… more
- CVS Health (Tallahassee, FL)
- …and enhance the delivery of healthcare services. Provides support in completing regulatory reporting requirements and contributes to the development and execution of ... initiatives. Responsibilities include: * Leads management of the quality data, regulatory reporting, and analytics function to help internal teams draw meaningful… more
- HCA Healthcare (Gainesville, FL)
- …care. + Facilitate and foster communication, patient flow, staff support, regulatory compliance, care coordination, transfers, and policy and process development. + ... care. + Facilitate and foster communication, patient flow, staff support, regulatory compliance, care coordination, transfers, and policy and process development. +… more