- Highmark Health (Tallahassee, FL)
- …reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/ regulatory requirements and CMS Stars rating measures including HEDIS, CAHPS, ... and problems across all areas of the corporation, by understanding corporate strategies, policy , and scope of authority + Because of the broad impact of decisions… more
- MyFlorida (Tallahassee, FL)
- …of the position include: + Hires, trains, and directly supervises two Regulatory Specialist IIs responsible for the Medical Therapies/Psychology board office ... REGULATORY SUPERVISOR/CONSULTANT - SES - 64080551 1 1...reporters, and meeting set up requests in compliance with policy . This is accomplished in coordination with other bureaus… more
- ServiceNow, Inc. (West Palm Beach, FL)
- …and cross-functional stakeholders to conduct data governance reviews. + Coordinate policy awareness, adoption, and updates across teams. + **Data Quality ... into upstream/downstream data flows to support compliance and impact analysis. + ** Regulatory Compliance & Risk** + Implement controls to ensure compliance with… more
- AdventHealth (Altamonte Springs, FL)
- …ICD-10 codes in accordance with ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare/ payer specifications, and official coding ... and optimize them in accordance with UHDDS rules, official coding guidelines, regulatory agencies, and AH-approved policies. . Verifies CAC codes and that assignment… more
- AdventHealth (Tarpon Springs, FL)
- …awareness of hazards which may endanger patients. Ensures adherence to regulatory standards and enforces safety regulations. Annually meets all required department ... as needed. Performs treatments and administers medications according to policy and training. Functions appropriately in clinical emergencies. Evaluates effectiveness… more
- Truist (Orlando, FL)
- …exceptions and requests in accordance to applicable operating rules and regulatory guidelines. 2. Independently analyze, research, and support electronic payment ... mitigating associated risk. 7. Maintain extensive and expert knowledge of the policy , operating rules, and regulations of payments channel in order to lead/support… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. ... orientation, training, and competency assessment of staff to meet regulatory requirements. Implements and monitors quality management activities. Provides corrective… more
- TD Bank (Fort Lauderdale, FL)
- …**U.S. Compliance Audit and Exam Management manages internal audits and regulatory exams of the Compliance function, tracks remediation efforts and assists ... in remediation of Compliance-owned findings, coordinates ad hoc responses to regulatory agencies and Internal Audit, prepares periodic reporting to multiple… more
- TD Bank (Fort Lauderdale, FL)
- …management of the Compliance Risk Assessment framework to ensure the applicable regulatory compliance risks and internal controls are identified and assessed to ... support Oversight Functions and their covered businesses with defining and logging regulatory issues and/or remedial action plans + Support the review and… more
- ABBTECH Professional Resources, Inc. (Kennedy Space Center, FL)
- …Center, FL** **Local candidates only** **Job Summary:** The Instrumentation Commissioning Specialist will support NASA's Mobile Launcher 2 (ML2) testing and ... tests comply with the design verification requirements set by NASA. The Instrument specialist will report to the I&CS lead, however, be capable of planning and… more