- TD Bank (Tampa, FL)
- …assisting the Regional Vice President in monitoring the delinquencies, maturities and annual review process + May represent the Commercial Front Line of Business ... timely and according to established policies and procedures and legal and regulatory guidelines along with service level agreements. This role will ensure consistent… more
- Prime Therapeutics (Tallahassee, FL)
- …requirements of Prime. This position is also responsible for leading and driving process improvements and new process development for financial reporting, cost ... members of the FP&A team + Lead and drive process improvements and new process development for...to their job, and comply with all applicable legal, regulatory , and contractual requirements and internal policies and procedures… more
- CRC Insurance Services, Inc. (FL)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** A Complex Claims Manager - Construction ... impacted parties to determine the scope of damage and liability. + Review insurance policies to determine coverage applicability for environmental, general liability… more
- Highlands County Board of County Commissioners (Sebring, FL)
- …is not required. * Determines and collects fees for permits and other review and regulatory services. * Provides applicants with information on contractor ... as they proceed through departmental processes and to issue building permits, process and validate contractor licenses, calculate and process payments for… more
- Elevance Health (Tampa, FL)
- …claims/ encounter processing, as well as ensuring compliance with Medicare/ Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you will make an ... and KPIs. + Oversees design and execution of provider/chart review workflows to ensure high quality encounter submissions. +...preferred. + MPH, MHA, MBA, or MSN preferred. + Process improvement certification such as Six Sigma strongly preferred.… more
- Elevance Health (Tampa, FL)
- …you make an impact:** + Claim reviews for appropriate coding, data mining, entity review , law enforcement referral, and use of proprietary data and claim systems for ... review of facility, professional and pharmacy claims. + Responsible...with Senior level management and legal department throughout investigative process . + May assist in training of internal and… more
- Datavant (Tallahassee, FL)
- …specific references, location of documentation, etc. + Keeps abreast of regulatory changes. + Organizes and prioritizes multiple cases concurrently to ensure ... optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient, and positive manner + Adhere to the… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, FL)
- …model for peers. Plays a central role in developing and coordinating internal review systems to assure that both clinical and administrative activities are in ... compliance with agency and accrediting regulatory requirements. Ensures effective integration of outpatient clinic efforts/activities with other medical center… more
- NBC Universal (Orlando, FL)
- …tools and processes + Help advance and improve our cyber security assurance review engagement process , find efficiencies, and align to consistent frameworks + ... Support a unified security assurance process in alignment with risk management to build security...technology, regulations, and advancing threat behaviors affecting NBCU + Review the work of other security engineers for quality… more
- Pfizer (Tampa, FL)
- …or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to ... seeking guidance only for unusual or complex problems. + Review your own work and potentially mentor others by...systems. + Gather requirements for building and improving business process maps and systems. + Develop new systems and… more