- Health First (Rockledge, FL)
- …** Integrity * **Organization:** **HF Administrative Plan Inc* **Title:** * Regulatory Integrity Analyst - Health Plans Corporate Integrity * ... requirements. 2. Track all issues/potential risks submitted to the regulatory integrity team including and up to...Certification: None * Work Experience: 3 years of documented health plan regulatory experience * Work Experience… more
- HealthEdge Software Inc (Tallahassee, FL)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... analyzing claims data, as well as translating contract terms, policies, and regulatory guidelines into actionable requirements for our proprietary edit library. This… more
- MyFlorida (Tallahassee, FL)
- 68900289 - OPS MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Jan 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... Health Care Administration Working Title: 68900289 - OPS MEDICAL/ HEALTH CARE PROGRAM ANALYST Pay Plan: Temp...fraud, abuse, and waste. The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations… more
- Carnival Cruise Line (Miami, FL)
- …observed while adhering to compliance policies and procedures, **Essential Functions:** + Regulatory Sr Analyst , IT Compliance is responsible for ensuring that ... The Sr Analyst , IT Compliance is responsible for ensuring that...assessments and implements controls to mitigate risks related to regulatory requirements. The role will maintain absolute confidentiality of… more
- American Express (Sunrise, FL)
- …the world's best customer experience every day. And we'll do it with the utmost integrity , and in an environment where everyone is seen, heard and feels like they ... structures, policies, and procedures are robust, effective, and align with regulatory requirements and best practices. Operational Risk Management is looking for… more
- American Express (Sunrise, FL)
- …the world's best customer experience every day. And we'll do it with the utmost integrity , and in an environment where everyone is seen, heard and feels like they ... intelligence. US Consumer Services is looking for a Sr. Analyst of Application Controls to be part of a...US Consumer Services on application controls that promote data integrity , accuracy, and reliability of businesses processes + Collaborate… more
- University of Miami (Coral Gables, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami Health System Department of UMHC - SCCC - Tumor ... an exciting opportunity for a full time Quality Management Analyst 3 to work remote. The incumbent conducts highly...metrics and outcomes measures for the University of Miami Health System that are defined by internal parameters to… more
- USAA (Tampa, FL)
- …sources across USAA to support actuarial functions. As a Life Actuarial Solutions Analyst Senior, you will support Life/Annuity/ Health actuarial work through one ... a real impact for our members. We believe in our core values of honesty, integrity , loyalty and service. They're what guides everything we do - from how we treat… more
- Lumen (Tallahassee, FL)
- …own Board of Directors. CIM is looking for an Investment Operations Analyst with strong analytical, communication, and technology skills to manage operational ... functions of Lumen's retirement and employee benefit plan assets. The Analyst will work in a small, collaborative team and interact with CIM staff, custodian bank… more
- TECO Energy (Tampa, FL)
- **Title:** Environmental Specialist (Laboratory Analyst ) **Company:** Tampa Electric Company **State and City:** Florida - Tampa **Shift:** 8 Hr. X 5 Days ... sampling as required by federal (EPA) and state environmental regulatory agencies (FDEP and DOH) for compliance with environmental...a timely manner. Peer review data of which the analyst has technical knowledge and experience with the analysis.… more
- American Express (Sunrise, FL)
- …the world's best customer experience every day. And we'll do it with the utmost integrity , and in an environment where everyone is seen, heard and feels like they ... across the enterprise. ORM is looking for a Senior Analyst of operational loss events (OREs) to be a...by Amex + Ensure that loss reporting aligns with regulatory standards (CCAR, Basel, etc.) + Validate the first… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 844714 Agency: Department of Health Working Title: GOVERNMENT ANALYST II ... GOVERNMENT ANALYST II - 64085469 Date: Jan 17, 2025...Date: 01/22/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Department of Health Division of Medical Quality Assurance Bureau of Enforcement… more
- US Foods (Boca Raton, FL)
- …With support from Information & Cyber Security leadership, the GRC security analyst assesses and validates the assurance of the security program, monitors progress ... resiliency. **Flexible Work Policy: The work for the IT PCI and Risk Security Analyst position is completed remotely anywhere in the United States except Hawaii or… more
- MUFG (Tampa, FL)
- …technology and business stakeholders on a frequent basis. As a Sr. Business Systems Analyst , the ideal candidate will be needed to assist in development efforts for ... to the development team. + Participate in quality control and ensure the integrity of information. + Participate in solution implementation + Document the different… more
- Cardinal Health (Tallahassee, FL)
- …and efficient use of trusted data and statistical models to support regulatory and business goals. OptiFreight is seeking a motivated and passionate individual, ... + Perform regular audits and validations to ensure data integrity and quality + Identify and resolve data quality...- $46.40 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- Healthfirst (FL)
- …reduce the potential for migration conflict. + Ensure the quality and integrity of claims configuration change requests using production validation and audit ... contract concepts and common claims processing/resolution practices. + Previous managed care/ health plan experience in an operations department where you have you… more
- University of Miami (Hialeah, FL)
- …clinical decision makers on performance improvement opportunities. The Quality Management Analyst 3 conducts highly complex analysis while leading the design, ... metrics and outcomes measures for the University of Miami Health System that are defined by internal parameters to...problem analysis for strategic planning initiatives. + Solves data integrity issues as they arise, and monitor the addition… more
- MUFG (Tampa, FL)
- …and results * Engages inclusively and with intent * Always acts with integrity **RESPONSIBILITIES** * Participate in the execution of financial wires, ACH transfers, ... activities in compliance with all industry, federal, state, and Bank Secrecy Act regulatory requirements * Develop understanding of ACH compliance issues * Aid in… more
- Healthfirst (FL)
- …analytics aimed at department and Executive Leadership that provide insights into the health and performance of the department. + Leverage available data to develop ... Develop repeatable ETL processes from source systems to analytics sandbox, ensuring integrity , completeness, and accuracy of data is maintained + Perform statistical… more
- Lincoln Financial Group (Tallahassee, FL)
- …and reconciling more complex investment accounting transactions and ensures the integrity of accounting records for completeness, accuracy and compliance with ... Office Suite (Word, Excel, PowerPoint, Outlook). * Successfully completes regulatory and job training requirements **Application Deadline** Applications accepted… more