- Centene Corporation (Tallahassee, FL)
- …process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into ... the credentialing subsystem + Develop and maintain the audit schedule + Audit staff as outlined in the system auditing policies + Train audit staff at the health plan in the use of audit process and tools + Facilitate compliance with the auditing process + Act… more
- MyFlorida (Tallahassee, FL)
- TAX AUDITOR IV Date: Jan 6, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 843900 Agency: Florida Gaming Control Commission Working Title: TAX AUDITOR IV Pay Plan: Career Service Position Number: 41500152 Salary: $48,000 -… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and… more
- Teradata (Tallahassee, FL)
- …have heavy interactions with local, regional and corporate leadership at all levels of management . + Lead and execute audits related to a variety of IT business ... open communications, facilitating and influencing + Using the NIST Risk Management Framework, conduct assessments of information security controls in order to… more
- J&J Family of Companies (Tallahassee, FL)
- Johnson & Johnson is recruiting for a Sr Quality Engineer for Shockwave Medical Inc. located in United States. At Johnson & Johnson, we believe health is everything. ... their potential. At Johnson & Johnson, we all belong. Description Shockwave Medical , Inc. is a pioneer in the development and commercialization of Intravascular… more
- MyFlorida (Tallahassee, FL)
- …+ Submitting audits final reports to the agency head and to the Auditor General; + Evaluating findings of investigations, surveys and studies to formulate policies ... + Performing as liaison between the Department and the Auditor General, and other external auditors by coordinating the...+ At least two years of experience conducting audits, management reviews, and/or special projects in accordance with the… more
- MyFlorida (Tallahassee, FL)
- …Open Competitive Opportunity This position serves as a Contract Auditor and reports to the Contract Administrator in the Division ... of Children's Medical Services. Successful candidate will be required to report...understanding financial records. This position requires knowledge in contract management , including a working knowledge of the financial … more
- The Cigna Group (Tallahassee, FL)
- …- Enterprise Sarbanes Oxley (SOX) Internal Controls** The Sarbanes-Oxley (SOX) Project Management Office (PMO) is seeking an individual to assist in leading our ... overseeing the execution of controls testing, issue identification and evaluation, and management of our SOX software platform. The SOX PMO leads an enterprise-wide… more
- Ryder System (Tallahassee, FL)
- …design, development, implementation, and monitoring of the Information Security Risk Management program. Additionally, this role will lead the maturation and ... evolution of the risk management tools and methods, as well as ensuring comprehensive...Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), or Certified in Risk and Information Systems… more
- Hilton (Tallahassee, FL)
- …Brands team of industry experts in the domains of hospitality, brand management , innovation, food and beverage, wellness, owner relations, and more, for all ... of Hilton's unique brands\! As Manager, QA Auditor , you will support the team that leads our...have these minimum qualifications:** + Five \(5\) years of management experience \- Hotel Operations + Three \(3\) years… more
- Sedgwick (Tallahassee, FL)
- …solutions. + Manages profitability, growth, and retention of business. + Oversees management of the finance and accounting practice so that sound policies and ... procedures are implemented and followed to achieve efficient operations and meet auditor requirements. + Acts as a resource and emissary for clients through… more
- Humana (Tallahassee, FL)
- …annual standard and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required Qualifications** + Bachelor's ... Degree in any of the following disciplines: Computer Science, Management Information Systems, Math, Statistics or equivalent work experience + Minimum 5 years'… more
- Humana (Tallahassee, FL)
- …and flows and uses that knowledge to design and implement master data management solutions. The Lead, Data Quality/Integrity works on problems of diverse scope and ... and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Role...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more