• Government Analyst I (Working Title: Evidence…

    MyFlorida (Tallahassee, FL)
    …+ Identifies and reports non-compliance issues to the Senior Management Analyst Supervisor/ Accreditation Manager and the Bureau of Support Services Chief. + ... ABILITIES: + Knowledge of property and evidence procedures. + Knowledge of accreditation processes. + Knowledge of monitoring techniques. + Knowledge of law… more
    MyFlorida (01/30/25)
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  • Environmental Manager -SES

    MyFlorida (Tallahassee, FL)
    ENVIRONMENTAL MANAGER -SES - 42001873 Date: Jan 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 845698 Agency: Agriculture and Consumer Services Working Title: ENVIRONMENTAL MANAGER -SES - 42001873 Pay Plan: SES Position Number: 42001873 Salary: $59,770.36… more
    MyFlorida (01/30/25)
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  • Quality Behavioral Health Manager - Aetna…

    CVS Health (Tallahassee, FL)
    …CVS assets to bring accessible healthcare to our members. The Quality Behavioral Health Manager is a key member of the Aetna Better Health of Florida leadership team ... initiatives to improve patient outcomes and safety. The Quality Behavioral Health Manager directs the team supporting the coordination of care between the Aetna… more
    CVS Health (02/02/25)
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  • Manager of Compliance & Security

    Wondr Health (Tallahassee, FL)
    …**DEPARTMENT** **:** **Technology** **: IT** **& Security** **POSITION** **:** ** Manager ** **of Compliance and Security** **REPORTS TO:** **S** **VP, Information ... conditions. To learn more, visit www.wondrhealth.com . **PURPOSE** : The Manager of Compliance and Security ensures compliance with governmental requirements (HIPAA,… more
    Wondr Health (01/29/25)
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  • Associate Manager , Health Services - Must…

    CVS Health (Tallahassee, FL)
    …care more personal, convenient and affordable. **Position Summary** The Associate Manager is responsible for oversight of healthcare management staff including the ... and non-clinical policies & procedures in accordance with applicable regulatory and accreditation standards (eg NCQA, state and federal standards and mandates as… more
    CVS Health (01/31/25)
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  • Telephonic Case Manager

    Sedgwick (Tallahassee, FL)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured ... promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. **EDUCATION AND LICENSING** Current unrestricted RN… more
    Sedgwick (01/22/25)
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  • RN - Manager , Pediatric Utilization…

    Centene Corporation (Tallahassee, FL)
    …to senior leadership + Maintains knowledge of processes, regulations, accreditation standards, and industry best practices related to utilization management ... + Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers + Works with the senior management team to develop and implement UM… more
    Centene Corporation (02/01/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Tallahassee, FL)
    …compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain current knowledge and adheres to applicable ... CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization. + Other duties as assigned or requested. **EDUCATION** **Required** +… more
    Highmark Health (01/31/25)
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  • Division Director Regulatory Compliance

    HCA Healthcare (Tallahassee, FL)
    …a(an) Division Director Regulatory Compliance with HCA Healthcare, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Healthcare, ... all activities concerning the achievement of continuous regulatory and accreditation readiness, regulatory response, quality excellence, and corporate safety… more
    HCA Healthcare (12/12/24)
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  • Environmental Specialist III - (For Internal…

    MyFlorida (Tallahassee, FL)
    …of Agricultural Environmental Laboratories' (BAEL) Quality Assurance Officer (QAO)/Quality Manager in implementing Quality Assurance (QA) Program policies and ... bureau and ensures procedures are up to date with current accreditation requirements. Responsible for maintaining Bureau of Agricultural Environmental Laboratories… more
    MyFlorida (02/04/25)
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  • Administrative Assistant II

    MyFlorida (Tallahassee, FL)
    …and DCF Tracker. Assist with the coordination of the Office of Investigations' accreditation process to ensure accreditation compliance. Act as back-up for ... management reports, or impromptu requests by the Operations & Management Consultant Manager , the Chief of Investigations, or the Inspector General. Reviews case… more
    MyFlorida (02/04/25)
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  • Health Plan Pharm Svcs Mgr (Remote - FL)

    Molina Healthcare (Tallahassee, FL)
    **JOB DESCRIPTION** **Job Summary** The Pharmacy Manager , Health Plan Pharmacy Services is an integral role of the Health Plan leadership team, assisting the team in ... Management and Health Education programs including, but not limited to, NCQA Accreditation , HEDIS, and Disease Management programs company wide. + Attends State and… more
    Molina Healthcare (02/02/25)
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  • Regulatory Audit Specialist Sr. - Remote

    Prime Therapeutics (Tallahassee, FL)
    …specification, process flows, process change, Federal and/or State regulations and/or accreditation standards implications + Develop and maintain key internal and ... perception and ability to adjust focus **Reporting Structure** + Reports to a Manager in the Legal department Potential pay for this position ranges from $74,000.00… more
    Prime Therapeutics (01/04/25)
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