Hialeah, FL Jobs
Sunshine State Health Plan
Hialeah, FL
3+ years clinical, quality management or healthcare related experience and 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care. Confer with staff to obtain data such as new projects, status of work in progress, and problems encountered, required for planning work function activities.
Music and Arts
Hialeah, FL
Our mission is to develop and nurture lifelong musicians and make a difference in the world by enabling musicians and non-musicians alike to experience the joy that comes from creating music. You will work to increase student count ensuring each student continues to grow, develop, and enjoys playing music all while nurturing our culture of integrity, inclusion, musical passion, and respect.
Weatherby Healthcare
Hialeah, FL
If this opportunity sounds right for you, give us a call today to speak with an expert Weatherby consultant for details. Paid malpractice insurance; pre-paid travel and housing expenses.
Weatherby Healthcare
Hialeah, FL
Give Weatherby a call today and speak with one of our specialty-specific consultants for available dates and details. 24-hour access to your Weatherby Healthcare consultant and support team.
Weatherby Healthcare
Hialeah, FL
Give Weatherby a call today and speak with one of our specialty-specific consultants for available dates and details. Paid malpractice insurance; pre-paid travel and housing expenses.
CompHealth
Hialeah, FL
No other agency has our capabilities and scale, which allows us to deliver on the details that matter to you. With the premier staffing agency as your champion, you can achieve more success with less worry.
Weatherby Healthcare
Hialeah, FL
If this opportunity sounds right for you, give us a call today to speak with an expert Weatherby consultant for details. Paid malpractice insurance; pre-paid travel and housing expenses.
CompHealth
Hialeah, FL
To learn more about this job or to hear about other job opportunities of interest, please contact a CompHealth recruiter today. CompHealth has a variety of assignments with varying lengths of time and locations.
ARS-Rescue Rooter
$17 - $18 undefined
Hialeah, FL
Responsibilities: In this role, you would work directly with our partnered National Big Box Retail Home Improvement Stores where you speak with customers about heating and cooling upgrades, air quality improvements, energy savings, and how we can be a HUGE BENEFIT to them. Take your Sales Career to new heights and discover your true selling potential as a Sales Lead Generator / In-Store Promoter!
CompHealth Inc.
Hialeah, FL
Includes estimated taxable wages of $23.00 - $40.00 per hour and estimated tax-free reimbursements for meals, incidentals, and housing of $900 - $1,400 per week based on GSA guidelines (subject to eligibility, location, and seasonal adjustment). With access to specialized teams, our unmatched resources allow us to pay careful attention to the things that matter to you, from the big, hard-to-solve problems to the tiniest details.
CenterWell Pharmacy
$40000 - $52300 undefined
Hialeah, FL
As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Sunshine State Health Plan
Hialeah, FL
Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
Sunshine State Health Plan
Hialeah, FL
Leads assigned negotiations (i.e., hospital, physician and ancillary) and ensure that negotiations result in the unit cost targets expected and meet the objectives of the company and approximate the State’s reimbursement to the provider. Position Purpose: Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines.
Sunshine State Health Plan
Hialeah, FL
Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
Sunshine State Health Plan
Hialeah, FL
Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
Sunshine State Health Plan
Hialeah, FL
Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
Sunshine State Health Plan
Hialeah, FL
Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
StandardAero
Hialeah, FL
Read and interpret manufacturers and airline’s maintenance manuals, service bulletins, and other specifications to determine feasibility and method of repairing or replacing malfunctioning or damaged components. Service and maintain aircraft systems by performing tasks, such as flushing crankcase, cleaning screens, greasing moving parts, and checking brakes.