Medical Director, Utilization Management Physician - Optum - Remote UnitedHealth Group Inc.Medical Director, Utilization Management Physician - Optum - RemoteTampa, FLRemote$248,500–$373,000 / yearThe Medical Director for Utilization Management will support WellMed Medical Management, Inc. by making utilization management determinations, identifying utilization trends suggesting possible over or under utilization of services and proactively suggesting improvements to WellMed Medical Management's utilization management program. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices.
Clinical Consultant - Physician Associate - Remote UnitedHealth Group Inc.Clinical Consultant - Physician Associate - RemoteTampa, FLRemote$91,700–$163,700 / yearPerform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP (The appeals are in response to adverse determinations for medical services related to benefit design and coverage, medical necessity, and the application of clinical criteria of medical policies). Primary Responsibilities: In collaboration with and supervision by an Appeals and Grievances Medical Director, the Physician Associate is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies.
Billing Specialist - Lutz Suncoast Skin SolutionsBilling Specialist - LutzLutz, FloridaPerforms various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Billing and coding certification a plus, knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred.
Case Manager (LCSW) TriWest Healthcare AllianceCase Manager (LCSW)Tampa, FLRemoteFull timeFunctions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.
NewLead VistA MUMPS Developer Remote Opportunity Veterans EZ Info IncLead VistA MUMPS Developer Remote OpportunityTampa, FLRemoteThe role will provide technical leadership throughout the software development lifecycle while supporting multiple VistA packages, including Admission, Discharge, Transfer (ADT), Patient Care Encounter (PCE), Automated Information Collection System (AICS), Record Tracking, and VistA Audit Solutions. This role will provide technical leadership for a Department of Veterans Affairs (VA) initiative focused on reducing and ultimately eliminating the use of Social Security Numbers (SSNs) across critical VistA applications, workflows, reports, interfaces, audit records, and data-handling processes.
NewLead VistA MUMPS Developer (Remote Opportunity) VetsEZLead VistA MUMPS Developer (Remote Opportunity)Tampa, FLRemoteThe role will provide technical leadership throughout the software development lifecycle while supporting multiple VistA packages, including Admission, Discharge, Transfer (ADT), Patient Care Encounter (PCE), Automated Information Collection System (AICS), Record Tracking, and VistA Audit Solutions. This role will provide technical leadership for a Department of Veterans Affairs (VA) initiative focused on reducing and ultimately eliminating the use of Social Security Numbers (SSNs) across critical VistA applications, workflows, reports, interfaces, audit records, and data-handling processes.
NewLead VistA MUMPS Developer (Remote Opportunity) (Remote) VetsEZLead VistA MUMPS Developer (Remote Opportunity) (Remote)Tampa, FLRemoteThe role will provide technical leadership throughout the software development lifecycle while supporting multiple VistA packages, including Admission, Discharge, Transfer (ADT), Patient Care Encounter (PCE), Automated Information Collection System (AICS), Record Tracking, and VistA Audit Solutions. This role will provide technical leadership for a Department of Veterans Affairs (VA) initiative focused on reducing and ultimately eliminating the use of Social Security Numbers (SSNs) across critical VistA applications, workflows, reports, interfaces, audit records, and data-handling processes.
NewSenior Developer Sales Technology MetLife IncSenior Developer Sales TechnologyTampa, FL$104,900–$154,950 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. Partner with Product Owners, Functional Analysts, Scrum Leads, Tech Leads, Data and Analytics teams, QA, DevSecOps, vendors, and business stakeholders to translate outcomes into technical stories, designs, estimates, and implementation plans.
NewSenior Salesforce Developer MetLife IncSenior Salesforce DeveloperTampa, FL$104,900–$154,950 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
NewDeveloper Sales Technology MetLife IncDeveloper Sales TechnologyTampa, FL$76,050–$112,500 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
NewSalesforce Developer MetLife IncSalesforce DeveloperTampa, FL$76,050–$112,500 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Senior Software Developer FrankCrumSenior Software DeveloperClearwater, FLFull timeFrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida. FrankCrum employs approximately 500 people who serve over 4,000 businesses by offering a full range of HR services, including payroll, employee benefits, HR consulting services and workers' compensation insurance.
Clinic Director Ellie Mental HealthClinic DirectorWesley Chapel, FloridaThis includes hiring and recruiting fantastic, unique, and fun-loving clinicians ; managing clinic performance and client satisfaction; providing training and ongoing developmental support; meeting fiscal goals; marketing clinical services and building community partnerships and referrals. So we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health.
Medical Billing Specialist Ledgent Finance & AccountingMedical Billing SpecialistTampa, Florida$22–$30 / hourThese roles are ideal for experienced healthcare revenue cycle professionals who thrive in fast-paced environments and are seeking flexible temporary or temp-to-hire opportunities. We are recruiting Revenue Cycle Billing and Collection Specialists for a client in the Tampa Bay area.
Cloud Security Solutions & Advisory, VP Mitsubishi UFJ Financial GroupCloud Security Solutions & Advisory, VPTampa, FloridaProfessional certifications in major cloud providers for security such as AWS Certified Security – Specialty, Microsoft Certified: Cybersecurity Architect Expert or Azure Security Engineer Associate and other related certificates such as Certified Information System Auditor (CISA), Certified Information Systems Manager (CISM), Certified Information Systems Security Professional (CISSP). Expert in security configuration with a focus on executing information security risk assessment/testing methodologies, Secure Software Development Lifecycle, evaluating the adequacy and efficiency of internal controls; and identifying issues resulting from internal and/or external compliance examinations especially in cloud environments.
AIT AI Developer Senior Associate PwCAIT AI Developer Senior AssociateTampa, FL$72,000–$184,440 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As an AIT AI Developer Senior Associate, you will be at the forefront of software and product innovation, focusing on developing software solutions that drive digital transformation and enhance business performance.
Engineering Manager- Technical Program Manager PwCEngineering Manager- Technical Program ManagerTampa, FL$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. Guide teams in the application of Acceptance Test Driven Development (ATDD), Continuous Integration/Continuous Delivery (CI/CD), and application development frameworks to enhance quality, speed, and functionality.
Engineering Manager-Technical Product Owner PwCEngineering Manager-Technical Product OwnerTampa, FL$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Product Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives-driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
Identity, Defense & Resilience - Cloud Security Senior Associate PwCIdentity, Defense & Resilience - Cloud Security Senior AssociateTampa, FL$77,000–$202,000 / yearYour work will involve having a deep technical knowledge of cloud security and you will work with one or more Cloud Service Providers (CSP) to implement security protocols, monitor for potential security breaches, conduct risk assessments and vulnerability testing of cloud-based systems, and stay up to date with the latest security threats and trends in cloud technology. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Identity, Defense & Resilience - Cloud Security Manager PwCIdentity, Defense & Resilience - Cloud Security ManagerTampa, FL$99,000–$232,000 / yearYour work will involve having a deep technical knowledge of cloud security and you will work with one or more Cloud Service Providers (CSP) to implement security protocols, monitor for potential security breaches, conduct risk assessments and vulnerability testing of cloud-based systems, and stay up to date with the latest security threats and trends in cloud technology. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .