NewDirector, Pharmacy Amtrust Financial Services IncDirector, PharmacyBoca Raton, FL$130,000–$155,000 / yearAbility to prepare and effectively communicate presentations, interpret/develop reports, metrics and improvement plans, and to interact collaboratively and work effectively with a multi-functional team and throughout the organization; foster an environment of shared responsibility and accountability. This role will achieve outcomes by focusing on analytics, clinical operations, and development of new programs to support organizational vision, and cost savings.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerFL$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Regional Sales Manager Auto Insurance - South Florida United Auto InsuranceRegional Sales Manager Auto Insurance - South FloridaMiami, FLSCOPE: As a Regional Sales Manager, you will be responsible for generating revenue and meeting sales targets by establishing and maintaining relationships with existing agencies while also seeking out and acquiring new business opportunities. SKILLS & EXPERIENCE: 3 years of proven experience in field sales or a related role with a successful track record of meeting or exceeding sales targets.
Billing Financial Analyst, CBO Jackson Health SystemBilling Financial Analyst, CBOMiami, FLCBO Billing Financial Analyst performs various interviewing, fact collection and financial evaluation tasks in connection with credit and collection in a large and diversified hospital serving both non-indigent and indigent patients qualifying for various types of specialized assistance programs. Reviews claims for accuracy, performs required edits, and submits claims and rebills to payors daily in paper and/or electronic format to ensure accurate and timely filing of claims and prompt payment.
Insurance Risk Manager Origis EnergyInsurance Risk ManagerMiami, FLManage the reporting, processing and adjustment of claims to include tracking, negotiating and resolution at the project and corporate levels including, but not limited to, All-Risk Property and Business Interruption, General and Umbrella/Excess Liability, Workers' Compensation and Employer's Liability, Automobile Liability, Directors & Officers, Cyber, Crime, etc. Origis Energy puts customers first to deploy a wide range of sustainable solutions for grid power generation, performance optimization, and long-term operation of solar and energy storage plants across the U.S. Founded in 2008, Origis Energy is headquartered in Miami, FL.
Senior DME Operations & Revenue Integrity Specialist ValgorithmSenior DME Operations & Revenue Integrity SpecialistFort Lauderdale, FLThe Senior DME Operations & Revenue Integrity Specialist owns front-end documentation compliance, insurance verification, and revenue readiness for Medicare and commercial claims. We are building a highly controlled, audit-ready Medicare DME operation and are seeking our first senior operations hire.
Sr. Insurance Verification Representative - Full Time Bascom Palmer Eye Institute - Doral FL University of MiamiSr. Insurance Verification Representative - Full Time Bascom Palmer Eye Institute - Doral FLDoral, FLUHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. Insurance Verification Representative verifies insurance eligibility and authorization for all contracted and non-contracted insurance carriers and takes appropriate steps to facilitate reimbursement to department for services rendered.
Director Business Development Crawford & CoDirector Business DevelopmentFLRemoteRole Overview: Under direction from SVP-Business Development, National Sales Director, or Business Unit Head, generates leads, conducts sales calls, prepares proposals and makes formal presentations to potential national account clients in the insured and self-insured casualty insurance or corporate market; leads may be generated through client direct marketing or through agent/broker of insurance carrier distribution network. We're seeking a Director, Business Development with solid experience within the casualty insurance industry and a strong track record in prospect identification, strategic selling, and relationship management to expand our national client base and strengthen long-term partnerships.
P&C Insurance (Personal & Commercial) Transformation Manager Accenture PlcP&C Insurance (Personal & Commercial) Transformation ManagerMiami, FLAs a Transformation Manager / Senior Manager, you will lead cross-functional teams to reimagine how work gets done, combining deep insurance expertise with advanced analytics and agentic AI and technology solutions to improve client outcomes. We bring together the talent of our approximately 799,000 people with proprietary assets and platforms, deep process and industry expertise, and leading ecosystem relationships to deliver end-to-end solutions and measurable outcomes at scale.
On-Site Service Specialist Leavitt GroupOn-Site Service SpecialistMiami, FloridaThe On-Site Service Specialist serves as the front-line support resource for employees, clients, carriers, and internal teams regarding benefits administration and client-specific eligibility processes. FBMC is looking to add an Onsite Service Specialist at their client site at Miami Dade County Public Schools in Miami, FL.
Quality Director MasTec IncQuality DirectorFL$125,000–$155,000 / yearKey Performance Indicators (KPIs) Reduction in rework and defect rates First-pass inspection success rate Compliance audit results Customer acceptance rates Subcontractor quality performance Reduction in aged open claims Work Environment Combination of office and field environments. #MasTecJobs #MasTecCareers #BeSuccessfulWithUs #IAmMasTec #WeAreMasTec #MasTecFamily #MasTecCommunicationsGroup #MasTecCommunicationsCareers #LI-TG1.
Sr. Oncology Sales Specialist- S2 - (Miami, FL) (field based) EisaiSr. Oncology Sales Specialist- S2 - (Miami, FL) (field based)Miami, FLExperience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.
NewSr. Oncology Sales Specialist- S1 - (Miami, FL) EisaiSr. Oncology Sales Specialist- S1 - (Miami, FL)Miami, FloridaExperience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.
NewSr. Oncology Sales Specialist- S1 - (Miami, FL) Eisai IncSr. Oncology Sales Specialist- S1 - (Miami, FL)Miami, FLExperience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.
Sr. Oncology Sales Specialist- S2 - (Miami, FL) (field based) Eisai IncSr. Oncology Sales Specialist- S2 - (Miami, FL) (field based)Miami, FLExperience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.
Customer Service Representative - Student Health Insurance University of MiamiCustomer Service Representative - Student Health InsuranceCoral Gables, FLResponsible for working directly with student health insurance carrier on various tasks including student enrollment, error file, benefits questions, claims issues, and policy terminations. Review/respond to incoming communications regarding student health insurance (including waivers, student fee inquiries, reinstatements, benefit questions, and dependent, dental, and vision enrollment).
Warranty And Repairs Coordinator AerotekWarranty And Repairs CoordinatorMedley, FLSince 1983, we have provided a variety of career opportunities across North American industry – from short-term assignments at Fortune 500 companies where you can build your skills, to long-term opportunities where you can play a vital role solving for companies’ construction, manufacturing and maintenance challenges. Aerotek connects 180,000+ light industrial and skilled trades workers with 14,000+ employers each year, helping our workers navigate an evolving labor market and find jobs that meets their goals, skills and interests.
Project Manager JRM Construction ManagementProject ManagerBoca Raton, FloridaManage multiple concurrent projects up to approximately $10M in value, or serve as the primary Project Manager on a larger-scale project with a focus on financials, administration, and document management. Guided by integrity, teamwork, continuous improvement, and genuine care for our people, JRM provides an environment where employees can grow and help shape the company’s long-term success.
Member Service Assistant Tropical Financial Credit UnionMember Service AssistantMiramar, FLGENERAL RESPONSIBILITIES: As a Member Service Assistant (MSA), you will be responsible for delivering world-class service to our members by assisting with their financial needs, processing account transactions, and providing information about credit union products and services. You will play a key role in building strong relationships with members by actively referring and cross-selling products and services, achieving sales goals, and making outbound calls to promote credit union offerings.
Mgr, Business Consultant CVS Health CorpMgr, Business ConsultantFL$60,300–$132,600 / yearThe Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.