Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, Varies Baptist Health South FloridaPool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VariesMiami, FLRemoteResuscitation educators are involved in the design, delivery, evaluation, and coordination of best practice resuscitation activities for the education of BHSF staff requiring resuscitation certifications (BLS, ACLS, PALS, NRP) as part of their job description requirements. The Pool Resuscitation Educator structures the learning environment for positive student outcomes throughout the different resuscitation education courses and activities.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselFLRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Telehealth Provider, NP, Remote, Per Diem ChenMed LLCTelehealth Provider, NP, Remote, Per DiemMiami, FLRemote$53.40–$76.33 / hourEDUCATION AND EXPERIENCE CRITERIA: Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required. Knowledge and understanding of medical practices to function independently as a certified practitioner and in collaboration and consultation with licensed physicians, specialists and other medical providers.
Manager, Sales - Healthcare UiPath IncManager, Sales - HealthcareFLRemoteThe ideal candidate will have a proven track record of building high-performing teams and closing complex deals in the healthcare industry. We are seeking an experienced and results-driven Manager, Sales - Healthcare, to lead our new logo acquisition team.
NewDirector, Engineering - AI-First Healthcare Transformation Humana IncDirector, Engineering - AI-First Healthcare TransformationFort Lauderdale, FLRemote$172,200–$236,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. We''re seeking a Director of Engineering to lead the AI-first transformation of our clinical technology organization, embedding AI-assisted engineering, agentic workflows, and modern data platforms directly into how we build, test, and deliver enterprise healthcare systems.
Care Review Clinician (RN) - Remote in FL Molina Healthcare IncCare Review Clinician (RN) - Remote in FLMiami, FLRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
NewAssociate Director of Clinical Operations (Remote from FL) Florida Cancer Specialists and Research InstituteAssociate Director of Clinical Operations (Remote from FL)FLRemoteAbility to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.
Oncology Prior Authorization Case Manager, Non-Rn - Remote University of MiamiOncology Prior Authorization Case Manager, Non-Rn - RemoteMiami, FLRemoteIdentifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options. UHealth-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.
Director, 340B Pharmacy Operations (Remote) Coral Connect LLCDirector, 340B Pharmacy Operations (Remote)Boca Raton, FLRemoteLead end-to-end program onboarding and implementation, including planning, stakeholder alignment, and execution across all workstreams, including but not limited to: Facilitate joint kickoff sessions with health system and infusion provider stakeholders (both onsite and virtual), clearly outlining financial models, implementation plans, roles, and accountability. Lead ongoing program governance across all partner entities, establishing structured forums to monitor performance, compliance, and strategic alignment including but not limited to: Facilitate joint monthly performance reviews covering financial, clinical, and compliance metrics, and driving action plans where needed.
340B Pharmacy Operations Specialist (Remote) Coral Connect LLC340B Pharmacy Operations Specialist (Remote)Boca Raton, FLRemoteYour key responsibilities will include: Conduct infusion provider pre-qualification screening process, including the following at a minimum: Conduct OIG exclusion list checks and license verification for candidate infusion providers, including all required state and federal licenses. Assess, document, analyze, and summarize findings across five key domains: communication and intake workflows, technology and systems infrastructure, pharmacy and distribution capabilities, financial and data reporting readiness, compliance and existing 340B program experience.
NewBenefit Configuration Manager - Remote Sentara Healthcare IncBenefit Configuration Manager - RemoteDoral, FLRemote$106,080–$176,820.80 / yearThis role manages the end-to-end benefit configuration lifecycle, ensuring accurate implementation and maintenance of Medicare, Medicaid, Commercial, and Exchange products in support of claims adjudication, regulatory compliance, and organizational objectives. Talroo-IT, health plan, QNXT, benefit configuration, configuration management tool, CMT, QNXT configuration Console Suite, QCS, PMP, Agile, health plan, UAT, healthcare, benefit configuration, Medicaid, commercial, Medicare, governance, quality assurance.
Account Manager (Remote) NationsBenefits, LLCAccount Manager (Remote)Plantation, FLRemoteThrough our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction. Collaborate with Client Services leadership and Sales teams to identify cross-sell and upsell opportunities for additional NationsBenefits products and services.
Associate Account Manager (Remote) NationsBenefits, LLCAssociate Account Manager (Remote)Plantation, FLRemoteThrough our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction. Collaborate with Client Services leadership and Sales teams to identify cross-sell and upsell opportunities for additional NationsBenefits products and services.
Financial Clearance Assoc 1, Remote, Patient Access Bus. Office, FT, 09A-5:30P Baptist Health South Florida IncFinancial Clearance Assoc 1, Remote, Patient Access Bus. Office, FT, 09A-5:30PFLRemote$17.27–$21.93 / hourBaptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.
Risk Adj Coding Specialist, Remote, Baptist Health Integrated Care, FT, 08:30A-5P Baptist Health South Florida IncRisk Adj Coding Specialist, Remote, Baptist Health Integrated Care, FT, 08:30A-5PFLRemote$23.21–$29.48 / hourBaptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.
NewRemote Inpatient Medicare Medical Director Centene Corporation GroupRemote Inpatient Medicare Medical DirectorFLRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Site Reliability Engineering Manager (Remote) NationsBenefits, LLCSite Reliability Engineering Manager (Remote)Plantation, FLRemoteThrough our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction. The ideal candidate combines leadership, systems thinking, and automation expertise to help scale reliability practices across a fast-growing Healthcare FinTech organization.
NewMedication Adherence Technician-8 (Remote) ChenMed LLCMedication Adherence Technician-8 (Remote)Miami, FLRemote$14.30–$20.42 / hourHe/She is accountable for providing an unsurpassed patient experience by communicating to patients/providers on program specifics and arranging for prescription processing within the pharmacy; with the ultimate goal for patients to obtain an organized product they will understand allowing them to reduce or eliminate any adherence challenges. The incumbent in this role works with providers, clinical pharmacists and the pharmacy department to provide a coordinated adherence packaged product for patients requiring additional support establishing and maintaining compliance to their medication regimens.
Remote Certified Medical Assistant- Bilingual Russian MedsienRemote Certified Medical Assistant- Bilingual RussianMiami, FLRemoteCollaborative Approach: Work closely with healthcare providers, insurance companies, social workers, and other relevant parties to ensure seamless patient enrollment. Program Updates: Stay informed about changes, updates, and new offerings related to healthcare programs, and effectively communicate these changes to patients.
\n \n Remote Diagnostic Radiologist - Radiology Partners East Florida\n \n Radiology Partners Inc\n \n Remote Diagnostic Radiologist - Radiology Partners East Florida\n \nFLRemote$475,000–$500,000 / yearUsing a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. HCA Florida Healthcare serves the region through an interconnected four-hospital system that includes HCA Florida St. Lucie Hospital, HCA Florida Raulerson Hospital, HCA Florida Highlands Hospital, and HCA Florida Lawnwood Hospital.