Consultant, Revenue Cycle Alvarez & Marsal Holdings LLCConsultant, Revenue CycleMiami, FL$100,000–$120,000 / yearOur professionals collaborate with a wide range of organizations, including health systems, physician groups, medical schools, behavioral health institutes, managed care organizations, healthcare investors, medical device companies, and suppliers, as well as vision centers, dental practices, and laboratories. Revenue cycle projects may include, but are not limited to due diligences, performance assessments, enterprise performance improvement, full-scale implementations, and interim management for a broad range of healthcare providers and supporting services companies.
Senior Consultant, Revenue Cycle Alvarez & Marsal Holdings LLCSenior Consultant, Revenue CycleMiami, FL$140,000–$160,000 / yearRevenue cycle projects may include, but are not limited to: due diligences, performance assessments, enterprise performance improvement, full-scale implementations, and interim management for a broad range of healthcare providers and supporting services companies. Working as a partner to our clients by building consultative relationships you will develop an in-depth understanding of the client's processes, financial positions, and key operational performance drivers in order to surface and address key issues, from the big picture to the smallest details.
Associate Regional Medical Director (Florida House Calls) Millennium Physician GroupAssociate Regional Medical Director (Florida House Calls)FLYou will work alongside the Director of Florida House calls, in a dyad model, to oversee a dedicated team of Advanced Practice Registered Nurses (APRNs) across Florida, ensuring the delivery of high-quality, value-based care to frail geriatric populations within the comfort of their homes. Team Supervision: Work as a dyad with the Director of House calls to provide direct clinical support, mentorship, and oversight to a statewide team of APRNs.
Insurance Collections Specialist Gastro Health LLCInsurance Collections SpecialistMiami, FLDuties you will be responsible for: Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country.
Medical Director - ENT CVS Health CorpMedical Director - ENTFL$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Director - Spine CVS Health CorpMedical Director - SpineFL$174,070–$374,920 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
Lead Software Engineer HealthPlanOne LLCLead Software EngineerSunrise, FLThe Lead Software Engineer will collaborate with cross-functional teams to design, build, and enhance scalable solutions supporting agent sales and business operations, while driving best practices in software architecture, code quality, and agile delivery. NET (Core/9), with hands-on experience across a diverse suite of applications including Blazor, Razor Pages, legacy WebForms, WCF, and Worker Services.
Analyst, Business - SQL (Remote in Florida) Molina Healthcare IncAnalyst, Business - SQL (Remote in Florida)Miami, FLRemoteCommunicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerFL$83,430–$222,480 / yearCVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Senior Software Development Engineer with deep expertise in Java/JEE, Spring Boot, RESTful microservices, and Kafka to lead the design and development of scalable, secure cloud-native solutions.
Medicaid Risk Adjustment Market Manager CVS Health CorpMedicaid Risk Adjustment Market ManagerFL$54,300–$145,860 / yearPartner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
Revenue Cycle Specialist III, RCM Team Select Home CareRevenue Cycle Specialist III, RCMMiami, FloridaThe Revenue Cycle Specialist III is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. Handles critical accounts and projects, coordinating with management, operations, and payers to ensure issues are resolved.
Application & Platform Security Architect AbbVie IncApplication & Platform Security ArchitectMiami, FLUnderstanding of cloud computing principles, including virtualization, containerization, microservices, and serverless computing; Risk Management, container security, Kubernetes security, IAM security, network security, auditing, encryption, secrets management and data protection, securing CI/CD. Understanding the following concepts is a plus; identity management, federated identity services, incident management, access control, application vulnerability testing, public key infrastructure, Windows, and Unix/Linux, public cloud infrastructure, and services.
Forward Deployed Process Engineer Lead - R37 R1 RCM IncForward Deployed Process Engineer Lead - R37FL$152,163–$289,353.75 / yearWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
NewAssociate Specialist, Appeals & Grievances Molina Healthcare IncAssociate Specialist, Appeals & GrievancesMiami, FLCustomer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience. At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience.
Specialist, Appeals & Grievances Molina Healthcare IncSpecialist, Appeals & GrievancesFLRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Senior Product Security Engineer KandjiSenior Product Security EngineerMiami, FLThis is a hands-on engineering role responsible for identifying security risks early, partnering with development teams on remediation, conducting security reviews, performing application security testing, and helping build secure-by-design products. The ideal candidate should be engineering-first, comfortable reviewing architecture, threat modeling APIs and AI features, conducting hands-on testing, and partnering closely with developers-not someone focused primarily on governance or compliance.
Sr Software Engineer, Mobile Lennar CorporationSr Software Engineer, MobileMiami, FLLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. This is primarily an active position which requires the Construction Manager to have the ability to work in excess of eight hours a day in the confined quarters of a construction trailer, the ability to operate a motor vehicle, read plans, climb stairs, climb ladders, bend, stoop, reach, lift, move and/or carry equipment which may be in excess of 50 pounds.
Software Engineer I Lennar CorporationSoftware Engineer IMiami, FLLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. While this role is primarily back-end/full-stack focused, experience in these areas is a plus: CMS & Platform Engineering : Any experience with or interest in CMS platforms, with Optimizely a nice-to-have (content delivery, personalization, workflows, and integrations).
Sr Software Engineer Lennar CorpSr Software EngineerMiami, FLLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Technical Skills: Proven experience in web development including working with Headless CMS systems, Digital Asset Management systems and front end development.
Software Tech Leader, Splunk IAM Cisco Systems IncSoftware Tech Leader, Splunk IAMMiami, FL$151,600–$222,400 / yearDemonstrated experience designing, building, and delivering highly scalable, secure, and distributed systems to include diagnosing and resolving low-level system bottlenecks, memory leaks and complex concurrency issues. Expertise in designing and implementing identity governance frameworks, ensuring secure lifecycle management, policy enforcement, and trust verification across both human and non-human (machine, service, or AI agent) identities.