(Remote) VP of R&D Harris Computer Systems(Remote) VP of R&DFLRemoteAs a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. You'll work alongside experienced professionals, including a professional services team comprised of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a customer-centric perspective to every challenge.
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.
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.
(Remote) Payor Enrollment Specialist and Credentialing Coordinator The Recovery Village(Remote) Payor Enrollment Specialist and Credentialing CoordinatorWeston, FLRemote$21–$24The Provider Contracting and Credentialing Subject Matter Expert (SME) is responsible for assisting the organization with payer contracting efforts, including but not limited to; provider applications, contract analysis, negotiations, credentialing of facilities and medical/clinical providers. This position ensures the contracting and credentialing department works successfully with multiple departments including Sales/Marketing, Finance, Legal, Compliance, Medical and Operations.
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.
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.
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.
\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.
Remote, Contract-based Florida Estate Planning & Probate Paralegal Opportunity – 10+ Hours/Week The Freelance FirmRemote, Contract-based Florida Estate Planning & Probate Paralegal Opportunity – 10+ Hours/WeekFort Lauderdale, FloridaRemoteWe are a national network of experienced, high-level, freelance attorneys and paralegals who provide remote, on-demand support for both short-term and long-term legal projects for our client law firms. Experience preparing and drafting wills, revocable and irrevocable trusts, powers of attorney, healthcare surrogate designations, living wills, and other estate planning documents.
(Remote) Provider Enrollment Specialist The Recovery Village(Remote) Provider Enrollment SpecialistWeston, FLRemote$21–$24 / hourThe Provider Contracting and Credentialing Subject Matter Expert (SME) is responsible for assisting the organization with payer contracting efforts, including but not limited to; provider applications, contract analysis, negotiations, credentialing of facilities and medical/clinical providers. This position ensures the contracting and credentialing department works successfully with multiple departments including Sales/Marketing, Finance, Legal, Compliance, Medical and Operations.
Medical Technologist Clinical Specialist - Remote (US Based) Becton Dickinson and CoMedical Technologist Clinical Specialist - Remote (US Based)Miami, FLRemote$76,700–$122,700 / yearFor most roles, we require a minimum of 4 days of in-office presence per week to maintain our culture of excellence and ensure smooth operations, while also recognizing the importance of flexibility and work-life balance. It takes the imagination and passion of all of us-from design and engineering to the manufacturing and marketing of our billions of MedTech products per year-to look at the impossible and find transformative solutions that turn dreams into possibilities.
(Remote) Payor Enrollment Specialist And Credentialing Coordinator The Recovery Village(Remote) Payor Enrollment Specialist And Credentialing CoordinatorWeston, FLRemote$21–$24 / hourThe Provider Contracting and Credentialing Subject Matter Expert (SME) is responsible for assisting the organization with payer contracting efforts, including but not limited to; provider applications, contract analysis, negotiations, credentialing of facilities and medical/clinical providers. This position ensures the contracting and credentialing department works successfully with multiple departments including Sales/Marketing, Finance, Legal, Compliance, Medical and Operations.
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.
Remote Certified Medical Assistant- Bilingual Spanish MedsienRemote Certified Medical Assistant- Bilingual SpanishFlorida City, 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.
Remote Clinical Neuropsychologist – Florida Licensed Integrated Psych SolutionsRemote Clinical Neuropsychologist – Florida LicensedMiami, FLRemoteYou’ll work in tandem with a dedicated psychometrist who handles test administration and scoring, allowing you to focus on clinical interpretation, treatment planning, and communication with referral partners. Founded in 2019, IPS provides mental health services to healthcare facilities including hospitals, rehabilitation centers, long-term care facilities, and outpatient settings.
Remote, Contract-based Florida Estate Planning & Probate Paralegal Opportunity – 10+ Hours/Week The Freelance Firm, LLCRemote, Contract-based Florida Estate Planning & Probate Paralegal Opportunity – 10+ Hours/WeekFort Lauderdale, FLRemoteWe are a national network of experienced, high-level, freelance attorneys and paralegals who provide remote, on-demand support for both short-term and long-term legal projects for our client law firms. Experience preparing and drafting wills, revocable and irrevocable trusts, powers of attorney, healthcare surrogate designations, living wills, and other estate planning documents.
Remote General Daytime With Cardiothoracic Or Body Radiologist - RP Florida Radiology Partners IncRemote General Daytime With Cardiothoracic Or Body Radiologist - RP FloridaFLRemoteUsing 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. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare.