NewContracting and Credentialing Specialist XRHealthContracting and Credentialing SpecialistTampa, FLRemoteThis is detailed, deadline-driven work: Medicare and Medicaid enrollments, revalidations, payer applications, state licensure support, and federal/state contracting registrations. This role is ideal for someone who knows PECOS and CMS I&A, can work independently without hand-holding, and takes satisfaction in a clean tracker and zero lapsed enrollments.
NewSr. HRIS Analyst - Workday | Remote, USA Optiv Security IncSr. HRIS Analyst - Workday | Remote, USATampa, FLRemoteProvide end-to-end functional support of Workday, including support of various HR Modules; HCM, Compensation, Advance Compensation, Benefits, Time & Absence, Talent Management, Report Writer, Integration management, Security Administration. Provide project management expertise and/or assist project teams associated with HR projects and initiatives including integrations, system upgrades, modifications, and enhancements.
State Administrative & Operations Coordinator (Full-Time), Florida State Alliance of YMCAs YMCA of Greater St PetersburgState Administrative & Operations Coordinator (Full-Time), Florida State Alliance of YMCAsFLRemoteThis fully remote position provides administrative support to the CEO and Senior Leadership Team while helping keep key organizational systems, deadlines, financial processes, meetings, records, and statewide activities running smoothly. Description: The Florida State Alliance of YMCAs is seeking a highly organized, proactive State Administrative & Operations Coordinator to support the day-to-day administrative and operational needs of our statewide organization.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityTampa, FLRemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerTampa, FLRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Revenue Operations Manager AppspaceRevenue Operations ManagerTampa, FLRemoteReporting directly to the Chief Sales Officer, this leader will partner closely with Sales, Marketing, Customer Success, and Finance to drive revenue predictability, operational excellence, and strategic alignment across the full customer lifecycle. Define and track the KPIs and leading indicators that drive revenue growth, including pipeline coverage, win/loss rates, CAC, NRR, and sales cycle time.
Manager Project Accounting Kelso IndustriesManager Project AccountingTampa, FLRemoteWe are seeking an experienced Manager of Project Accounting to lead project accounting operations across a portfolio of construction businesses specializing in HVAC, mechanical, electrical, and plumbing projects. You will partner closely with project managers, operations leaders, and finance teams to ensure financial accuracy, improve project visibility, and support profitable growth.
Sales Call Center Agent- Cold Calling, Senior Market Belle, LLCSales Call Center Agent- Cold Calling, Senior MarketTampa, FLRemote$31,200 / yearThrough these recurring visits, Belle helps identify emerging health issues earlier, connects members to Chronic Care Management, and extends the reach of our clinical team through AI-powered telehealth and care coordination. In this role, you will make outbound cold calls to seniors, introducing them to Belle’s in-home healthcare services, specifically lower extremity health assessments and chronic care solutions.
Nurse Practitioner: Remote Urgent Care, GA license required Belle, LLCNurse Practitioner: Remote Urgent Care, GA license requiredTampa, FLRemote$110,000 / yearThis role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues. Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program.
NewTechnical Product Support Keystone Technologies IncTechnical Product SupportTampa, FLRemoteThe Product Development Team creates new products and improves the performance, cost, and quality of existing products to achieve Keystone’s business goals and core values. We honor everybody’s story and build lifelong relationships, whether with colleagues, customers, or partners, because to reach our fullest potential means empowering people to thrive.
Home Equity Loan Processor Accenture PlcHome Equity Loan ProcessorSt. Petersburg, FLRemoteResponsible for thorough application review, collection, review and validation of all required documentation, including income calculation, following up with the customer within established timeframes and delivering a quality application to Underwriting. Focused on achieving customer delight through successfully establishing customer rapport, setting appropriate expectations, asking probing questions, relationship deepening and executing on all commitments.
Diabetes Care Advisor - Concierge/Non-Clinical - Onsite/Hybrid GEMCOREDiabetes Care Advisor - Concierge/Non-Clinical - Onsite/HybridTampa, FLRemoteThe Diabetes Care Advisor’s primary role is to serve as the main point of contact for each patient and coordinate their health care professional, insurance benefits insulin pump and continuous glucose (CGM) orders with physician offices and insurances, ensuring excellent customer service throughout entire from start to finish. Cultivate new leads through the prospecting of physicians, diabetes educators, hospitals, clinics, manufacturer representatives and community partners.
Entry-Level Sales Representative - Career Change Opportunity (Remote-CB) Fisher AgenciesEntry-Level Sales Representative - Career Change Opportunity (Remote-CB)Tampa, FLRemote$60,000–$100,000 / yearWhether your background is in customer service, hospitality, retail, education, healthcare, recruiting, administration, or another field, many of the skills you've already developed—communication, problem-solving, discipline, and working with people—can translate into a successful sales career. Fisher Organization is expanding our remote sales team and looking for motivated professionals who are ready to take their skills in a new direction.
NOW HIRING REMOTE LICENSED ACA INSURANCE AGENTS TLC Creative Solutions IncNOW HIRING REMOTE LICENSED ACA INSURANCE AGENTSTAMPA, FLRemote$200–$500 / yearFull timeIf you're a licensed ACA agent who enjoys closing sales, performs well under pressure, and wants the opportunity to increase your earnings based on performance, this opportunity may be a great fit. We are looking for licensed ACA health insurance agents who are motivated, goal-oriented, and ready to succeed in a high-volume sales environment.
Utilization Management Medical Director - Remote UnitedHealth Group IncUtilization Management Medical Director - RemoteTampa, FLRemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Care Coordinator - RN remote any Florida city eQ BrandCare Coordinator - RN remote any Florida cityTampa, FloridaRemoteResponsible for maintaining regular monthly contact (telephonically or face-to-face) with the recipient and the recipient’s parent or legal guardian.for purpose of updating Plan of Care (POC), resolving issues and identifying additional issues. Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc.
Senior Provider Contract Specialist Paradigm Management Services LLCSenior Provider Contract SpecialistTampa, FLRemoteNegotiate competitive work comp industry provider rates that encompass complex business relationships with Managed Service Organizations (MSOs), hospitals, healthcare systems in order to prepare, and submit network participation contracts as well as other paperwork to physicians and other types of providers. SUMMARY: The primary responsibility is to establish relationships with orthopedic and pain management physician groups to secure network participation contracts at company approved jurisdictional threshold rates and margins.
Analyst, Business - SQL (Remote in Florida) Molina Healthcare IncAnalyst, Business - SQL (Remote in Florida)St Petersburg, 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.
Professional (Senior) Sales Representative, Pain - Saint Petersburg, FL Viatris IncProfessional (Senior) Sales Representative, Pain - Saint Petersburg, FLSaint Petersburg, FLRemote$100,000–$150,000 / yearWith a mission to empower people worldwide to live healthier at every stage of life, we provide access at scale, currently supplying high-quality medicines to approximately 1 billion patients around the world annually and touching all of life's moments, from birth to the end of life, acute conditions to chronic diseases. Every day, we rise to the challenge to make a difference and here's how the role will make an impact: Key responsibilities for this role include: Develop business plan for assigned territory that is consistent with Viatris sales plans, strategies and objectives.
Data Integrator ManTech International CorpData IntegratorTampa, FLRemoteMinimum Qualifications: Bachelor's degree in a computer science discipline or equivalent; or 8+ years of experience providing services similar in required tasks, scope, and complexity. The Data Integrator will leverage their strong technical background and knowledge to conduct methodology development, software requirement generation, tool testing, and the discovery, aggregation, and visualization of disparate data sources.