- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims… more
- Anywhere Real Estate (Tampa, FL)
- The Specialist , Escrow Operations will provide critical support to the escrow team by assisting with post-closing corrective matters, troubleshooting operational ... transactions. + **Operational Efficiency:** + Collaborate with the Senior Support Specialist to streamline processes and implement best practices. + Maintain… more
- Cordis (Miami Lakes, FL)
- …who keep saving lives. **Responsibilities** **Job Summary:** The Pricing Contract Sr Specialist is responsible for managing the full lifecycle of complex customer ... and strategic accounts, including GPOs and IDNs. The Senior Specialist proactively identifies opportunities to improve contract performance, supports strategic… more
- Datavant (Tallahassee, FL)
- …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician… more
- Molina Healthcare (Miami, FL)
- …Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine ... overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in… more
- Wolters Kluwer (Tallahassee, FL)
- **Sr. Account & Relationship Executive (Sr. Sales Executive , Risk & Controls Specialist , Audit & Assurance)- Remote (West Coast) R0052136 | CP/ESG TeamMate | WK ... Relationship Executive (Sr. Sales Executive , Risk & Controls Specialist , Audit & Assurance** ), you will manage the...of core account managers . **Work Arrangement** : 100% Remote West Coast USA position. You will report to… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. **Job Duties**… more
- Anywhere Real Estate (Jacksonville, FL)
- The **Client Experience Specialist ** is a service-minded professional who manages all non-licensed aspects of the transaction, from contract to close, to create a ... their transaction is in reliable and skillful hands. **This position is 100% remote and will support various markets. The preferred candidate will have NJ… more
- University of Miami (Miami, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Quality Improvement Specialist 2 leads and directs multiple complex ... clinical transformation. + Collaborates with and mentors employees in Quality Improvement Specialist 1 positions. Works closely with the Patient Safety & Quality… more
- RELX INC (Boca Raton, FL)
- Implementation Specialist Are you ready to lead complex, cross functional projects that directly impact the future of nursing and health education? Would you like to ... educational outcomes for Nursing students. About the Role This Implementation Specialist plays a vital role in managing projects across cross-functional teams… more