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Experience
Qualifications
The ideal candidate should possess a strong background in clinical settings, preferably with experience in utilization management. A thorough understanding of healthcare regulations and standards is essential. You should be detail-oriented, possess excellent communication skills, and be able to work effectively in a dynamic environment.
About the job
Join our team as a Utilization Management Specialist where you'll play a crucial role in ensuring efficient utilization of healthcare resources. In this position, you will assess medical necessity, review treatment plans, and collaborate with healthcare providers to optimize patient care.
About Integrated Resources, Inc.
Integrated Resources, Inc. is a leader in the healthcare industry, dedicated to improving patient outcomes through effective resource management. We pride ourselves on our commitment to quality and innovation, making us a trusted partner for healthcare providers and organizations.
Kaseya is hiring a Renewal Specialist in Miami, FL. This role centers on managing customer renewals and supporting ongoing client relationships. The position plays a key part in ensuring customers remain satisfied and continue to use Kaseya’s technology solutions. Role overview The Renewal Specialist handles the full renewal process, working directly with cl…
Full-time|$130K/yr - $187K/yr|On-site|Miami, United States
At Anaplan, we pride ourselves on being a team of innovators dedicated to enhancing business decision-making through our cutting-edge AI-powered scenario planning and analytical platform. Our mission is to empower customers to surpass their competition and thrive in the marketplace.What brings Anaplanners together across various teams and locations is our unwavering dedication to our customers' success and our Winning Culture.Our clientele includes some of the most recognized names in the Fortune 50, such as Coca-Cola, LinkedIn, Adobe, LVMH, and Bayer, among more than 2,400 global companies that trust our exceptional platform.Our Winning Culture fuels our teams of innovators. We advocate for diverse thoughts and ideas, act as leaders irrespective of our titles, strive towards ambitious objectives, and celebrate our victories—both large and small.Guided by principles that prioritize strategic leadership, value-based actions, and disciplined execution, you will find inspiration, connection, growth, and reward here. We welcome everything that makes you unique; join us as we build the future—together!We encourage you to think big and act boldly by showcasing your authentic self! Anaplan is seeking a determined Director of Renewals to join our Renewals Team. This is a remarkable opportunity to engage with a highly visible, large-scale SaaS cloud company. This role offers an immediate full-time position. If you are ready to dive into unique challenges that others are not addressing, continue reading.The Director of Renewals is a pivotal leadership position within our Customer Success Organization at Anaplan, overseeing a focused team dedicated to forecasting, tracking, and securing renewals. This leader will be responsible for identifying and forecasting renewal risks, developing and executing a global renewals strategy, and collaborating closely with leaders in Sales and Global Customer Success.The Customer Success Renewal Team manages a comprehensive process from quote to signature, working directly with customers to secure renewal opportunities. They will partner with their Account Executive and Customer Success Business Partner to effectively manage, forecast, and escalate renewals.Your Impact:Oversee a team of renewal specialistsShape the vision and strategy for Global RenewalsManage operational procedures for the renewal team and continuously refine processes to enhance efficiency and effectivenessIdentify risks associated with renewals and proactively develop mitigation strategies
Join hellogov as an AI Escalation Specialist in Miami, Florida, where you'll play a crucial role in managing and resolving complex AI-related issues. This position requires a strong understanding of artificial intelligence technologies and exceptional problem-solving skills. As part of our dynamic team, you will enhance our AI systems and ensure optimal performance, contributing significantly to our mission of providing innovative solutions.
We are seeking a highly motivated and detail-oriented Implementation Specialist to join our dynamic team at Firm Pilot A Law Firm Marketing. As an Implementation Specialist, you will play a crucial role in ensuring our clients successfully adopt our innovative marketing solutions. Your expertise will help guide clients through the implementation process, ensuring they achieve optimal results.
Job OverviewAs a Compliance Operations Specialist at CashQ, you will play a crucial role in facilitating the onboarding process for our customers and partners.Key Responsibilities:Execute KYC onboarding processes for clients and partners, ensuring all documentation is complete, accurate, and legitimate.Utilize various systems, databases, and online resources for thorough research pertinent to investigations.Detect red flags and suspicious activities, analyze patterns, and propose effective solutions.Conduct checks for sanctions, Politically Exposed Persons (PEP), and adverse media.Perform both basic and enhanced KYC due diligence for new and existing clients.Stay informed on relevant BSA and OFAC laws and regulations.Collaborate with internal teams to update KYC/AML policies and procedures.Effectively escalate compliance issues to management as necessary.Implement policies and procedures to ensure regulatory compliance.
As a proud partner of the Leavitt Group, FBMC is looking to enrich our team with a talented Benefits Education Specialist at our client site, Jackson Health Systems, located in beautiful Miami, FL.With a legacy spanning over 40 years, FBMC is dedicated to providing employees with affordable, top-notch benefits. Our commitment to fostering strong relationships with clients, delivering outstanding service, and contributing positively to the communities we serve reflects our core values of integrity, collaboration, and a shared vision for a secure and thriving future.Position OverviewThe Benefits Education Specialist (BES) is instrumental in offering premium support to client employees by facilitating personalized benefits education sessions, both virtually and in person. You will empower employees to comprehend their core and voluntary benefits options, support their decision-making process, and ensure precise and compliant enrollment procedures.This position suits individuals who relish the opportunity to educate others, excel in dynamic environments, and are driven to assist individuals in making significant financial and healthcare choices.Key ResponsibilitiesConduct personalized benefit education and review sessions utilizing employer-provided census data.Educate and guide employees on core and voluntary benefit options while ensuring compliance with all licensure and regulatory mandates.Manage inbound inquiries and perform outbound follow-ups related to benefits education and enrollment.Diligently document and process employee enrollment selections.Identify and escalate complex issues or concerns as necessary.Assist with annual open enrollment activities, including extended hours or travel as required.Maintain active insurance licensure (when applicable).Execute additional duties as assigned to further team and organizational objectives.QualificationsWe are looking for an individual who possesses a blend of strong technical expertise and exceptional interpersonal communication skills. The ideal candidate will demonstrate:Adaptability and willingness to learn.Outstanding verbal and written communication abilities.Exceptional customer service and consultative skills.
Join our dynamic team as a Medical Billing Specialist. In this pivotal role, you will manage billing processes, ensuring accuracy and compliance with healthcare regulations. Your expertise will contribute to the financial health of our organization, while providing top-notch service to our clients.
Join our dynamic team at Integrated Resources, Inc. as a Data Management Specialist. In this pivotal role, you will be responsible for overseeing data processes, ensuring data integrity, and assisting in the development of data management strategies. Your expertise will help streamline our operations and enhance data-driven decision-making.
Join Integrated Resources, Inc. as a Data Management Specialist where your expertise will play a crucial role in optimizing our data operations. In this position, you will oversee the integrity and security of our data systems, ensuring that they are efficient and accurate.Your responsibilities will include analyzing and managing data flow, implementing data governance protocols, and collaborating with cross-functional teams to enhance data utilization.
Join our dynamic team at Ripple as an Executive IT Support Specialist. In this pivotal role, you will be the first point of contact for our executive team, providing top-notch technical support and ensuring seamless operation of IT systems. Your expertise will play a crucial role in enhancing productivity and maintaining our reputation for excellence.
ABOUT HUT 8Hut 8 is at the forefront of innovation in technology, energy, and infrastructure. Our mission is to construct and operate some of the largest data centers globally, catering to next-generation computing workloads such as AI, Colocation, Cloud, and Bitcoin Mining. We take pride in offering dynamic and challenging opportunities for those eager to build teams, tackle complex problems, and make a meaningful impact from day one. If you are an ambitious professional ready for a rewarding and challenging career, you've found your place.ABOUT THE ROLEWe are currently in search of a meticulous and organized Contract Specialist to join our Legal team, reporting directly to the Associate General Counsel. This critical position will be responsible for the initial review and drafting of standard commercial agreements, overseeing contract intake and workflows, and maintaining our contract templates and systems. Your contributions will be vital in enhancing efficiency, minimizing risk, and ensuring uniformity across the company's contracting processes.
As a Data Specialist at CGS Federal, you will play a crucial role in assisting our government clients with data processing using LAW. This full-time, mid-level position entails handling large volumes of production data, executing database exports for discovery party productions, and downloading files from our file-sharing tool, JEFS. Ensuring accuracy through meticulous quality control on load and export files is essential. CGS Federal is dedicated to bringing together motivated, skilled, and innovative individuals to tackle the government's most pressing challenges using advanced technology. We seek candidates passionate about contributing to government innovation, thrive in collaborative environments, and can proactively assess the needs of their teams. We pride ourselves on fostering a supportive workplace that encourages professional development through various learning opportunities. Key Responsibilities:- Efficiently modify load files and conduct quality control on data loads.- Collaborate in creating and updating document processing protocols.- Manage multiple load streams concurrently.- Execute native file processing within LAW.- Generate load files by exporting data from Relativity as needed by Case Managers.- Carry out data conversion processes, including various document type conversions.- Address specialized format data conversions and file manipulation requests.- Oversee quality control for load files and Relativity data loads and exports.- Complete advanced tasks, such as producing data exports for productions and ensuring quality control on complex file overlays, privilege clawbacks, and document sequestration.- Validate accuracy on loads performed by new Data Specialists through quality control checks.- Provide practical training to fellow Data Specialists as required.- Conduct basic Relativity searches and global updates for marking/tagging records as instructed, including confirming record counts in Save Searches and verifying image redactions before creating production exports.- Clearly communicate any data inconsistencies with the Project Manager.- Assist with inquiries regarding data load file formats or media encryption software as requested by Case Managers and IT personnel.
Join our dynamic team as a Placement Specialist in Miami, where you will play a pivotal role in connecting individuals with meaningful employment opportunities. In this full-time position, you will be responsible for assessing client needs, facilitating job placements, and building partnerships with local employers to promote workforce development.
Join Our Team as a Paralegal Administrative Specialist!Employment Type: Full-Time, Entry LevelDepartment: Legal Support CGS Federal is on the lookout for a diligent and motivated Paralegal Administrative Specialist to provide essential support in processing electronic legal documents, assisting with trial preparation and hearings, and offering comprehensive legal assistance for a prominent federal agency. As part of our innovative team, you will play a pivotal role in addressing the dynamic challenges faced by the government using advanced technology.At CGS, we pride ourselves on creating an environment that fosters collaboration and professional development. Our team consists of highly skilled, driven, and creative individuals who are passionate about contributing to government innovation. We offer numerous learning opportunities to help you grow in your career.Key Responsibilities:· Conduct thorough examinations of legal instruments.· Review legal documents for completeness and proper execution.· Provide direct support to the Litigation Support Unit, attorneys, and paralegals as required.· Assess the correctness of actions in accordance with government regulations and procedures.· Research records to identify any conditions that may affect actions.· Assist with daily operations within the Litigation Support Unit, including data processing and evidence handling for cases.· Support the preparation of trial and hearing presentations, including demonstratives.· Collect and compile statistical data for various reports.· Assist within the Administrative Division on project-based work and cover administrative duties during employee absences.· Demonstrate proficiency with various software and databases, including Microsoft Suite.
As a Public Relations Specialist at Alpha Insight Inc., you will play a crucial role in shaping and promoting our brand's image. You will be responsible for developing and executing effective public relations strategies, managing media relations, and enhancing our online presence. Your expertise will be essential in crafting compelling press releases, organizing events, and engaging with various stakeholders to ensure positive public perception.
We are seeking a dedicated and detail-oriented Clinical Documentation Specialist to join our team in Miami. In this pivotal role, you will be responsible for ensuring the quality and accuracy of clinical documentation. You will collaborate with healthcare professionals to optimize patient records, enhancing the overall quality of care.
Join our dynamic team at Integrated Resources Inc. as a Data Management Specialist. In this role, you will be responsible for managing and maintaining data integrity across various platforms. You will collaborate with cross-functional teams to ensure data is accurate, accessible, and secure. Your analytical skills will be vital in identifying trends and insights that will drive business decisions.
Join our team as a Utilization Management Specialist where you'll play a crucial role in ensuring efficient utilization of healthcare resources. In this position, you will assess medical necessity, review treatment plans, and collaborate with healthcare providers to optimize patient care.
Join WatchGuard Technologies as a Trade Compliance Specialist, where you will play a vital role in ensuring our compliance with international trade regulations. You will be responsible for conducting audits, preparing documentation, and liaising with regulatory authorities.As part of our dynamic team, you will have the opportunity to contribute to our global operations, ensuring that we navigate the complexities of trade compliance effectively.
We are seeking a dedicated and enthusiastic Customer Support Specialist to join our dynamic team at Veracross. In this role, you will be the first point of contact for our customers, providing them with expert assistance and support. Your ability to communicate effectively and resolve issues will be vital in enhancing customer satisfaction and loyalty.
