<h3>Job Description</h3>
Job Description
   
About the Role  
The Pricing Configuration Analyst plays a crucial role in ensuring the accurate and timely implementation and maintenance of critical information on our claims databases. This individual will work closely with cross-functional teams to ensure timely and accurate updates to system and pricing modules used for payment of claims. 
What You'll Do  
<ul>
<li>Coordinate and maintain all prospective payment system (PPS) configuration and/or external system pricer/grouper upgrades </li>
</ul>
<ul>
<li>Troubleshoot any coding/grouping issues as reported to determine appropriate assignment of DRG/APC </li>
</ul>
<ul>
<li>Serve as subject matter expert related to CMS pricing rules and methodologies (MS-DRG, CMG, ASC PPS, IPF PPS, IRF PPS, Professional claims) </li>
</ul>
<ul>
<li>Partner with training and documentation teams to build necessary training, policy and procedure documentation as it relates to implementation and use of external pricers/groupers and exception handling </li>
</ul>
<ul>
<li>Perform root cause analysis on claim and system issues </li>
</ul>
<ul>
<li>Partner with actuarial team on internal pricing methodology and updates </li>
</ul>
<ul>
<li>Support claims production teams with regard to questions around both overall process and specific claim investigations </li>
</ul>
<ul>
<li>Implement and maintain accurate and timely critical information on claims databases  </li>
</ul>
<ul>
<li>Remain current on all CMS pricing rules and regulations, coding updates, changes, and issues </li>
</ul>
<ul>
<li>Interpret specific state and/or federal benefits, contracts, and additional business requirements, converting these terms to configuration parameters  </li>
<li>Code, update, and maintain provider contracts, fee schedules, and various system tables through the user interface and PPS systems </li>
</ul>
What You'll Bring  
<ul>
<li>3+ years of experience with PPS coding, DRG Grouping &amp; APC Payment methodology </li>
</ul>
<ul>
<li>Bachelor's degree  </li>
</ul>
<ul>
<li>Strong analytical skills with the ability to interpret complex data  </li>
</ul>
<ul>
<li>Experience working industry standard groupers (3M, Optum, etc)  </li>
</ul>
<ul>
<li>Knowledge of healthcare benefits, contracts, and fee schedules  </li>
</ul>
<ul>
<li>Excellent communication and interpersonal skills  </li>
</ul>
<ul>
<li>Ability to work independently and as part of a team in a fast-paced environment  </li>
</ul>
What You'll Get  
<ul>
<li>Competitive salary, bonus opportunity, and equity package     </li>
</ul>
<ul>
<li>Comprehensive Medical, Dental, and Vision benefits   </li>
</ul>
<ul>
<li>A 401k retirement plan   </li>
</ul>
<ul>
<li>Paid vacation and company holidays   </li>
</ul>
<ul>
<li>Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S  </li>
</ul>
  
Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

Pricing Configuration Specialist

<h3>Job Description</h3>
Job DescriptionSalary: $25/hr and $.50/mile 
Position: Field Claims Investigator
Job Type: 1099/Contracted Work
Location: 50% working from home, 50% working in thefield
Compensation: $25/hrand$.50/mile
 
COMPANY OVERVIEW
Phoenix Loss Control (Phoenix orPLC) is abusiness servicesproviderin the cable, telecom, and utilities sector. PLCs core service is outside plant damage investigation, recovery, and prevention. We help our clients recover the costs of third-partydamageto their infrastructure, such asunderground fiber optic or gas lines. PLC currently employs over 120people, servicing some of the largest cableandtelecomsoperatorsacross the country(Comcast,Spectrum,AT&amp;T, and Google, to name a few).Phoenix is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth.
POSITION SUMMARY 
Outside Plant Damage (OPD) costs our clients over 30 million annually. Field investigators are needed to collect, access, and report these damages. This is a part-time, on call contract job to help support our clients with damagerecovery. Forour field investigators, each day and every investigationisdifferent. We need inquisitive, self-driven individualswhoare comfortable rolling up their sleeves and working in a constantly changing, dynamic environment.
Duties
<ul>
<li>Conduct on-site fieldinvestigations</li>
<li>Write detailed but concise investigation reports using diverse sources of information, types of evidence, witness statements, and costingestimates</li>
<li>Develop andmaintaincomprehensive knowledge of local and state statutes, laws, and regulations for underground and aerial cables and utility servicelines</li>
<li>Remain prepared and willing to respond to damage calls withina timelymanner</li>
<li>Complete damage investigations within7 daysand then work with and support our claims managers to complete the investigation and begin the recoveryprocess</li>
<li>Respond to damages same day if received duringbusiness hours(if not, first response following day)</li>
<li>Accurately record all time, mileage, and other associated specific items</li>
</ul>
Required Skills and Capabilities 
<ul>
<li>Interpersonal skills to gather information and conduct field interviews with involved parties including contractors and technicians, witnesses, law enforcement, andpossibledamagers</li>
<li>Smartphone to gather photos, videos, and other information while conductinginvestigations</li>
<li>Computer, with high internet access, to upload and download reports, research cases, and to interact with our claims system and other databases andportals</li>
<li>Exceptional attention to detail and strong written and verbal communicationskills</li>
<li>Proven ability tooperateindependently and prioritize while adhering totimelines</li>
<li>Strong and objective analytical skills</li>
<li>Valid drivers license, current insurance, and reliable vehicle with ability to respond to damages at anytime</li>
<li>Safety vest, work boots, and hard-hat</li>
</ul>
Preferred Qualifications and Skills 
<ul>
<li>Current orprevioustelecommunication or utility experience</li>
<li>Knowledge of underground utilitylocatingprocedures and systems</li>
<li>Investigation, inspection, or claims/fieldadjusting</li>
<li>Criminal justice, legal, or military training or work experience</li>
<li>Engineering, infrastructure construction, or maintenance background</li>
<li>Remote location determined at discretion of investigations manager </li>
</ul>
This is a1099contract position. There are no benefits offered with this position.

Field Claims Investigator 1099

<h3>Job Description</h3>
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. 
Position Purpose: Oversees the change management process, release of updates to technical systems, including developing release schedules, provides support during the technical release process, and ensures that production systems are functional following a successful release. Supports the deployment of the code to the test and production environments.
<ul>
<li>Leads small projects</li>
<li>Aids with the coordination, planning, scheduling, control, and implementation of change and/or releases from initiation through delivery and support</li>
<li>Reviews submitted change requests for compliance, accuracy, and completeness</li>
<li>Supports the IT change and release manager with the setup of change management in the IT Service Management (ITSM) tool and adoption of improved process</li>
<li>Provides communication and information, including relevant release reports and documentation as required</li>
<li>Ensures compliance by validating the appropriate checkpoints are met; coordinate release sign off between the various stage gates in the release cycle</li>
<li>Carries out regular reviews of the change and release management processes with the IT change and release manager; regularly identify and recommend service improvements</li>
<li>Monitors efficiency and effectiveness by providing management information on releases to senior management as required</li>
<li>Assists the IT change and release manager in completing regular audits of the change and release management process</li>
<li>Analyzes incident logs caused by releases to identify occasions where the process has not been followed; highlight any repeated non-compliance and ensure timely resolution/escalation</li>
<li>Contributes to the IT risk register (working closely with the information security team) to identify and manage operational risks and work to eliminate areas of vulnerability</li>
<li>Performs other duties as assigned</li>
<li>Complies with all policies and standards</li>
</ul>
Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills:
<ul>
<li>One or more of the following skills are desired.</li>
<li>Knowledge of Other: ITIL change management, service management and/or project management, IT security, patching, compliance, and best practices</li>
<li>Experience with IT Service Management; Microsoft Office</li>
<li>Experience with Other: an ITIL-based support environment and with IT Service Management (ITSM) systems such as ServiceNow</li>
<li>Knowledge of Other: release management</li>
<li>Experience with one or more of the following Other: ITIL Foundation or ITIL certificate in release, control and validation</li>
<li>Experience with Ansible Automation Platform, including playbook development and role management.</li>
<li>Strong knowledge of GitLab CI/CD pipeline configuration and automation.</li>
<li>Experience with ServiceNow using API’s, dashboards, and reporting</li>
</ul>
 Soft Skills:
<ul>
<li>Intermediate - Seeks to acquire knowledge in area of specialty</li>
<li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li>
<li>Intermediate - Ability to work independently</li>
<li>Intermediate - Demonstrated analytical skills</li>
<li>Intermediate - Demonstrated project management skills</li>
<li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li>
<li>Intermediate - Demonstrates excellent judgment and decision making skills</li>
</ul>
Pay Range: $73,800.00 - $132,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Senior Change, Release and Deployment Analyst

<h3>Job Description</h3>
Job Description
We are seeking a Medical Assistant&nbsp;to become a&nbsp;part of our team!&nbsp;You will perform&nbsp;routine administrative and clinical assignments&nbsp;to keep the medical facility&nbsp;running smoothly.
Responsibilities:
<ul>
<li>Handle all administrative duties&nbsp;in a timely manner</li>
<li>Perform routine clinical tasks&nbsp;to support medical staff</li>
<li>Escort patients to exam rooms&nbsp;</li>
</ul>
​Qualifications:
<ul>
<li>Strong organizational skills</li>
<li>Ability to thrive in a fast-paced environment</li>
</ul>
Company DescriptionWell respected and established private Internal medicine practice since 2005 .The staff are compassionate ,caring working in a friendly environment where patient care is our priority 
<h3>Company Description</h3>
Well respected and established private Internal medicine practice since 2005 .The staff are compassionate ,caring working in a friendly environment where patient care is our priority

Medical Assistant

<h3>Job Description</h3>
Job Description
About us
We are a growing accounting firm delivering today’s cutting edge technology to restaurant clients. We help restaurants leverage technology and connect the information dots they need to make optimal decisions to run a profitable restaurant.
Join our A Team in a pursuit to achieve extraordinary results. Together we will help revolutionize an industry and support our restaurant community so they can focus on serving excellent food and guest experience.
About this position
<ul>
<li>
You will be responsible for all aspects of the day to day administrative tasks required to increase the company's processing speed, expansion, including research in diverse areas.
</li>
<li>
This role will require you to liaise with clients, employees, and prospect clients.&nbsp;
</li>
<li>
This is a startup/fast-paced, high performance teamwork environment. You will need to be Really comfortable with change and embrace chaos. You'll also need to be able to adapt to last minute changes easily.
</li>
<li>
If you are looking for an opportunity to grow, this is a job for you!&nbsp;
</li>
</ul>
Administrative Assistant Responsibilities
<ul>
<li>
Communicate and handle electronic communications on behalf of the owner or different departments
</li>
<li>
Screen telephone calls, provide information to callers
</li>
<li>
Open and review all incoming mail
</li>
<li>
Errands and sundries
</li>
</ul>
<ul>
<li>
Maintain filing system and ensure it complies with company policy
</li>
<li>
Track and order office supplies.
</li>
<li>
Maintain contact lists.
</li>
<li>
Assist with ad hoc projects as assigned.
</li>
</ul>
<ul>
<li>
Emails, calls, filing related to accounts payable and receivables
</li>
<li>
Assist operations team with Ad Hoc accounting projects.
</li>
</ul>
Skills and Qualifications critical to succeed in this position:
<ul>
<li>
Maintains the highest level of confidentiality
</li>
</ul>
<ul>
<li>
Excellent analytical and problem-solving skills.
</li>
</ul>
<ul>
<li>
Ability to research any topic to find solutions
</li>
<li>
Can do attitude, the ability to get things done no matter the circumstances
</li>
<li>
Ability to work in a fast-paced environment
</li>
</ul>
<ul>
<li>
Ability to work well under pressure both independently and collaboratively
</li>
<li>
Ability to manage multiple priorities and deadlines
</li>
<li>
Excellent written and verbal communication skills in English
</li>
<li>
Strong attention to detail
</li>
<li>
Excellent organizational skills
</li>
<li>
Ability to learn new software quickly, tech-savvy.
</li>
<li>
Marketing and social media knowledge a plus
</li>
</ul>
Experience required
<ul>
<li>We are looking for a candidate with the right attitude&nbsp;that wants an opportunity to grow.&nbsp;</li>
</ul>
Office Location and Work Hours
This position is for our Boca Raton, FL location
Available full time or part time
Ability to work within an office environment and remote when possible. This is a hybrid position after training period.
Company DescriptionWe are a growing accounting firm delivering today’s cutting edge technology to restaurant clients. We help restaurants leverage technology and connect the information dots they need to make optimal decisions to run a profitable restaurant. Join our A Team in a pursuit to achieve extraordinary results. Together we will help revolutionize an industry and support our restaurant community so they can focus on serving excellent food and guest experience. 
<h3>Company Description</h3>
We are a growing accounting firm delivering today’s cutting edge technology to restaurant clients. We help restaurants leverage technology and connect the information dots they need to make optimal decisions to run a profitable restaurant.\r\n\r\nJoin our A Team in a pursuit to achieve extraordinary results. Together we will help revolutionize an industry and support our restaurant community so they can focus on serving excellent food and guest experience.

Administrative Assistant

<h3>Job Description</h3>
Job DescriptionSalary: 
Work is more rewarding when you remove all the barriers to the best thinking. Thats why the big stuff from brand initiatives to new tech launches to bespoke digital efforts goes further with Starmark. So come light up some new possibilities for your career as part of our crew. 
Starmark proudly follows Agile methodologies agency-wide, so you'll fit right in if you're a self-motivated explorer who plays well with others and loves stellar work that brings results.
 As an Agile Team We Value:
<ul>
<li>Quick Daily Check-ins that help us collaborate, increase transparency, reduce wasted time and cut down on interruptions so we can get more done.</li>
<li>Solid Planning because you're a flexible self-starter who wants to participate in whole-team project roadmaps, plan new work with clients and organize your own efforts across multiple projects during 2-week sprints.</li>
<li>People Who Deliver with an ability to own the overall design and vision of a project.</li>
<li>Being Able to Respond to Change because we prefer to be focused instead of harried so that we can adapt quickly, remain flexible, collaborate with each other and our clients for success</li>
</ul>
Expectations:
<ul>
<li>Ability to produce exceptional work for clients both creatively and effectively</li>
<li>Ability to conceptualize and rollout creative ideas/solutions that effectively communicate strategy</li>
<li>Maintaining client brand guidelines and standards</li>
<li>Ability to work directly with client and team to build relationships</li>
<li>A digital-first art director who is curious about the latest technologies and best practices</li>
<li>Balanced creative and analytical mindset</li>
<li>Strong written, verbal communication &amp; organizational skills</li>
<li>Ability to manage multiple projects in an Agile, deadline-driven environment</li>
</ul>
 
Requirements:
<ul>
<li>Strong portfolio that demonstrates innovative integrated work: video, social, digital, display, OOH, print, collateral, experiential</li>
<li>Experience designing brands, from look/feel through brand guidelines</li>
<li>Bachelor's degree and/or 4+ years with an advertising or design company</li>
<li>Experience within Tourism, Higher Ed, Healthcare and B2B/Tech a plus</li>
<li>Proficiency with Adobe Creative Suite, including XD; Premiere and After Effects a plus </li>
<li>Self-motivated and able to work within a team with minimal supervision</li>
<li>Strong presentation skills</li>
<li>Got a creative secret power? Bring it!</li>
</ul>
Only candidates who include samples and/or a creative portfolio will be considered. 
Starmark is a national integrated marketing agency headquartered in Fort Lauderdale, FL that specializes in strategic thinking, award-winning creative, branding, advertising, interactive and public relations.
 remote work

Art Director

<h3>Job Description</h3>
Job Description
At Panera, our people come first. If you're looking for a place where you can grow, feel supported, be yourself, enjoy great perks, and have a little fun along the way—you're in the right spot. We're here to help you succeed every day, in every way.
Get ready to rise and come join the fun where you will be a part of making the familiar fantastic! Because at Panera, the best thing of bread is sharing it.
What’s In It for You?
<ul>
<li>Competitive pay &amp; eligible for team tips</li>
<li>Free on-shift meals &amp; unlimited fountain beverages</li>
<li>Flexible &amp; reliable scheduling</li>
<li>Paid vacation, sick time, and holidays for full-time team members</li>
<li>Medical, dental, vision, life insurance, pet insurance &amp; 401(k) with match available</li>
<li>Career advancement &amp; leadership development opportunities</li>
<li>Tuition discounts</li>
<li>Perks &amp; rewards for team members</li>
<li>Team member assistance program</li>
<li>And much, much more!</li>
</ul>
As a Panera Retail Team Member Cashier, you’re the friendly face our guests see first-you’re always warm and welcoming. You’ll take orders with care, help guests feel and home, and send them off with a smile every time.
As a Cashier at Panera, Your Role Includes:
<ul>
<li>Assist guests with orders quickly and accurately.</li>
<li>Be knowledgeable on our menu and Limited Time Offers.</li>
<li>Deliver excellent guest service in every circumstance.</li>
<li>Be informed about the priorities of the day.</li>
<li>Keep a positive attitude while facing each task, even the tough ones, and adapt to changes as they arise.</li>
<li>Help build our Culture of warmth, belonging, growth, and trust</li>
</ul>
This Opportunity Is for You If:
<ul>
<li>Minimum age: 16 years of age.</li>
<li>Complete basic food safety understanding and practice training. (Food Handler’s Card, as required by law)</li>
<li>Ability to work and learn in a fast-paced environment.</li>
<li>This role requires flexible hours, including nights and weekends in a fast-paced environment with shifting priorities.</li>
<li>Be an ambassador of our Guiding Values and Behaviors by making people smile, learning and growing together, finding solutions and taking initiative, working (and winning) as a team, having fun and celebrating success, and seeing the best in others!</li>
<li>While performing this job, the Cashier role is regularly required to:
<ul>
<li>Ability to lift, carry, push, or pull objects 25 pounds.</li>
<li>Capability to stand and walk for up to 6 hours.</li>
<li>Must be able to clearly communicate and quickly understand guests and associates’ directions in a loud environment.</li>
</ul>
</li>
</ul>
__
Equal Opportunity Employer: Disabled/Veterans
 Additional Description :

Restaurant Team Member - Cashier

<h3>Job Description</h3>
Job Description
We are seeking a Accounts Receivable Customer Service to join our team! You will be responsible for helping Homeowners resolve technical issues. Responsibilities:
<ul>
<li>Handle customer inquiries and complaints</li>
<li>Provide information about our services</li>
<li>Troubleshoot and resolve issues and concerns</li>
<li>Document and update customer records based on interactions</li>
<li>Qualifications</li>
<li>Ability to build rapport with clients</li>
<li>Ability to prioritize and multitask</li>
<li>Positive , Friendly, and professional demeanor</li>
<li>Excellent bilingual written and verbal communication skills</li>
<li>Computer knowledgeable</li>
</ul>

Accounts Receivable Representative

<h3>Job Description</h3>
Job DescriptionBenefits/Perks
<ul>
<li>Careers Advancement Opportunities&nbsp;</li>
<li>Flexible Scheduling</li>
<li>Competitive Compensation&nbsp;</li>
<li>Seasonal job with an opportunity to be permanent&nbsp;</li>
</ul>
Job Summary&nbsp;We are seeking a knowledgeable Tax Professional to join our team. In this role, you will prepare clients’ tax filings and advise them on strategies to maximize savings and make sound financial decisions. The ideal candidate is detail-oriented, highly organized, and has a strong understanding of tax laws and best practices in tax preparation.&nbsp; Responsibilities&nbsp;
<ul>
<li>Conduct initial meetings with potential clients to discuss the services offered and estimates of cost</li>
<li>Educate clients on the tax submission process&nbsp;</li>
<li>Analyze income statements, previous tax returns, and other financial records to determine taxable income</li>
<li>Provide sound advice to clients on minimizing their tax obligations</li>
<li>File personal and business taxes in an accurate and timely manner</li>
<li>Communicate with tax authorities when necessary</li>
</ul>
Qualifications
<ul>
<li>Bachelor’s degree in accounting or a related field (preferred)&nbsp;</li>
<li>Valid Preparer Tax Identification Number (PTIN)</li>
<li>Previous experience as a Tax Professional</li>
<li>Knowledge of federal and state tax laws</li>
<li>Skilled in Microsoft Excel and accounting software</li>
<li>Excellent mathematical and analytical skills</li>
<li>Strong verbal and written communication skills</li>
<li>Managing&nbsp; multiple requests via telephone, text messages, WhatsApp and social media&nbsp;</li>
<li>Must be bilingual in Spanish and English&nbsp;</li>
</ul>

Tax Professional

<h3>Job Description</h3>
Job DescriptionPosition Description: We are seeking skilled and experienced Commercial Service Technicians to join our team in the HVAC, ALS (Air Handling Systems), and Refrigeration sectors. As a Commercial Service Technician, you will be responsible for installing, maintaining, and repairing HVAC systems, air handling units, and refrigeration equipment across a wide range of commercial clients. This is an exciting opportunity to work in a dynamic environment with advanced technologies while providing top-quality service to our clients. Key Responsibilities: \tPerform scheduled preventive maintenance, overhauls and troubleshooting all types of Commercial HVAC \tProvide high quality customer service based on our company SOP policy \tMust be professional, courteous and respectful to our customers as well as fellow employees \tCommunicate effectively with customers, managers and dispatchers \tHonesty and integrity a must \tDevelop rapport with each customer to understand to the right products, parts and services needed \tAbility to explain opportunities for aging, inefficient equipment for replacement \tHandle inventory and requisition parts and material needed for each job with our online ordering system \tTimely completion of assigned work orders \tComplete all work tasks in a safe and efficient manner in accordance with company safety standards \tUse and follow safety guidelines for tools and equipment \tParticipate in an on-call duty rotation and respond to after-hours emergencies Requirements: \tMinimum of 5 years HVAC repair &amp; Refrigeration Repair \tExtensive knowledge of all types of HVAC and Refrigeration equipment \tProven competency in HVAC and Refrigeration repair. \tUniversal CFC recovery Certification \tMust be able to read equipment schematics \tAbility to read English and interpret documents and communicate effectively both verbally and in writing. \tComputer tablet experience \tCFESA certification a plus Must-Haves: \tPositive attitude, highly organized and energetic \tValid drivers license with good driving record \tMust pass company drug test and background check \tGood personal appearance and the physical ability to lift 50+ pounds \tEngaging personality for our fast paced, goal driven environment \tCompetitive individual contributor who loves to win as a team \tHighly motivated, self-starter whos flexible with a great attitude Benefits:\tHourly rate based on experience and company growth potential \tFactory training and development \tAdvancement supervisory program \tHealth insurance, as well as Life insurance \tDental, Vision, and 401K plan \tVacation and sick paid time off \tPaid holidays \tReferral &amp; Bonus Programs \tProfessional development assistance Schedules Offered: \t8 Hour shift \tMonday Friday \tOn Call \tWeekend availability $20.00 - $45.00 Hourly

21,134 Jobs in Boca Raton, FL, USA