<h3>Job Description</h3>
Job Description
Specific job functions include:
· Review and understand PBM contracts for all relevant pricing terms
· Review and understand plan design documents provided by PBM or client
· Utilize company’s proprietary Compliance Model
· Calculate client contractual financial guarantees, admin fees, rebates and other terms as required by client contract
· Assemble audit reports and summarize findings
· Document all potential issues and track decisions
· Collaborate with account management and pharmacy consultants to discuss results with clients and vendors
· Provide documentation during follow-up negotiations and discussions
· Work with IT to further develop Compliance Model logic and capabilities
· Assist in other financial projects as needed
Requirements:
· Bachelor’s degree in Business, Finance, or other health related field
· At least 3 years of either a) pharmacy benefit audit or b) claim adjudication research experience on one or more PBM platforms
· Working knowledge of the PBM industry and pharmacy benefit claims
Desired Skills:
· Proficient in Microsoft Office, with extensive experience working with Excel
· Basic SQL query building
· Strong verbal and written communication skills
· Detail-oriented
· Solid, independent worker (this position will likely be based in the applicant’s home)
· Pharmacy Technician Certification (preferred)
Company DescriptionLeading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down. We are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through our experience in the healthcare industry, the company aims to improve healthcare outcomes, achieve cost savings and serve as a single point of contact to move into value-based care. 
<h3>Company Description</h3>
Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down.\r\n\r\nWe are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through our experience in the healthcare industry, the company aims to improve healthcare outcomes, achieve cost savings and serve as a single point of contact to move into value-based care.

Pharmacy Benefit Audit Analyst

<h3>Job Description</h3>
Job Description
Looking for experienced landscapers who know how to trim trees/hedges, use a lawnmower, and weedwack. Available Monday-Saturday ON CALL. No set schedule.

LANDSCAPERS

<h3>Job Description</h3>
Job Description
Company:&nbsp;#1 Online Rated Choice for Residential Hurricane impact Window and Door Installation.
Entry Level Canvass Representative Salary Plus Commission $45K-$75K - No Selling!- Schedule FREE window, door and roofing estimates for homeowner.
Responsibilities: • Connect with homeowners and build rapport • Schedule FREE estimate appointments for windows, doors and roofing • Work outdoors and engage directly with potential clients
Requirements: • Outgoing personality with strong communication skills • Motivated to earn and hit goals
Offer: • Competitive earnings: Hourly plus commission per year • 5-day schedule, field-based work • Great opportunities for career advancement
To Apply: All applicants must submit their updated resume along with their contact phone number. Once qualified, selected candidates will be contacted for a phone interview.
Company Description#1 Online Rated Choice for Residential Hurricane impact Window and Door Installation. 
<h3>Company Description</h3>
#1 Online Rated Choice for Residential Hurricane impact Window and Door Installation.

Entry Level Representative Salary Plus Commission $45K-$75K

<h3>Job Description</h3>
Job Description
Estamos contratando Agentes de Seguros que tengan Experiencia en seguros de Auto, Casas y Seguros Commerciales) para puestos de tiempo completo. El salario se basa en el servicio al cliente y la experiencia de seguro + Bonificación.
Requisitos Principales:
<ul>
<li>Responsables con el trabajo y las tareas que se les asignen</li>
<li>Con habilidades para la venta y/o el servicio al cliente</li>
<li>Que sepan trabajar en equipo</li>
<li>Que tengan buen desempeño en el trabajo de Oficina</li>
<li>Bilingüe</li>
<li>La experiencia con seguros de automóviles, propietarios de viviendas y comerciales es preferible</li>
<li>Horario de Oficina / Horario Flexible.</li>
</ul>
Será contactado después de que su currículum haya sido revisado.
------------------------------------------------------------------------------------------------
We are hiring Insurance Agents (Experience in Auto, House or Commercial Insurance) for full-time positions.
Main Requirements:
<ul>
<li>Responsible for the work and tasks assigned to them</li>
<li>With skills for sale and / or customer service</li>
<li>Team Work</li>
<li>Have a good performance in the office work</li>
<li>4-40 licenses is required</li>
<li>Bilingual is an advantage</li>
<li>Office hours / Flexible hours.</li>
</ul>
You will be contacted after your resume has been reviewed.
Report job

CSR - 440 Insurance Agent Auto/Home/Commercial/ Insurance

<h3>Job Description</h3>
Job Description
Tired of the daily commute? Connect with us at Kenneth Brown Agency and thrive in a remote position that values your expertise and offers genuine autonomy. Ready to redefine your professional journey? Kenneth Brown Agency is seeking highly driven Remote Sales Customer Representative professionals to join our thriving remote sales force. This isn't just another work-from-home opportunity; it's a chance to truly empower individuals and families, guiding them towards crucial financial security with solutions like Life Insurance, IUL, and Annuities. If you're a relationship builder who thrives on independence and direct impact, let's talk.
Your Contribution as a Remote Remote Sales Customer Representative:
As a key player, you'll be the pivotal connection, guiding clients toward astute financial decisions. Your day-to-day will involve:
<ul>
<li>
Client Cultivation: Engaging virtually with our pre-qualified clients to forge lasting, trusting relationships.
</li>
<li>
Insightful Discovery: Diving deep into clients' individual situations and aspirations to pinpoint their unique financial needs.
</li>
<li>
Strategic Guidance: Articulating customized solutions for Life Insurance, Indexed Universal Life (IUL), and Annuities through engaging virtual presentations.
</li>
<li>
End-to-End Empowerment: Seamlessly navigating clients from their initial inquiry all the way through successful plan implementation.
</li>
<li>
Optimized Operations: Utilizing our CRM system to meticulously manage interactions and streamline your workflow.
</li>
</ul>
Why This Opportunity Is Unmatched:
<ul>
<li>
Performance-Driven Earnings: Your dedication directly propels your income with an unlimited commission structure.
</li>
<li>
Total Work-Life Integration: Enjoy the freedom to design your own flexible remote schedule from your comfortable home.
</li>
<li>
Focused Engagement: Work exclusively with warm leads – no cold calling required, allowing you to concentrate on building rapport.
</li>
<li>
Accelerated Growth: Benefit from comprehensive training, cutting-edge tools, and dedicated mentorship to propel your career.
</li>
<li>
Connected Community: Become part of a collaborative network of peers committed to shared success.
</li>
<li>
Holistic Support: Explore opportunities for life insurance and healthcare benefits to secure your well-being.
</li>
</ul>
We're Searching For Individuals Who Are:
<ul>
<li>
Exceptional Virtual Communicators: Adept at building rapport and conveying complex financial concepts clearly in a remote setting.
</li>
<li>
Highly Self-Reliant &amp; Accountable: Thrive independently and take full ownership of their results from a home-based environment.
</li>
<li>
Proactive Solution Architects: Results-oriented and dedicated to devising optimal financial solutions for clients.
</li>
<li>
Genuine Client Advocates: Passionate about making a profound, positive impact on clients' financial futures.
</li>
</ul>
Important Consideration: This is a 1099 independent contractor position. Compensation is exclusively commission-based.
Ready to seize command of your career trajectory in a thriving remote sales landscape? Discover this exciting opportunity and apply today!

Remote Sales Customer Representative

<h3>Job Description</h3>
About the Role
At Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos — blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.
Benefits for Registered Nurses (RNs)
<ul>
<li>Paid Time Off (PTO) and flexible schedule</li>
<li>Medical, dental, and vision coverage</li>
<li>401(k)</li>
<li>Weekly pay and direct deposit</li>
<li>24/7 on-call for support</li>
<li>CEU credits</li>
<li>Training opportunities</li>
<li>Preceptor Program</li>
<li>Nurse Referral Bonus</li>
<li>Access to a simple, easy-to-use website that supports your everyday functions!</li>
<li>Rack up Care Bucks&nbsp;for cash-value rewards. We believe in recognizing a job well done!</li>
<li>Discounts on movie tickets, car rentals, hotels, theme parks, and more!</li>
</ul>
Responsibilities of Registered Nurses (RNs)
<ul>
<li>Medication administration per physician orders</li>
<li>Physician ordered treatments for:
<ul>
<li>Nutrition via a feeding tube</li>
<li>Tracheostomy care</li>
<li>Suctioning&nbsp;—&nbsp;nasal, oral and/or endotracheal</li>
<li>Ventilation care</li>
<li>Seizure assessment and treatment</li>
</ul>
</li>
</ul>
Requirements for Registered Nurses (RNs)
<ul>
<li>Current, active Florida RN license</li>
<li>Current BLS CPR card (obtained in-person, not online)</li>
<li>G-tube, trach, vent experience, or willing to train</li>
<li>TB Skin Test (PPD) or TB Blood Test (QF)</li>
<li>Alzheimer's training - 2 Hour DOEA Approved Course (provided at no cost if needed)</li>
<li>1- Hour DOEA Alzheimer's Video (provided free of cost on DOEA website)</li>
</ul>
About Care Options for Kids
Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.
With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.
#APPNUFTL #RDNUFTL
Salary:
 $30.00 - $32.00 / hour

RN Registered Nurse (Pediatric)

<h3>Job Description</h3>
Job Description
JOB SUMMARY: Serves as the primary contact person who receives and triages calls from relative caregivers, self-referrals and community partners. Intake coordinator reviews referrals and assigns Kinship staff for program services. 
ESSENTIAL FUNCTIONS:

<ol>
<li>Facilitates the Kinship Services Referral Line, communicating effectively, appropriately and responds in a timely fashion to phone calls, faxes and correspondences.</li>
<li>Screens referrals thoroughly within research and evaluation protocols for families that come into the Referral Line.</li>
<li>Screens and reviews referrals with Kinship Director and Program Manager.</li>
<li>Assists and supports Program Managers with contract assignments and Kinship staff.</li>
<li>Prepares and maintains electronic database, forms and memos. </li>
<li>Maintains precise and accurate records and statistics for Kinship Referral Line and Children’s Home Network programs as assigned.</li>
<li>Communicates and educates community partners about Kinship Services;</li>
<li>Collects data for research and evaluation for monitoring of program outcomes;</li>
<li>Maintains effective relationships with supervisory staff, and community resource providers, emphasizing facilitation of referrals; </li>
<li>Participates in organization’s continuous quality improvement efforts;</li>
<li>Attends training and conferences as directed by Program Manager.</li>
<li>Opens and closes cases in MyEvolv.</li>
<li>Documents contacts with caregivers in FSFN.</li>
<li>Performs other related duties as assigned.</li>
</ol>
***THESE ESSENTIAL JOB FUNCTIONS ARE NOT TO BE CONSTRUED AS A COMPLETE STATEMENT OF ALL DUTIES PERFORMED. EMPLOYEES WILL BE REQUIRED TO PERFORM OTHER JOB RELATED MARGINAL DUTIES AS REQUIRED***
MINIMUM QUALIFICATION REQUIREMENTS:
Education &amp; Experience
High school graduate or equivalent from an accredited institution with 3 or more years administrative support experience in a Human Service Field. Bi-lingual, Spanish speaking required.
Licenses &amp; Certifications:
<ul>
<li>Must possess and maintain a valid Florida driver’s license with no record of criminal driving offense or license suspension. </li>
<li>Must possess means of providing job related transportation and show proof of required insurance. Must be insurable under CHN’s current auto insurance policy.</li>
<li>Must be able to work flexible hours, including evenings and weekends. </li>
<li>Must successfully complete and maintain FDLE clearance, Federal background and state criminal background check and sexual predator screening.</li>
</ul>
COMPETENCIES &amp; PROFESSIONAL DEVELOPMENT:
Annual Training Requirements: The following training topics are required annually: Sexual Harassment, Blood-born Pathogens, Workplace Accident Prevention and Reporting, Confidentiality and Privacy Practices, Diversity/Cultural Competency, Child Abuse and Neglect Mandated Reporter Statutes and Methods, Prevention of Violence in the Workplace, OSHA–related training, Crisis Prevention, and Program Goals.

Knowledge, Skills, Abilities &amp; Competencies:
<ul>
<li>Ability to communicate effectively in speech and in writing. </li>
<li>Ability to use correct grammar, spelling and punctuation in written correspondence. </li>
<li>Ability to type and accurately enter data into computerized systems.</li>
<li>Proficiency in Microsoft Office (MS Excel, MS Word, MS Outlook). </li>
<li>Possess time management and prioritization skills. </li>
<li>Possess a positive attitude concerning all aspects of working in a challenging environment, including significant patience and respect for children and families who can become quite angry and demanding, sensitivity to cultural needs and willingness to serve as a positive member of a working team. </li>
<li>Bi-lingual in Spanish required.</li>
<li> </li>
</ul>
Supervision Received: 
Supervision is provided in the form of one-on-one supervision and regular team meetings. Specific guidelines and policies and procedures form the basis for performance monitoring. 
ESSENTIAL PHYSICAL SKILLS:
<ul>
<li>Possess good hearing (with or without hearing devices)</li>
<li>Ability to use a personal computer and related office equipment. Frequent use of hands and fingers for typing</li>
<li>Ability to speak clearly and effectively</li>
<li>Ability to work within an office setting requiring keyboard skills and administrative activities of a sedentary nature</li>
<li>Ability to operate a motor vehicle</li>
<li>Reasonable accommodation will be made for otherwise qualified individuals with a disability</li>
</ul>

ENVIRONMENTAL CONDITIONS:
<ul>
<li>Works within an office environment.</li>
</ul>

Kinship Intake Coordinator

<h3>Job Description</h3>
Job DescriptionDescription:
Summary:
The Basic X-Ray Machine Operator (BXMO) abides by the legal boundaries of practice based on the knowledge and statutes of the designated State Radiology Technology Board of Examiners and State Professional Occupational Standards. Within the state, the team member performs only those acts, functions, or task that the BXMO is licensed, qualified, trained, knowledgeable and/or skilled to perform. The team member follows and implements the rules and regulations set forth by the standards of practice. The BXMO accepts responsibility for individual actions and continued competence and will complete all competencies and proficiency training required by company policy. 
 
Essential Duties and Responsibilities include the following:
<ul>
<li>Maintains appropriate clinical standards. Follows the policy and procedures as written in the Company Policy and Procedure Manual.</li>
<li>Recognizes the patient’s individual rights and cultural diversity; aids the patients in their right to be informed and to participate in making decisions in all aspects of their medical care and treatment.</li>
<li>Administers appropriate high quality, patient-focused health care.</li>
<li>Operates imaging equipment and other ancillary equipment properly and safely. </li>
<li>Practices correct radiation protection, shielding and collimating, and proper exposure factors on each patient. Adheres to ALARA principles. </li>
<li>Positions patient in the correct position to obtain required radiographs.</li>
<li>Completes exams in a timely and efficient manner and evaluates each film for acceptable technical quality.</li>
<li>Strives to reduce retakes and conservation of supplies.</li>
<li>Will be responsible each shift to make sure that the clinician on duty is reviewing x-ray reports that were sent out for over-reads to a radiologist.</li>
<li>Maintains proper filing of all x-rays, discs, and folders.</li>
<li>Patient care functions may include triage/check-in assessment and discharge, CLIA waived point of care testing, wound care, splinting application and other treatments ordered by the provider. </li>
<li>Initiates a patient education plan according to the individualized needs of the patient, as prescribed by clinician, including patient and family instruction; ensures that all aspects of care have respect for personal values and beliefs, and is focused on the individual needs of each patient.</li>
<li>Maintains all clinical documentation, including quality control and compliance logs required by company policy and applicable regulatory agencies. </li>
<li>Accurately, efficiently, and completely documents all clinical patient care data.</li>
<li>Utilizes all equipment, supplies, facilities, and resources of the Company in a prudent and efficient manner. </li>
<li>Assists staff and clinicians on duty at all times during a shift, including, but not limited to, the unpacking of supplies and maintaining the general aesthetics of the clinic. Cleans instruments and equipment per company guidelines, maintains stock in all exam rooms before, during, and after each shift. Assists in turning over exam rooms, procedure rooms, and treatment rooms immediately after a patient is discharged from that room. Assists non-ambulatory patients to and from the building.</li>
<li>Participates in department quality improvement activities, staff educational programs, attends departmental meetings, and demonstrates and maintains clinical competency in the delivery of patient care services in accordance with Company guidelines.</li>
<li>BXMO ensures that they are only performing x-rays that are within their scope of practice.</li>
<li>Follows all scripting provided for patient interactions.</li>
<li>Receives incoming telephone calls with provided scripting, exercises judgment to prioritize calls, and courteously direct calls to the appropriate personnel in a prudent and efficient manner.</li>
<li>Greets patients in a friendly manner and collects insurance card and Identification. Communicate with patient you are verifying their insurance. Respectfully asks the patient to fill out the patient information form to obtain and record name, address, age, persons to notify in case of emergency, attending Physician, pharmacy, and individual or insurance company responsible for payment of bill.</li>
<li>Enters patient admitting information into computer and adds patient on clinic schedule.</li>
<li>Receives payment on account and performs necessary accounting duties in accordance with the standard procedures of the department.</li>
<li>Responsible for daily ledger balancing and preparation of bank deposits.</li>
<li>Will perform all other duties, as assigned.</li>
</ul>
 
 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
Requirements:
Education and/or Experience A minimum of a High School Diploma or equivalent is required. Limited capacity state licensure is required. Applicable state approved limited radiography guidelines to include all body categories as required for the scope of practice. 
 
Certificates, Licenses, Registrations State required EMT, LPN, RN license or Medical Assistant diploma or certification if applicable; state required certifications if applicable, Basic Life Support certification is required. The BXMO will work under the supervision of a licensed practitioner.
 
Language Skills Ability to read, analyze, and interpret technical procedures or governmental regulations. Ability to write reports and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
 
Reasoning Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
 
Computer Skills To perform this job successfully, an individual should have knowledge of EMR, Excel Spreadsheet software and MS Word Processing software.
 
Other Skills and Abilities
Ability to maintain and demonstrate proficiency of skills.
 
Physical Demands The physical demands described here are representative of those that must be met by an team member to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
While performing the duties of this job, the team member is regularly required to stand or walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear; reach, stoop, bend, kneel, and/or crouch. The team member must frequently lift supplies and/or equipment and may be responsible for lifting, positioning, and/or transferring patients. 
 
Work Environment The work environment characteristics described here are representative of those an team member encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
The noise level in the work environment is usually quiet to moderate. The team member may be exposed to infectious or contagious diseases and a variety of electromechanical hazards. 
 
 
The above job description is intended to describe the general nature and level of work being performed in the described position. This document is not intended to be an exhaustive list of all position duties and skills required of the individual classified in this position.

Basic X-Ray Machine Operator - Full Time or PRN

<h3>Job Description</h3>
Job Description
We are North Shore Medical Center
Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.
We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.
WHAT WE OFFER 
<ul>
<li>Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.</li>
<li>Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).</li>
<li>Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.</li>
</ul>
 
Qualifications/Requirements
 Graduate of AMA accredited Radiation Therapy Technology Program and registered by American Registryof Radiologic Technologists (ARRT). Must be licensed by the Florida Department of Health, Bureau ofRadiation Control. Current (BLS) Basic Life Support card.G. Required Work Related Experience:Minimum of 1-year active experience in Radiation Therapy Technology, is preferred. 
Skills and Abilities
Necessitates ability to assess patient's condition, formulate plan of care, and evaluate patient's responseto care and treatment. Ability to exercise judgment, verbally communicate with patients, and visuallymonitor and adjust gauges and dials with precise coordination.
Minimum of 1-year active experience in Radiation Therapy Technology preferred.

35,620 Insurance Jobs in Plantation, FL, USA