Aspire Health jobs in Fort Lauderdale, FL - 70 jobs

We are seeking a Cybersecurity Engineer to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: As a Cybersecurity Engineer, you will play a critical role in protecting our organization's information systems and data from cyber threats. You will design, implement, and maintain security measures that safeguard our networks, applications, and infrastructure. Your work will involve continuous monitoring and analysis to detect vulnerabilities and respond to security incidents promptly. Collaborating with cross-functional teams, you will ensure compliance with industry standards and regulatory requirements. Ultimately, your efforts will help maintain the confidentiality, integrity, and availability of our digital assets, supporting the organization's overall risk management strategy. Minimum Qualifications: Bachelor's degree in Computer Science, Information Technology, Cybersecurity, or a related field. 5+ years of work experience in Cyber Security related duties such as incident detection, response and forensics. Strong understanding of network protocols, firewalls, VPNs, and security technologies. Experience with security monitoring tools and incident response processes. Familiarity with regulatory frameworks such as NIST, ISO 27001, or GDPR. Must have at least one Professional Cyber Security Certification (CISSP, CISM, CASP, CEH) Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Master's degree in Computer Science, Information Technology, Cybersecurity, or a related field. Knowledge of scripting or programming languages such as Python, PowerShell, or Bash. Hands-on experience with SIEM tools and automation of security workflows. Background in threat intelligence and advanced persistent threat (APT) mitigation. Design, implement, and manage systems for user authentication, authorization, and access control, requiring skills in platforms like Okta, Azure AD, SAML, OIDC Responsibilities: Develop, configure, and maintain security tools such as firewalls, intrusion detection/prevention systems, and endpoint protection solutions. Conduct regular security assessments, vulnerability scans, and penetration tests to identify and remediate potential risks. Monitor network traffic and security alerts to detect and respond to suspicious activities or breaches. Collaborate with IT and development teams to integrate security best practices into system architecture and software development lifecycle. Create and maintain documentation related to security policies, procedures, and incident response plans. Stay current with emerging cybersecurity threats, technologies, and regulatory changes to proactively enhance security posture. Provide training and guidance to staff on security awareness and best practices.

We are seeking a Talent Acquisition Specialist to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Talent Acquisition Specialist in the Health Care Services industry plays a crucial role in identifying, attracting, and hiring top talent to meet the organization's staffing needs. This position is responsible for developing and implementing effective recruitment strategies that align with the company's goals and values. The specialist will collaborate with hiring managers to understand their specific requirements and create s that accurately reflect the roles. Additionally, the role involves building a strong employer brand to attract candidates who are not only qualified but also a good cultural fit. Ultimately, the success of this position is measured by the quality of hires and the efficiency of the recruitment process. Minimum Qualifications: Associate's degree in Human Resources, Business Administration, or a related field. Proven experience in talent acquisition or recruitment, preferably in the health care industry. Strong understanding of recruitment processes and best practices. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Bachelor's degree in Human Resources, Business Administration, or a related field. Certification in Human Resources (e.g., PHR, SPHR, SHRM-CP, SHRM-SCP). Experience with applicant tracking systems (ATS) and HR software. Knowledge of labor laws and regulations related to hiring. Responsibilities: Develop and implement recruitment strategies to attract qualified candidates for various positions within the organization. Collaborate with hiring managers to understand their staffing needs and create detailed job descriptions. Source candidates through various channels, including job boards, social media, and networking events. Conduct interviews and assessments to evaluate candidates' skills and fit for the organization. Manage the candidate experience throughout the recruitment process, ensuring timely communication and feedback.

ABOUT US Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources. Position Summary The Transition of Care Coordinator is responsible for identifying and assisting Skilled Nursing Facility (SNF) enrollees who are potential candidates for transitioning into a community setting. The Transition of Care Coordinator works in collaboration with the Skilled Nursing Facility staff, care managers, enrollees, and families to coordinate proper care and promote a safe and successful transition. Transition of Care Coordinator is also responsible for the monitoring of community enrollees who are receiving short-term rehab services in the SNF to ensure a safe transition back to the community and prevent a reverse transition. This includes assessing the enrollee's interest, needs, and support as well as developing strategies to overcome and mitigate barriers to a successful transition. Essential Functions Core duties and responsibilities include the following. Other duties may be assigned. Collaborate with the SNF care managers to facilitate transition activities to include: Educate enrollees and their families/representatives about the transition program and assistance available. Identify potential Nursing Home Transitions (NHT). Assess the enrollee's functional and medical needs. Identify an appropriate community setting. Evaluate the community setting for safety. Ensure LTC services are in place upon discharge. Collaborate with SNF staff to ensure enrollee is discharged with any necessary Medicare covered services. Conduct weekly follow ups on enrollees receiving rehabilitative services in the SNF to develop a plan for safe and appropriate transition back to a community setting. Collaborate with community providers to establish positive partnerships. Participate in weekly interdisciplinary care team meetings to: Review potential NHTs. Review status of current NHTs. Review of enrollees receiving rehabilitative services in the SNF, including discharge plans. Able to meet monthly Nursing Home Transition goal. Education and Experience Bachelor's Degree in Social Work, Sociology, Psychology, Gerontology, or a related Social Services field Master's Degree (preferred but not required) Registered Nurse, licensed in the State of Florida (preferred but not required) Experience in the Long-Term Care Program (preferred but not required) Proficiency of Microsoft Office applications including Office, Excel, and Outlook Experience/ knowledge in Medicare and Medicaid Knowledge of Federal and State and Statewide Medicaid Managed Care regulations (preferred) Bilingual - Spanish/English a plus Required Skills 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. Verbal Communication - Excellent verbal communication skills with the ability to clearly present information orally and/or influence others through oral presentation. Written Communication - Excellent written communication skills with the ability to effectively write and extract information from written material. Teamwork - Ability to work with people and effectively motivate others to achieve intended goals and objectives. Organization and Planning - Ability to prioritize, organize tasks and develop the necessary action plans to accomplish specific goals, within the required timeframes/deadlines. Decision Making and Problem Solving - Ability to identify a problem and implement interventions and solutions while exhibiting good sound judgment in the process; ability to take a systematic approach to decision making by identifying a problem or deficiency, examining the cause or barriers, and implementing interventions and improvement strategies. Physical Demands The physical demands described here are representative of those that must be met by an employee 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 employee is occasionally required to stand, walk, sit, use hands, reach with hands, and arms, talk and hear. The employee must occasionally life and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to focus. Must be able to work in a fast-paced environment. Work Environment The work environment characteristics described here are representative of those an employee 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 moderate. Drug Free Workplace In compliance with the Drug-Free Workplace Act of 1988, Florida Community Care has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse poses a threat to the health and safety of FCC employees and members and to the security of the company's equipment and facilities. For these reasons, FCC is committed to the elimination of drug and alcohol use and abuse in the workplace. Travel This position requires up to 70% travel. Travel is primarily local. EEO STATEMENT In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are seeking a Manager, Business Development to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Manager, Business Development in Health Care Services plays a pivotal role in driving the growth and expansion of the organization by identifying new market opportunities and fostering strategic partnerships. This position requires a deep understanding of the healthcare industry landscape to develop and implement effective business strategies that align with organizational goals. The manager will lead initiatives to enhance client acquisition, retention, and satisfaction by collaborating closely with cross-functional teams including marketing, operations, and clinical services. They will also analyze market trends, competitor activities, and regulatory changes to proactively adapt business plans and maintain a competitive edge. Ultimately, this role is responsible for delivering measurable revenue growth and strengthening the organization's presence within the healthcare services sector. Minimum Qualifications: Bachelor's degree in Business Administration, Healthcare Management, or a related field. Minimum of 5 years of experience in business development, preferably within the healthcare services industry. Proven track record of successfully developing and closing business deals and partnerships. Strong understanding of healthcare market dynamics, regulations, and reimbursement processes. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Master's degree in Business Administration (MBA) or Healthcare Administration. Experience working with electronic health records (EHR) systems and healthcare technology solutions. Familiarity with healthcare compliance standards such as HIPAA and accreditation requirements. Demonstrated leadership experience managing cross-functional teams. Professional certifications related to healthcare management or business development. Responsibilities: Identify and evaluate new business opportunities in the healthcare services market to drive revenue growth. Build and maintain relationships with key stakeholders, including providers, payers, and community partners. Develop and execute strategic business development plans aligned with organizational goals. Collaborate with internal teams to create tailored service offerings that meet client and regulatory needs. Conduct market research and competitive analysis to guide strategy and identify emerging trends.

We are seeking a Executive Assistant to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Executive Assistant in the Health Care Services industry plays a pivotal role in ensuring the smooth and efficient operation of the executive office. This position is responsible for managing complex calendars, coordinating travel arrangements, and facilitating communication between executives and internal or external stakeholders. The Executive Assistant acts as a gatekeeper, prioritizing and organizing meetings and correspondence to optimize the executive's time and productivity. Additionally, this role supports the preparation of presentations and reports, often utilizing Microsoft Office tools to deliver polished and professional materials. Ultimately, the Executive Assistant contributes to the overall effectiveness of the leadership team by providing comprehensive administrative support and anticipating the needs of the executives they serve. Minimum Qualifications: Associate degree in business administration, or related field Proven experience as an Executive Assistant or in a similar administrative role. Proficiency in Microsoft Office Suite, including Word and PowerPoint. Strong organizational and time management skills with the ability to manage multiple priorities. Ability to handle confidential information with discretion and professionalism. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Bachelor's degree in business administration, or related field. Experience working in the Health Care Services industry or a related field. Familiarity with specialized scheduling and travel management software. Experience with Microsoft Excel or other data management tools. Demonstrated ability to work effectively in a fast-paced, dynamic environment. Responsibilities: Manage and maintain executives' calendars, scheduling appointments, meetings, and events with attention to detail and priority. Coordinate complex travel arrangements including flights, accommodations, and transportation to ensure seamless itineraries. Prepare, edit, and format presentations and documents using Microsoft PowerPoint and Word to support executive communications. Arrange and facilitate meetings, including preparing agendas, taking minutes, and following up on action items. Provide general administrative assistance such as handling correspondence, managing files, and supporting special projects as needed.

We are seeking a Business Development Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Business Development Coordinator in the Health Care Services industry plays a pivotal role in driving the growth and expansion of the organization by identifying new business opportunities and fostering strong relationships with clients and partners. This position requires a strategic thinker who can analyze market trends, support the development of business proposals, and coordinate cross-functional teams to implement growth initiatives effectively. The coordinator will serve as a liaison between internal departments and external stakeholders to ensure alignment and successful execution of business development strategies. By managing communications, tracking progress, and providing detailed reports, this role ensures that business objectives are met and opportunities for improvement are identified. Ultimately, the Business Development Coordinator contributes to enhancing the organization's market presence and achieving sustainable revenue growth within the healthcare sector. Minimum Qualifications: Associate's degree in Business Administration, Healthcare Management, Marketing, or a related field. At least 2 years of experience in business development, sales coordination, or a related role within the healthcare industry. Strong proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and CRM software. Demonstrated ability to manage multiple projects simultaneously and meet deadlines. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Bachelor's degree in Business Administration, Healthcare Management, Marketing, or a related field. Experience working in a healthcare services environment or familiarity with healthcare regulations and compliance. Knowledge of healthcare market dynamics and competitive landscape. Proficiency in data analysis tools and techniques to support market research and reporting. Certification in Business Development or Project Management (e.g., PMP, CBP) is a plus. Experience with digital marketing and social media platforms to support outreach efforts. Responsibilities: Conduct market research to identify potential clients, partners, and emerging trends within the healthcare industry. Assist in the development and preparation of business proposals, presentations, and contracts to support sales and partnership efforts. Coordinate meetings, communications, and follow-ups between internal teams and external stakeholders to facilitate business development activities. Track and report on key performance indicators related to business development initiatives and provide actionable insights to management. Support the planning and execution of marketing campaigns and events aimed at promoting the organization's services and expanding its client base.

We are seeking a Care Manager Assistant to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Care Manager Assistant plays a vital role in supporting care managers to ensure the delivery of high-quality, member-centered healthcare services. This position involves coordinating communication between members, healthcare providers, and support services to facilitate effective care plans and follow-ups. The care manager assistant helps manage member records, schedules appointments, and assists in monitoring member progress to promote optimal health outcomes. By providing administrative and logistical support, the Care Manager Assistant enables care managers to focus on clinical decision-making and personalized care strategies. Ultimately, this role contributes to improving patient satisfaction and the overall efficiency of healthcare service delivery. The Case Manager Assistant is responsible to assist Case Managers in the implementation of various interventions in members' individualized care plans. Minimum Qualifications: High school diploma or GED. 1+ years in healthcare experience. Basic knowledge of healthcare terminology and patient care processes. Proficiency in using electronic health record (EHR) systems and standard office software. Ability to handle sensitive information with discretion and maintain patient confidentiality. Preferred Qualifications: Associate degree in healthcare or related field preferred. Familiarity with healthcare regulations such as HIPAA and patient privacy standards. Experience working in a healthcare setting, particularly in care coordination or case management support. Certification in medical administration or healthcare support services. Bilingual abilities to support diverse patient populations. Training in customer service or patient advocacy. Responsibilities: Assist care managers in coordinating patient care activities and follow-up appointments. Maintain and update accurate patient records and documentation in compliance with healthcare regulations. Communicate effectively with members, families, and healthcare providers to facilitate care plans and address concerns. Help monitor patient progress and report relevant information to care managers for timely interventions. Prepare and organize care management reports and documentation for internal and external use.

We are seeking a Business Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Business Analyst in the Health Care Services industry plays a critical role in bridging the gap between business needs and technology solutions. This position is responsible for thoroughly analyzing current business processes, identifying areas for improvement, and defining clear business requirements to support strategic initiatives. As a Business Analyst, you will be responsible for analyzing business requirements, identifying gaps, and providing analytical solutions to improve business processes. Your end goal will be to ensure that our organization operates efficiently and effectively. You will work closely with stakeholders to gather business requirements, create process maps, and facilitate process improvements. Your work will be critical in ensuring that our organization meets its goals and objectives. Minimum Qualifications: Associate's degree in Business Administration, Computer Science, or related field 2+ years of experience in business analysis Experience in gathering business requirements, process mapping, and data cleansing Proficiency in Microsoft Visio Strong analytical thinking and a proactive approach to problem-solving Relevant experience may substitute for the educational requirement on a year-for-year basis Preferred Qualifications: Bachelor's degree in Business Administration, Computer Science, or related field Experience in the Health Care Services industry Certification in Business Analysis Responsibilities: Analyze business requirements and identify gaps to provide analytical solutions Work closely with stakeholders to gather business requirements Create process mapping and perform data cleansing Facilitate process improvement activities, including process automation to ensure that systems and applications meets business requirements Collaborate with cross-functional teams to implement process improvements

About the Role: The Manager, Claims Administration Call Center is responsible for overseeing the daily operations of the call center to ensure efficient and effective handling of insurance claims inquiries and processing. The Manager, Claims Administration Call Center, is responsible for the guidance and direction of the staff within the Claims and Call Center Department. The Manager will provide leadership to enable the staff to meet departmental and company goals. Minimum Qualifications: High School diploma/GED required Strong knowledge of claims processing and insurance terminology. Preferred Qualifications: Associate's or Bachelors degree Prior Supervisory experience preferred Experience with call center technology platforms such as CRM and workforce management software. Responsibilities: Control distribution of claims to examiners to meet processing / production goals. Ensure timely and accurate claim processing; assist with claim processing, as necessary. Prepare management reports relating to production and quality; provide feedback to staff. Review quality statistics / trends; coordinate efforts with the Quality Assurance Department to implement necessary steps for improvement. Monitor written and telephone inquiries to ensure responses are sent accurately and timely. Monitor correspondence activity and daily forecasting methodologies to meet departmental and client specific goals and objectives. Monitor production of agents with regards to daily written correspondence activity, quality of service, and consistency of information. Support the department with strategic goals, implementation of new business and state/client audit reviews.

We are seeking a Care Coordinator IDD Pilot Program to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Care Coordinator for the IDD Pilot Program plays a pivotal role in managing and facilitating comprehensive care plans for individuals with intellectual and developmental disabilities. This position ensures that participants receive coordinated, person-centered services that promote their health, well-being, and independence. The Care Coordinator acts as a liaison between healthcare providers, community resources, families, and the individuals themselves to streamline access to necessary supports and services. By monitoring progress and adjusting care plans as needed, the role contributes to improved health outcomes and quality of life for program members. Ultimately, the Care Coordinator's core functions include assessing individual needs, developing a person-centered support plan, coordinating services and care, and serving as the enrollee's advocate. Minimum Qualifications: With the following qualifications, have a minimum of two (2) years of relevant experience working with individuals with intellectual developmental disabilities: Bachelor's degree in social work, sociology, psychology, gerontology, or related social services field. Bachelor's degree in field other than social science Registered Nurse (RN) licensed to practice in the state of Florida. Licensed Practical Nurse (LPN) with a minimum of four (4) years of relevant experience working with individuals with intellectual developmental disabilities. Relevant professional human service experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Master's degree in social work, public health, or a related discipline. Certification in care coordination or case management (e.g., CCM, CCRC). Experience with Medicaid waiver programs or other disability support services. Familiarity with behavioral health interventions and supports. Responsibilities: Serve as the primary point of contact for the enrollee and their authorized representatives. Assess needs, identify care gaps, and develop a person-centered support plan. Coordinate services and care across the continuum and facilitate communication with providers and community resources. Provide education and support on available resources and self-advocacy. Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.

Job Description We are seeking a Claims Examiner to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Claims Examiner plays a critical role in the health care and social assistance industry by thoroughly reviewing and evaluating insurance claims to ensure accuracy, compliance, and appropriateness of payments. This position involves analyzing medical documentation, policy details, and billing information to determine the validity of claims and identify any discrepancies or potential fraud. The Examiner collaborates with healthcare providers, insurance agents, and internal teams to resolve claim issues and facilitate timely reimbursement. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Examiner helps protect the organization from financial loss and supports the delivery of fair and efficient claims processing. Ultimately, this role contributes to the integrity and sustainability of the healthcare insurance system by ensuring claims are processed accurately and ethically. Minimum Qualifications: High school diploma or GED Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. Strong understanding of medical terminology, insurance policies, and healthcare billing codes (e.g., ICD-10, CPT). Proficiency with claims management software and Microsoft Office suite. Preferred Qualifications: Associate's degree or Bachelor's degree in health administration, healthcare management, or a related discipline. Certification such as Certified Professional Coder (CPC) or Certified Claims Professional (CCP). Experience working within the health care and social assistance industry or with government healthcare programs. Familiarity with regulatory frameworks such as HIPAA and the Affordable Care Act. Responsibilities: Review and analyze health insurance claims for completeness, accuracy, and compliance with policy terms and regulatory requirements. Verify medical codes, treatment documentation, and billing information to ensure services are properly covered and billed. Investigate and resolve claim discrepancies by communicating with providers, members, and internal departments. Identify and escalate potential fraudulent claims or billing errors to compliance or legal teams. Maintain detailed records of claim evaluations and stay current with healthcare laws and industry standards to support audits and improve processing workflows.

Job Description We are seeking a Specialist Accounts Payables to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Specialist Accounts Payables plays a critical role in ensuring the accurate and timely processing of all vendor invoices and payments within the healthcare and social assistance sector. This position is responsible for maintaining strong vendor relationships by resolving discrepancies and inquiries efficiently, thereby supporting the organization's financial integrity and operational continuity. The role requires meticulous attention to detail to manage large volumes of transactions while adhering to internal controls and compliance standards specific to healthcare regulations. The Specialist will collaborate closely with various departments to verify purchase orders, contracts, and expense reports, ensuring all payments are justified and documented appropriately. Ultimately, this position contributes to the organization's financial health by managing accounts payable processes that support service delivery and organizational goals. Minimum Qualifications: Associate degree in Accounting, Finance, Business Administration, or a related field. At least 2 years of experience in accounts payable or a similar financial role. Proficiency with accounting software and Microsoft Office Suite, particularly Excel. Strong understanding of accounts payable processes and internal controls. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Bachelor's degree in Accounting, Finance, Business Administration, or a related field. Experience working in the healthcare or social assistance industry. Familiarity with healthcare billing and compliance regulations such as HIPAA. Knowledge of ERP systems such as SAP, Oracle, or Workday. Certification in accounting or finance (e.g., CPA, CMA, or Certified Accounts Payable Professional). Experience with process improvement methodologies such as Lean or Six Sigma. Responsibilities: Process, verify, and reconcile vendor invoices, ensuring accuracy, compliance, and alignment with purchase orders and contracts. Manage timely invoice payments to maintain strong vendor relationships and prevent service disruptions. Investigate and resolve discrepancies by collaborating with vendors, procurement, and internal departments. Maintain organized accounts payable records and prepare reports to support month-end and year-end closing processes. Contribute to process improvements by identifying inefficiencies and recommending solutions.

We are seeking a Manager, Community Outreach to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Manager, Community Outreach plays a pivotal role in fostering strong, positive relationships between the organization and the diverse communities it serves across the United States. This position is responsible for developing, implementing, and overseeing outreach programs that effectively engage community members, stakeholders, and partners to advance the organization's mission and goals. The role requires strategic planning to identify community needs and opportunities, ensuring that outreach efforts are inclusive, culturally sensitive, and impactful. The Manager will lead a team to coordinate events, campaigns, and partnerships that enhance community awareness and participation. Ultimately, this role drives community engagement initiatives that build trust, promote collaboration, and support sustainable community development. Minimum Qualifications: Bachelor's degree in Communications, Public Relations, Social Work, Community Development, or a related field. At least 5 years of experience in community outreach, public engagement, or a similar role. Proven ability to develop and manage community programs and partnerships. Strong written and verbal communication skills with experience in public speaking and presentation. Demonstrated leadership experience managing teams and coordinating multiple projects simultaneously. Hold an active Florida 2-15 (Health, Life & Annuities) or 2-40 (Health Only) insurance license Preferred Qualifications: Master's degree in relevant discipline such as Public Administration, Social Sciences, or Nonprofit Management. Experience working with diverse populations and understanding of cultural competency principles. Familiarity with digital outreach tools and social media platforms to enhance community engagement. Knowledge of grant writing and fundraising to support outreach initiatives. Bilingual abilities or proficiency in languages commonly spoken within target communities. Responsibilities: Design and execute comprehensive community outreach strategies that align with organizational objectives and address community needs. Build and maintain strong relationships with community leaders, organizations, government agencies, and other stakeholders to foster collaboration. Lead, mentor, and manage a team responsible for organizing outreach events, workshops, and informational sessions. Monitor and evaluate the effectiveness of outreach programs, using data and feedback to continuously improve engagement efforts. Prepare detailed reports and presentations to communicate outreach outcomes and insights to senior leadership and external partners.

We are seeking a Vendor Relations Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Vendor Relations Manager in the Health Care and Social Assistance industry plays a critical role in establishing and maintaining strong, productive partnerships with external vendors and service providers. This position is responsible for ensuring that all vendor interactions align with organizational goals, compliance standards, and quality expectations to support seamless healthcare delivery. The manager will oversee contract negotiations, performance evaluations, and issue resolution to optimize vendor contributions and mitigate risks. By fostering collaborative relationships, the role directly impacts operational efficiency, cost management, and service quality within the healthcare environment. Ultimately, the Vendor Relations Manager ensures that vendor partnerships contribute positively to patient care outcomes and organizational success. Minimum Qualifications: Bachelor's degree in Business Administration, Healthcare Management, or a related field. 2+ years of experience in vendor management or procurement. Strong knowledge of healthcare industry regulations, compliance standards, and vendor management best practices. Proven experience in contract negotiation and vendor performance evaluation. Relevant experience may substitute for the educational requirement on a year-for-year basis Preferred Qualifications: Master's degree in Healthcare Administration, Business, or a related discipline. Experience in the healthcare industry. Certification in vendor management or procurement. Experience with vendor management software. Responsibilities: Develop and maintain strategic relationships with healthcare vendors and suppliers to ensure high-quality service delivery and compliance with contractual obligations. Negotiate contracts, pricing, and service level agreements to achieve cost-effective and value-driven partnerships. Monitor vendor performance through regular assessments, audits, and feedback mechanisms to ensure adherence to quality and regulatory standards. Collaborate with internal departments such as procurement, legal, and clinical teams to align vendor services with organizational needs and compliance requirements. Resolve vendor-related issues promptly and effectively to minimize disruptions in healthcare operations and maintain positive working relationships.

Job Description We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Claims Auditor plays a critical role in ensuring the accuracy, compliance, and integrity of health care claims within the organization. This position involves conducting thorough audits of submitted claims to verify adherence to regulatory standards, contractual obligations, and internal policies. The auditor will identify discrepancies, potential fraud, and areas for process improvement, thereby safeguarding the organization's financial health and reputation. By collaborating with claims processors, healthcare providers, and compliance teams, the auditor helps to streamline claims management and reduce errors. Ultimately, this role supports the delivery of efficient and ethical health care services by maintaining transparent and accountable claims operations. Minimum Qualifications: Bachelor's degree in Accounting, Finance, Health Administration, or a related field. At least 2 years of experience in claims auditing, health care compliance, or a similar role within the health care industry. Strong knowledge of health care claims processes, insurance billing, and regulatory requirements such as HIPAA and CMS guidelines. Proficiency in audit software and Microsoft Office Suite, particularly Excel for data analysis. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Master's degree in Accounting, Finance, Health Administration, or a related field. Certification such as Certified Internal Auditor (CIA), Certified Professional Coder (CPC), or Certified Healthcare Auditor (CHA). Experience with electronic health records (EHR) systems and claims management software. Familiarity with fraud detection techniques and health care fraud prevention programs. Advanced training or coursework in health care law, compliance, or risk management. Demonstrated ability to lead audit projects or mentor junior auditors. Responsibilities: Conduct detailed audits of healthcare claims to ensure accuracy, compliance with regulations, and adherence to organizational policies. Analyze claim data and documentation to identify errors, inconsistencies, or potential fraud. Prepare comprehensive audit reports with findings, recommendations, and corrective actions for management and stakeholders. Collaborate with claims teams and healthcare providers to resolve discrepancies and drive process improvements. Stay updated on healthcare regulations and industry best practices, while supporting internal and external audits with relevant documentation and insights.

Job Description We are seeking a Hospice Aide to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Hospice Aide plays a vital role in providing compassionate and personalized care to patients receiving end-of-life services. This position focuses on supporting the physical, emotional, and comfort needs of hospice patients in their homes or care facilities. The aide works closely with nurses, social workers, and family members to ensure a holistic approach to patient care that respects dignity and quality of life. By assisting with daily living activities and monitoring patient conditions, the Hospice Aide CNA helps to alleviate discomfort and promote a peaceful environment. Ultimately, this role contributes significantly to the overall hospice care team's mission of delivering empathetic and respectful support during a critical phase of life. Minimum Qualifications: Valid Certified Nursing Assistant (CNA) certification in accordance with state regulations. Completion of a state-approved CNA training program with clinical experience. CPR certification required. Basic knowledge of patient care principles and infection control practices. Ability to communicate effectively in English with patients, families, and healthcare team members. Physical capability to assist patients with mobility and personal care tasks. Preferred Qualifications: Previous experience working in hospice or palliative care settings. Additional training or certification in end-of-life care or pain management. Familiarity with electronic health records (EHR) and documentation software. Strong interpersonal skills with a demonstrated ability to provide compassionate care. CPR and First Aid certification. Responsibilities: Assist patients with activities of daily living such as bathing, dressing, grooming, and toileting to maintain their comfort and hygiene. Monitor and report changes in patients' physical or emotional conditions to the nursing staff promptly. Provide companionship and emotional support to patients and their families, fostering a comforting and reassuring atmosphere. Help with light housekeeping tasks related to patient care areas to ensure a safe and clean environment. Support the hospice care team by documenting care provided and participating in care planning meetings as needed.

Job Description We are seeking an Utilization Management Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Utilization Management Coordinator plays a critical role in ensuring that healthcare services are delivered efficiently and effectively by overseeing the review and authorization of medical treatments and procedures. This position is responsible for coordinating utilization management activities to optimize member care while controlling costs and adhering to regulatory requirements. The role involves collaborating with healthcare providers, insurance companies, and internal teams to evaluate the necessity and appropriateness of medical services. The Coordinator will analyze clinical data and documentation to support decision-making processes and ensure compliance with organizational policies and healthcare standards. Ultimately, this position contributes to improving member outcomes by facilitating timely access to necessary care and preventing unnecessary or redundant services. Minimum Qualifications: Associate degree in Health Administration, or a related healthcare field Minimum of 2 years of experience in utilization management, case management, or a related healthcare coordination role. Strong knowledge of healthcare regulations, insurance processes, and medical terminology. Proficiency in electronic health records (EHR) systems and utilization management software. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Bachelor's degree in Nursing, Health Administration, or a related healthcare field. Certification in Utilization Review (e.g., Certified Professional in Utilization Review - CPUR) or Case Management (e.g., CCM). Experience working within managed care organizations or health insurance companies. Advanced knowledge of clinical guidelines and healthcare quality improvement methodologies. Familiarity with regulatory requirements such as HIPAA, URAC, and NCQA standards. Demonstrated ability to lead or participate in cross-functional teams focused on utilization management initiatives. Responsibilities: Conduct thorough reviews of medical records and treatment plans to determine the medical necessity and appropriateness of requested services. Coordinate communication between healthcare providers, insurance representatives, and internal departments to facilitate timely authorization and appeals processes. Maintain accurate documentation of utilization management activities and decisions in compliance with regulatory and organizational standards. Monitor and analyze utilization data to identify trends, potential issues, and opportunities for process improvement. Assist in developing and implementing utilization management policies and procedures to enhance operational efficiency and member care quality.

We are seeking a Manager, Provider Relations (IDD) to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Manager, Provider Relations (IDD) plays a critical role in fostering and maintaining strong partnerships with providers who deliver services to individuals with intellectual and developmental disabilities (IDD). This position is responsible for ensuring that provider networks are robust, compliant, and aligned with organizational goals to deliver high-quality care. The manager will lead efforts to resolve provider issues, facilitate communication, and support provider development initiatives to enhance service delivery. By collaborating closely with internal teams and external stakeholders, this role ensures that providers meet regulatory requirements and contractual obligations. Ultimately, the Manager, Provider Relations (IDD) drives continuous improvement in provider engagement and satisfaction, contributing to better outcomes for individuals served within the health care system. Minimum Qualifications: Bachelor's degree in Health Care Administration, Social Work, Public Health, or a related field. Minimum of 5 years of experience in provider relations, network management, or a related role within the health care or IDD services sector. Strong knowledge of intellectual and developmental disabilities service delivery systems and regulatory requirements. Relevant experience may substitute education requirement on a year-for-year basis. Preferred Qualifications: Master's degree in a relevant field such as Health Administration, Social Work, or Public Health. Experience working with Medicaid or other government-funded health care programs. Familiarity with quality improvement methodologies and data analysis tools. Proven leadership experience managing teams or projects within a health care setting. Responsibilities: Develop and maintain strong relationships with IDD service providers to ensure effective communication and collaboration. Monitor provider performance and compliance with contractual and regulatory standards, addressing any issues proactively. Lead provider network development initiatives, including recruitment, training, and retention strategies. Serve as the primary point of contact for provider inquiries, concerns, and dispute resolution. Collaborate with internal departments such as care management, to align provider services with organizational objectives. Analyze provider data and feedback to identify trends and opportunities for improvement. Coordinate provider meetings, training sessions, and informational events to support ongoing education and engagement. Ensure timely and accurate documentation of provider interactions and activities in relevant systems.

We are seeking a Software Engineer to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: As a Software Engineer you will play a critical role in designing, developing, and maintaining software solutions that improve patient care and streamline healthcare operations. Your work will directly impact the efficiency and effectiveness of healthcare delivery by creating reliable, secure, and scalable applications. You will collaborate closely with cross-functional teams including healthcare professionals, data scientists, and product managers to understand complex healthcare requirements and translate them into technical solutions. The role demands a strong commitment to quality, compliance with healthcare regulations, and continuous improvement to meet evolving industry standards. Ultimately, your contributions will help enhance patient & member outcomes and support the mission of providing accessible and high-quality healthcare services. Minimum Qualifications: Bachelor's degree in Computer Science, Software Engineering, or a related field. Proficiency in ASP.NET/C#, .NET Core, SQL, JavaScript programming languages required, Angular, Node and/or Typescript (not required, but would be a plus). Experience with scripting languages and HTML5 for web-based interfaces or automation. Strong understanding of software development lifecycle and version control systems, particularly Git. Demonstrated ability to develop secure and compliant software solutions in regulated environments. Relevant experience may substitute for educational requirement on a year-for-year basis. Preferred Qualifications: Masters degree in Computer Science, Software Engineering, or a related field. Experience working in the healthcare or social assistance industry. Familiarity with healthcare data standards and regulations such as HIPAA and HL7. Knowledge of cloud platforms and containerization technologies. Experience with agile development methodologies and DevOps practices. Advanced degree or certifications related to software development or healthcare IT. Responsibilities: Design, develop, test, and deploy software applications using ASP.NET/C#, .NET Core, SQL, JavaScript to meet healthcare-specific requirements. Collaborate with healthcare professionals and stakeholders to gather and analyze system requirements and translate them into technical specifications. Maintain and improve existing healthcare software systems, ensuring high performance, security, and compliance with healthcare regulations such as HIPAA. Write and maintain clear, efficient, and well-documented code, utilizing scripting languages for front-end and automation tasks. Use Git for version control to manage codebase changes, collaborate with team members, and support continuous integration and deployment processes.