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Cigna jobs in Tampa, FL

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  • Sr. Claims Examiner, Medical Malpractice

    Markel Corporation 4.8company rating

    Tampa, FL job

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. This position will be an acknowledged technical expert and be responsible for the resolution of complex and high exposure Healthcare claims with an emphasis on the excess and reinsurance business, and higher limits primary/stacked limits. The position will have significant responsibility for decision making and work autonomously within their authority. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims * Analyzes coverage and communicates coverage positions * Conducts, coordinates, and directs investigation into loss facts and extent of damages * Directs and monitors assignments to experts and outside counsel * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure * Sets reserves within authority or makes claim recommendations concerning reserve changes to manager * Negotiates and settles claims either directly or indirectly * Prepares reports by collecting and summarizing information * Adheres to Fair Claims Practices regulations * Assist in training and mentoring of specialists, particularly in the excess and reinsurance business * Serves as technical resource to subordinates and others in the organization * Review and approve correspondence, reports and authority requests as directed by manager * Participates in special projects or assists other team members as requested * Travel to mediations, trials, and conferences as required * Represents Markel's claims expertise on external panels and industry forums * Coordinates loss information for senior business stakeholders and presents during monthly/quarterly business meetings * Contributes to maintenance of claims guidelines and best practice procedures * Delivers technical training to colleagues and external contacts as appropriate * Ensures effective vendor and litigation management on claims with a focus on minimizing indemnity exposure and mitigating vendor and legal expense * Steps in for manager to assume managerial duties when manager is unavailable or requires assistance Education * Bachelor's Degree required * Juris Doctor optional Certification * Must have or be eligible to receive claims adjuster license. * Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or * I-Lead or other Management Training Work Experience * 7-10+ years of claims handling experience or equivalent combination of education and experience * Experience handling high exposure bodily injury healthcare claims Skill Sets * Market leading specialist knowledge within healthcare lines * Expert policy language skills enabling accurate and consistent policy wording interpretation * Experience in negotiation, mediation and arbitrations * Experience in conducting technical claims audits and effectively following up on findings * Ability to manage claims outside of local jurisdiction where appropriate, including understanding of laws and regulations * Strong senior stakeholder management experience, both internal (underwriting, distribution, actuarial, finance and executive management) and external (brokers, major account clients) * Ability to influence claims stakeholders and to effectively direct claims strategy * Ability to lead within a team environment * Strong presentation skills * Excellent written and oral communication skills * Strong analytical and problem solving skills * Strong organization and time management skills * Ability to deliver outstanding customer service * Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word) * Ability to work in a team environment * Strong desire for continuous improvement US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Sr. Claims Examiner is $78,000 - $107,250 with 15% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $68k-94k yearly est. Auto-Apply 26d ago
  • Director / Senior Director, Healthcare Product Line Leader

    Markel Corporation 4.8company rating

    Tampa, FL job

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The purpose of this position is to help lead and implement the strategy for the retail and wholesale healthcare portfolio. Provides leadership, direction and support to regional leaders and underwriter teams to achieve profitable production consistent with underwriting strategies. Is responsible for the oversight of underwriting standards, appetite, pricing and product development to ensure the delivery of a consistent product nationally. Ensures execution of best practices. Responsibilities * Assist in portfolio management initiatives to optimize risk selection * Achieve product line profitability, renewal retention, and new business growth targets * Maintain technical pricing and underwriting authority * Manage assigned product lines to reach revenue, profit, loss ratio and expense targets * Review and approval of accounts beyond delegated authority levels * Collaborate with actuarial, claims, product developments, IT, operations and regulatory * Oversee form and endorsement enhancements based on market needs * Prepare and deliver training to regional underwriting teams * Provide coaching to staff based on underwriting audit review * Identify emerging market trends and opportunities for new product offerings * Work closely with regions and business development to manage broker relationship Experience / Skill * Minimum 7 years underwriting experience of healthcare allied / miscellaneous facility accounts * Minimum 3 years of management experience including handling referrals * Undergraduate degree required; graduate degree a plus * Highest level of integrity * Must be a self-starter, showing initiative and ability to think entrepreneurially * Demonstratable communication style that conveys energy, enthusiasm, and confidence * Strong technical knowledge for writing healthcare accounts * Interpersonal skills with the emphasis on leadership, collaboration and teamwork * Ability to travel 25% US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, demonstrated competencies, geographic location, and other factors. The base salary range for the Director, Underwriting position is $162,800 - $223,850/year with a 55% bonus potential. The Sr. Director, Underwriting position is $188k - $259k/year with a 55% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $126k-152k yearly est. Auto-Apply 55d ago
  • Pharmacy Delivery Driver

    Unitedhealth Group 4.6company rating

    Tampa, FL job

    "A Day in the Life" video (***************************** **Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.** We seek a **Pharmacy Delivery Driver** to support all functions of the Genoa mental health and specialty pharmacy primarily through making deliveries to and from the pharmacy, clinic, and resident homes. **Schedule** : 35 hours per week. Monday 8am - 6pm, Tuesday to Thursday 8am - 4:30pm, Friday 8am - 3pm (Lunch 12:30pm - 1pm) **Location:** 12512 Bruce B Downs Blvd, Suite A142, Tampa, FL, 33612 **Primary Responsibilities:** + Coordinate delivery routes + Provide timely and accurate completion of deliveries in an efficient and courteous manner + Verify receipt and provide signature for receipt of items delivered + Process any required paperwork according to established procedures + Return attempted deliveries to pharmacy according to pharmacy policies + Various other duties may be assigned + Assisting consumers at drop off window + Assisting in pharmacy operations You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma/GED (or higher) + Beginner level of experience with computers + Valid state driver's license and a good driving record + Access to reliable transportation + Ability to read and follow maps and directions to customer locations **Preferred Qualifications:** + Delivery experience + Previous pharmacy experience + Customer Service experience + Experience in a healthcare setting Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #RED
    $16-24.2 hourly 47d ago
  • Associate Patient Care Coordinator

    Unitedhealth Group Inc. 4.6company rating

    Tarpon Springs, FL job

    Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Associate Patient Care Coordinator supports patient management, re-admits, and supports the clinicians in providing timely patient care. They are the first point of contact for patients and visitors. This role ensures a smooth, welcoming and efficient experience by managing check-ins, inbound and outbound calls, patient inquiries and administrative tasks that support overall operations. Work Schedule: Monday- Friday, 8 AM-5 PM Location: 1259 S Pinellas Ave, Tarpon Springs, FL 34689 Primary Responsibilities: * Centralized scheduling, making appointments, outreach to patients * Greets patients as they arrive and manage 15-minute wait time * Assists patients with intake processes including copying required documents * Collects co - payments, co - insurance and deductibles and issues receipts * Processes walk - in patients and visitors * Answers phones and schedules appointments * Manages medical records (maintains, files / scans, prepares for schedule) * Ensures all correspondence is scanned and / or filed in a timely manner * Processes requests for medical records release and maintains appropriate logs, etc. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High School Diploma/GED (or higher) * 1+ years of experience with data entry * 1+ years of customer service experience * 1+ years of experience working in medical office with understanding of procedures and medical terminology Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED
    $16-27.7 hourly 13d ago
  • GI position/Tampa, FL

    Healthcare United 4.7company rating

    Tampa, FL job

    Job Title: Board Eligible/Board Certified Gastroenterologist Healthcare United is seeking a Board Eligible or Board Certified Gastroenterologist to join a multi-specialty health clinic in Tampa, FL. The ideal candidate will have a strong work ethic, excellent communication skills, and a desire to deliver exceptional clinical care in an outpatient setting. Position Summary: 100% Outpatient practice. Base Salary with flexible Productivity Bonus. Patient Volume: 10-15 patients per day. Outpatient Endoscopy schedule. No Call, covered by ARNP/PA staff. Academic affiliation with opportunities for research. Flexible Schedule. Large Referral Base from the clinic and network providers. Requirements Board Eligible or Board Certified in Gastroenterology. MD, DO, or equivalent medical degree from an accredited institution. Valid medical license or eligibility for licensure in the state of Florida. Strong commitment to outpatient clinical care. Experience in endoscopy procedures preferred. Excellent communication and team collaboration skills. Research experience is a plus but not required. Benefits Competitive salary with a comprehensive benefits package. Malpractice insurance with tail coverage. Medical, Dental, Vision insurance options. Short-Term and Long-Term Disability coverage. Health Savings Account (HSA). Paid Time Off (PTO) and CME allowance. No State Income Tax in Florida. This position offers an excellent opportunity for a gastroenterologist looking for a flexible, outpatient-based practice in a state with no income tax. Candidates interested in this opportunity should reach out to a Healthcare United representative to arrange a time to speak and learn more about the position.
    $60k-72k yearly est. 60d+ ago
  • Underwriting Specialist/Executive Underwriter, Healthcare

    Markel Corporation 4.8company rating

    Tampa, FL job

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The primary purpose of this position is to underwrite new business and renewals for Healthcare Risk Solutions in the Southeast Region. You will write profitable business, operating within your authority level and established guidelines, and drive initiatives that impact the business. This role will involve handling larger and more complex accounts. It requires the ability to use underwriting tools to determine accurate classifications, rates, and premium charges. In-depth knowledge of coverage forms, policy language, and the appropriate use of forms and exclusions is essential. This position also offers the opportunity to train and develop less experienced underwriters. What you'll be doing: * Possess an expert understanding and proven ability to underwrite hospitals, hospital systems, allied/miscellaneous medical facility businesses, and complex healthcare risks. * Demonstrate a thorough grasp of policy language, including primary, lead umbrella, excess follow form, and captive reinsurance. * Analyze complex loss data and work with experience rating and loss rating; familiarity with actuarial concepts and the ability to collaborate effectively with internal actuaries. * Present confidently at underwriting meetings with senior executives from existing and prospective insureds. * Provide policy review and rating guidance. * Actively participate in claims meetings and reviews. * Quote and bind new and renewal accounts in accordance with our underwriting guidelines and strategy. * Maintain and adhere to all underwriting file documentation standards. * Cultivate and improve broker relationships across the Southeast Region, demonstrating tangible results. * Collaborate with regional leadership, product leadership, actuarial, claims, finance, and clients/brokers to ensure optimal solutions for Markel and the client. What we're looking for: * 8+ years of healthcare professional liability underwriting experience. * Demonstrated technical knowledge and skills reflecting a progression through positions of increasing responsibility. * Proven marketing and relationship-building skills. * A four-year college degree and/or CPCU or similar designation preferred. * Excellent oral and written communication skills. * Proficiency in Microsoft Office, including MS Word and MS Excel. * Strong analytical and organizational skills. * A team player who thrives in a flexible and dynamic business environment with a desire to succeed. * Up to 25% travel (when appropriate). #LI-AB US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $79k-98k yearly est. Auto-Apply 60d+ ago
  • Community Health Worker

    Humana Inc. 4.8company rating

    Tampa, FL job

    Become a part of our caring community and help us put health first Working within an interdisciplinary care integration team (CIT), the Community Health Worker is responsible for proactively engaging patients and serving as the linking role between a patient, their community, and their healthcare ecosystem including PCP and other specialists, and implementing targeted interventions to address barriers to health and increase access to care. This role requires outreach strategies to engage patients at least weekly, providing culturally appropriate health education, advocate for needs, facilitate communication between key stakeholders in the patient's community (e.g., facilitate coordination with local food bank) and health care providers (e.g., coordinate visits, review annual wellness visits, and education materials, and engage people on the complex items healthcare stakeholders are sharing with them to help establish a question list for their next appointment and work with patients to help navigate). Community Health Workers (CHW) coordinate care across health and social service systems serving as their patient advocate and support including yet not limited to the following: * Needs Assessment: Assessing the health needs of a community to identify priority areas for intervention. * Screening and Coordination: Conducting basic health screenings and help coordinate with the appropriate healthcare providers for further evaluation and treatment. * Outreach and Home Visits: Conducting community outreach activities, including home visits, to identify individuals and families in need of healthcare services, understand their living situation, and understand what barriers the patient is facing. * Health Education: Providing culturally appropriate health information and education. Engage patients in material from providers / clinicians to help them understand or formulate questions for their next visit. * Care Coordination: Facilitate communication between individuals, healthcare providers, and social service agencies to ensure seamless care coordination including facilitation of the coordination in partnership with patients virtually, in home, or on a 3-way call helping patients as needed. * Advocacy: Advocating for individuals and communities to access necessary healthcare services, addressing barriers including transportation, language, and financial limitations. Includes assisting patients in setting services up and empowering patients/caregivers to support self-management. * Social Support: Provide emotional support and coaching to individuals navigating complex health situations. * Community Engagement: encourage and empower patients to build relationships with community leaders and organizations to promote health initiatives and increase community participation (e.g., attend a community center Zumba class with a patient the first time) * Cultural Competence: Understanding and respecting the cultural differences of the community they serve to effectively communicate and provide culturally sensitive care Duties and Responsibilities * Develop a wholistic view of patient needs and facilitate addressing barriers to health * Identify existing barriers to engagement with necessary resources and supports * Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support * Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems * Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team * Facilitate interdisciplinary team rounds in partnership with the care team * Supporting patients' self-determination and motivate patients to meet health goals they have identified * Facilitate and help patients with necessary services and supports * This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation * Participate in interdisciplinary review of and coordination around complex patients * Maintain patient confidentiality in accordance with HIPAA * Document patient encounters in medical record system in a timely manner * Follow general policies related to fire safety, infection control and attendance * Perform all other duties and responsibilities as required Use your skills to make an impact Required Qualifications * Minimum of 2 years of experience working in health care services and navigating community-based resources * Must live in Hillsborough or Pasco County Preferred Qualifications * Strong experience and comfortability leading interdisciplinary team meetings * Bilingual in English and Spanish with the ability to speak, read and write in both languages without limitations or assistance * Bachelor's Degree in applicable discipline (i.e. Social Work) * Familiarity with state Medicaid guidelines and application processes * Experience working with seniors' complex needs * Prior experience conducting home visits and knowledge of field safety practices Skills/Abilities/Competencies * Ability to multi-task in a fast-paced work environment * Flexibility to fluidly transition and adjust in an evolving role * Excellent organizational skills * Advanced oral and written communication skills * Strong interpersonal and relationship building skills * Compassion and desire to advocate for patient needs * Critical thinking and problem-solving capabilities Working Conditions This role takes place in the field, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections. Workstyle: Combination in clinic and field, local travel to meet with members Location: Must reside in Tampa metro - Hillsborough or Pasco County Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, incremental time may be requested to meet business needs. Tuberculosis (TB) screening: This role is considered member facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Driver's License, Reliable Transportation, Insurance This role is part of Humana's Driver safety program and therefore requires an individual to have: * a valid state driver's license, * carry insurance in accordance with the state minimum required limits, or $25,000/$25,000/10,000 whichever is higher and a reliable vehicle. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $53.7k-72.6k yearly 12d ago
  • Lab/Medical Assistant WellMed Curlew

    Unitedhealth Group 4.6company rating

    Palm Harbor, FL job

    **$2,200 SIGN ON BONUS FOR EXTERNAL CANDIDATES** **8 Major Holidays Company Paid, 18 Days PTO** **Bonus Program - Paid 2x a year** **Opportunities at WellMed,** part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind **Caring. Connecting. Growing together.** **Primary Responsibilities:** + Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures + Maintain established quality control standards Record and process patient care documentation quickly and accurately + Coordinate patient care as directed by physicians, company standards and policies + Organize, stock and clean exam and treatment rooms and sterilize instruments + Maintain quality control standards and required Medical Assistant and CPR certifications You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High school diploma or GED + Current nationally recognized Medical Assistant certification or registration or the ability to obtain the designation within 180 days of employment + Current CPR and/or BLS certification or the ability to attain the certification within 30 days of employment + Microsoft experience + Knowledge of medical terminology + Phlebotomy skills + This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a Sign On Bonus. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $16-27.7 hourly 13d ago
  • Clinic Nurse Optum Zephyrhills

    Unitedhealth Group 4.6company rating

    Zephyrhills, FL job

    **$2,500 Sign-on Bonus for LPN External Candidates / $5,000 Sign-on Bonus for RN External Candidates** For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.** Under the direction of the Provider, the Clinic Nurse provides direct patient care in accordance with Company protocols, established standards of nursing practice, and the FL Nurse Practice Act. Promptly screens patients with signs or symptoms of illness. Works with the clinical team for appropriate treatment, plan of care and disposition. Ensures patient monitoring and follow up. The Clinic Nurse reports to the Center Administrator. **Primary Responsibilities:** + Contributes to and supports the corporation's quality initiatives by planning, communicating and encouraging team and individual. Maintains a solid focus on quality and continuous improvement within job scope + Maintains an active nursing appointment schedule for assisting the Provider in the monitoring of members' health care needs. Assists the Care Manager and Provider in the follow-up management of post-hospitalized or post-emergency room visits + Comprehensively screens patients for care opportunities and collaborates with treating physician to develop care plans that meet patients' needs and result in appropriate quality care + Provides condition specific patient education and anticipatory guidance, as well as care coordination, under the guidance of the Provider + Provides health teaching + Provides direct nursing care, comfort measures, emotional support to patients + Performs selected IV therapy and administers prescribed treatment per Provider order + Maintains clinical documentation within the medical records assuring compliance within all guidelines. Documents all interventions, responses, and outcomes You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High school graduate, GED or equivalent + State Licensed LPN or RN + Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or the ability to obtain within 90 days of employment + Additional Requirements for LPNs: + Certificate in Practical Nursing + Valid Florida LPN license + IV certification or the ability to obtain within 90 days of employment + Additional Requirements for RNs: + Associates or Bachelor's degree in Science + Valid Florida RN license **Preferred Qualifications:** + 2+ years of experience in Med-Surg, ER, ICU, Acute Care + Experience with electronic health records (EHR) + Experience in MS Office + Ability to read, write and speak the Spanish language fluently Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $28.3-50.5 hourly 25d ago
  • Client Service Director Regional Markets

    Metlife, Inc. 4.4company rating

    Tampa, FL job

    Director - Client Services Regional Business is excited to announce an opening for the Director - Client Services role, a strategic leadership position that plays a vital part in shaping our client experience and driving business growth in the 2-5,000 market. This role is ideal for someone who thrives in a dynamic environment, leads with vision, and is passionate about delivering exceptional service to our clients. As Director - Client Services, you'll lead a high-performing team of Client Service Consultants and collaborate across departments to elevate our market presence, strengthen client relationships, and ensure operational excellence. This role is central to our mission of delivering outstanding service and building long-term partnerships with our clients. Key Responsibilities Lead and develop a team of Client Service Consultants, focusing on performance, coaching, and talent retention. Partner with sales leadership to create strategic business plans that drive revenue growth and customer satisfaction. Build strong client relationships and lead strategic account planning, while enhancing regional visibility and brand recognition. Identify and implement improvements to drive business outcomes. Collaborate with internal teams and external vendors to ensure timely and accurate service delivery. Monitor key performance metrics to drive accountability and continuous improvement. Key Requirements Minimum of 5+ years of management experience Proven leadership experience with the ability to inspire and influence teams. Strong understanding of Group Benefits products, business operations, financial forecasting, and analytics. Extensive experience in client relationship management and strategic account oversight. Demonstrated success in project and change management in driving business solutions Excellent communication and collaboration skills. Resilient, adaptable, and proactive with a strong ownership mindset. Preferred: Bachelor's degree 10+ years Relevant business experience 8+ years of management experience The expected salary range for this position is $130,000 - $155,000. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible. Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. $130,000 - $155,000
    $130k-155k yearly 9d ago
  • Business Development Specialist - Payroll Partners

    Markel Corporation 4.8company rating

    Tampa, FL job

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The primary purpose of this position is to grow and enhance agency relationships and increase premium production according to the annual growth budget. The Business Development Specialist role is to ensure Markel becomes more relevant with its agency base by enhancing current relationships and finding new profitable contacts. The Business Development Specialist will collaborate and use all resources available (i.e. UW, PLL, RPs, Marketing) to create targeted business plans while prioritizing assigned relationships. This position requires strong communication and presentation skills. Employees in this position are expected to maintain a valid driver's license and acceptable DMV Motor Vehicle Record which will be pulled on an annual basis for verification. Responsibilities * Build strong relationships within assigned agent base to enhance brand awareness, educate agents on Markel's products, appetite and systems, and to maximize flow of qualified submission activity either directly or via API platforms * Develop working knowledge of all Markel divisions, products, and services, with primary emphasis on small business Work Comp and Specialty packages * Develop business strategies that will maximize the agents' business and lead to increased Markel business. Strategically focus time and efforts to prioritize top relationships with best opportunity for success * Influence agents to move business to Markel - collaborate with underwriting to solution deal terms needed to win business; make decisions on whether new strategies, additional education, pricing and/or commission changes, incentive plans, or other initiatives should be deployed to enhance growth with an agency * Understand each partnerships operation completely to find opportunities across multiple product offerings, and engage additional Markel resources where appropriate * Stay current on product, market, and industry knowledge. * Build strong relationships with underwriting and product line; support underwriter engagement with agents, and retention of profitable business; communicate market feedback and product line suggestions to keep Markel as relevant as possible in the marketplace * Engage daily with our agent base through in-person and virtual meetings, phone calls, emails, and quote follow-up. * Assigned special projects, e.g.; marketing and email campaigns, new producer onboarding and ramp-up, etc. * High volume of travel expected to partnerships Qualifications * 2+ years of experience in admitted insurance underwriting, insurance business development or sales; * Flexible to travel up to 50-75% of the time; * Demonstrated technical knowledge and skills reflective of progression of increasing responsibility; * Must have excellent oral and written communication skills, and skilled presentation aptitude; * Bachelor's degree preferred; * Technologically savvy; proficient in Excel, Word, Powerpoint, and Outlook; * Strong analytical, organizational, risk assessment and time management skills; * Must be a team player that enjoys a flexible and spontaneous business environment. #LI-Hybrid US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $41k-53k yearly est. Auto-Apply 27d ago
  • Pharmacy Technician

    Unitedhealth Group 4.6company rating

    Clearwater, FL job

    "A Day in the Life" video (***************************** **Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.** We seek a **Pharmacy Technician** to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist. **Schedule** : 35 hours per week. Monday - Friday 9:30am - 5pm (Lunch 12:30pm - 1pm) **Location:** 1437 South Belcher Rd, 2nd Floor, Clearwater, FL, 33764 **Primary Responsibilities:** + Provides exceptional customer service to all consumers and members of the clinic staff + Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist + Orders, receives and stores incoming pharmacy supplies + Receives and processes wholesaler medication orders + Verifies medication stock and enters data in computer to maintain inventory records + Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements + Performs various clerical duties relating to the department + Communicates with strong professional verbal and written communication skills + Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Active and unrestricted Pharmacy Technician license in the state of Florida + Access to reliable transportation & valid US driver's license **Preferred Qualifications:** + National Pharmacy Technician Certification + 6+ months of Pharmacy Technician experience + Bilingual in English and Spanish Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #RED
    $16-27.7 hourly 13d ago
  • Director Database Reliability Engineering DB2 LUW UDB

    Metlife, Inc. 4.4company rating

    Tampa, FL job

    Role Value Proposition: At MetLife, our Database Infrastructure Services (DIS) team within Global Infrastructure is dedicated to making a difference. We prioritize our customers' perspectives and continuously strive to enhance and simplify their experience. Whether you're focused on safeguarding our customers' and employees' data, developing top-tier database solutions, or utilizing data and analytics to transform insights into customer-centric solutions, your work has a significant impact. Each of us plays a crucial role in bringing MetLife's mission of building a more confident future to life. Interested in joining our team? We'd love to have you! The Opportunity: As Director of Database Reliability Engineering (DBRE), you will play a pivotal role in leading the transformation of our DB2/LUW/UDB database administration team into a modern, automated and scalable Database Reliability Engineering discipline. This leader will drive strategy, technical execution, and cultural change to enable adoption of site reliability principles, automation-first approaches, Infrastructure-as-Code (IaC), and modern observability and AIOps tooling to modernize DB2/LUW/UDB operations. By fostering collaboration across teams and championing cutting-edge technologies, you will be at the forefront of driving transformative improvements to our infrastructure while enhancing customer experience and delivering value to stakeholders. Success in this role requires a strong technical background in enterprise database technologies, proven leadership experience, and a passion for transforming traditional teams into forward-looking, resilient infrastructure groups. This role is pivotal in laying the foundation for data platforms that support real-time applications, AI/ML workloads, and enterprise-scale analytics. Key Responsibilities: * Lead the vision, strategy, and execution to transform a legacy DBA team into a modern Database Reliability Engineering organization. * Define and implement a vision for self-service, end-to-end automation, Infrastructure-as-Code (IaC), and cloud/container ready DB2/LUW/UDB services. * Champions the adoption of AIOps and modern observability tools to enable intelligent, self-healing systems. * Drive cultural change and upskilling within the team to embrace automation, agile practices, and reliability engineering. * Serve as subject matter leader and product owner of the reliability, scalability, and performance of platforms. * Serve as technical subject matter leader and global product owner for IBM DB2/LUW/UDB. * Ensure database platforms and services meet all MetLife security and compliance requirements. * Demonstrates strong ownership and accountability. Essential Business Experience and Technical Skills: Required: * Bachelor's degree in computer science, Information Systems, or another related field, or equivalent relevant experience. * 8+ years of experience in enterprise database administration, software development, or infrastructure engineering, with deep expertise in IBM DB2/LUW/UDB. * 3+ years of people leadership or a transformation-focused role. * Experience with modern observability or AIOps platforms. * Familiarity with Azure DevOps, GitOps, Infrastructure-as-Code (IaC) tools (e.g., Ansible, Terraform), scripting languages (e.g., Python), and/or container orchestration (Kubernetes, OpenShift). Preferred: * Experience working in regulated industries (e.g. finance, insurance, healthcare). * Ability to bridge technical strategy with operational execution across business and engineering stakeholders. * Familiarity with IBM Cloud Pak for Data or hybrid-cloud data infrastructure strategies. * Strong analytical and problem-solving skills. * Effective verbal and written communication. * Experience coordinating across time zones and driving alignment on deliverables. At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to making a difference in the lives of our customers. Location Expectation: This is a hybrid role requiring a minimum of 3 days per week in office. The expected salary range for this position is $121,100 - $161,500. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible. Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. $121,100 - $161,500
    $121.1k-161.5k yearly 60d+ ago
  • Hospital Coding Subject Matter Expert

    Unitedhealth Group 4.6company rating

    Tampa, FL job

    _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ **Explore opportunities with Optum** , in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind **Caring. Connecting. Growing together.** Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes and focus primarily on ensuring best practices are followed within their respective facilities. The Coding SME is a critical member of the Optum360 HIM/Coding Operations team. This role is responsible for client facing meetings with the Quality Teams, CDI, and others directly related to accounts associated with prebill reviews, such as, HAC/PSIs. The Coding SME drives continuous quality improvements and tracks, monitors, and trends performance to improve business objectives and to disrupt the status quo to exceed Service Level Agreement commitments. This position must maintain strong client relationships and represent Optum360 in all aspects of its values. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6am - 6pm. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training and the hours during training will be during normal business hours. **Primary Responsibilities:** + Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum360 Coding related business objectives within the client environment. + Identifies & builds consensus for facilitation of system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communication related to the key components of coding operations: + Works collaboratively with HIM, CDI, Client, and Coding Operations to monitor day to day coding operations, complete prebill coding reviews, and prebill quality reviews. + Assists Coding Leadership with oversight of processes and initiatives designed to continuously improve coding quality and/or efficiency. + Maintains expert knowledge of coding to ensure high level of accuracy and proficiency standards of performance are achieved to meet or exceed targets. + Effectively leads and participates in coding quality assurance/compliance activities that include action plans relevant to audit results including remediation, education, and when appropriate assisting to create and monitor corrective action plans + Serves as the liaison between the coding operations collaboratively bring each unit together including establishing, building, and maintaining cohesive relationships with the client. + Effectively utilizes tools and data provided to capture and continually improve union, client, and employee engagement. Leads initiatives towards meeting and exceeding employee satisfaction. + Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results. + Participates actively in leadership forums at the system level and leads such forums and other informational/educational offerings for assigned HIM/Coding/CDI Managers. + Provides team leadership and promotes a successful business operation by: Executes the integration of the Optum360 Coding functions and processes in the facilities they serve. Leverages standard processes, systems, or other vehicles to reduce waste and cost at the facility while improving SLAs, KPIs (Key Performance Indicators), metrics and the overall client and/or patient experience. Fosters teamwork atmosphere between business and clinical stakeholders. Provides staff training and mentoring. Provides development of employees through consistent and constructive feedback geared towards accuracy. Rewards and recognizes performance and provides leadership direction during the common review process. Seeks to innovate and foster innovative ideas toward the development of staff to ensure increased employee engagement and employee satisfaction. + Other duties as needed and assigned by Optum360 leadership, including but not limited to leading and conducting special projects. Develops project work plans, facilitates resource allocation, executes project tasks and obtains assistance from other intra and inter-departmental resources, as required. + Subject Matter Expert of applicable Federal, State, and local laws and regulations, Optum360's organizational integrity program, standards of conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior. + Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma / GED + AAPC or AHIMA (CCS, CPC, RHIT or RHIA) coding credential + Must be 18 years of age or older + 3+ years of experience in inpatient hospital coding + Experience with MS-DRG and/or APR-DRG + Experience with ICD-10-CM and/or ICD-10-PCS coding systems + Experience working collaboratively with CDI and/or Quality leadership in partnership to improve reimbursement and coding accuracy + Experience with computer assisted coding technologies and EMR (Electronic Medical Record) coding workflow + Experience with Microsoft Office Suite, including Excel, Word, and PowerPoint + Ability to work an eight-hour shift between 6:00 AM and 6:00 PM, Monday through Friday. **Preferred Experience:** + 5+ years as a subject matter expert in corporate coding leadership role for large multi-site healthcare organizations with at least 35 coding staff members, both internal and contract as well as remote and/or domestic and global + Ability to influence change and serve as primary change agent + Ability to work with a variety of individuals in executive, managerial and staff level positions. The incumbent frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations + Operational knowledge of health care related Federal and State regulations, as well as standards from regulatory agencies and accrediting organizations (e.g., CMS, TJC) **Telecommuting Requirements:** + Ability to keep all company sensitive documents secure (if applicable) + Required to have a dedicated work area established that is separated from other living areas and provides information privacy + Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service **Soft Skills:** + Excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects) + Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum360 and our client organization(s) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 - $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._ _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $28.3-50.5 hourly 8d ago
  • Absence Management Specialist

    Metlife 4.4company rating

    Tampa, FL job

    Job Location: Virtual within a commutable distance of Bloomfield, CT or Tampa, FL. New Hires must live within a commutable distance of Bloomfield, CT or Tampa, FL. Training: IN-PERSON TRAINING for 4 weeks, Monday through Friday, 8:00AM - 4:30 PM. Key Responsibilities: * Virtual roles work from a home office with periodic visits to the assigned GCSO office as needed for team events, meetings, training, business continuity, etc. * Reviewing and adjudicating leave and/or accommodation requests in compliance with federal, state and company policies. * Establishing eligibility and applicability of leave requests while ensuring timely communication with employees, employers and other key stakeholders necessary to appropriately determine liability. * Maintain active oversight of leave claims from initiation to closure following appropriate policies and procedures around timely submission of information and absences in accordance with the plan(s). * Providing exceptional customer service while maintaining confidentiality and regulatory compliance requirements. * Support a continuous focus on quality and continuous improvement by ensuring efficiency, accuracy and a positive claimant experience. * Meeting and exceeding Key Performance Indicators and productivity metrics while maintaining quality. Essential Business Experience and Technical Skills: Required * New hires should live a commutable distance from the site the role is posted in. * Strong communication skills, both written and oral. * Demonstrated critical thinking in activities requiring analysis, investigation, and/or planning. * Strong Letter writing/Microsoft Word skills. * 2+ years Customer Service background. * High School Diploma or GED equivalent. * This role has mandatory paid training starting on February 16th. Candidates must be available and present for all training days. Preferred * 1+ years' experience in one or more leave State and Federal Leave Laws. * Prior experience with PFML, FMLA, Absence Management or Disability Claims. * Experience handling insurance claims (auto, home, life, etc.) * College Degree / Higher Education. At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to making a difference in the lives of our customers. Equal Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace.
    $36k-42k yearly est. 14d ago
  • Medical Assistant at Optum Ridge Clinic

    Unitedhealth Group Inc. 4.6company rating

    New Port Richey, FL job

    $2,200 Sign-On Bonus for External Candidates Incentive Bonus 2 times a year 18 days of PTO & Closed On Major Holidays For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Medical Assistant reports to the Center Administrator and provides routine patient care within his/her level of training and functions under the direction/guidance of the clinical supervisor and/or the physician in accordance with relevant state statutes. Primary Responsibilities: * Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer * Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office and minor surgical procedures. Assists with the education of the patient and/or family as directed by the physician * Performs venipuncture under the direction of a physician or advance care practitioner * Contacts patients as needed to give testing results instructions from the physician and scheduling of necessary visits. Answers telephone inquiries and triage calls. Responsible for all laboratory duties including drawing, spinning, prepping blood for testing and maintaining appropriate logs. Acts as liaison between all independent lab services and the center You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High school graduate, GED or equivalent * Current, nationally recognized Medical Assistant certification or registration or the ability to obtain the designation within 180 days of employment * Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or the ability to obtain within 30 days * Proven Phlebotomy skills Preferred Qualifications: * 1+ years of experience as a Medical Assistant or related experience in a medical setting * ICD-9/10 and CPT coding experience * Microsoft experience * Bilingual (English/Spanish) language proficiency Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. PLEASE NOTE The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a Sign On Bonus. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $16-27.7 hourly 6d ago
  • SIU Field Investigator

    Allstate 4.6company rating

    Sarasota, FL job

    National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description This job is responsible for investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud. This role typically handles a combination of complex attorney represented and unrepresented claims and moderate to complex losses, in which suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches. The individual conducts surveillance on property and/or creates scene reconstructions on some investigations and reviews whether fraud can be substantiated and supports a lawsuit. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team.**We're seeking an experienced SIU Field Investigator to join our Special Investigations Unit (SIU) in Florida! This is a field-based, location-specific position, and the ideal candidate will reside in or near Sarasota, Lee, Manatee, or the Port Charlotte area.**Key Responsibilities • Reviews investigations with fraud outcomes to validate whether denial is appropriate • Conducts complex site inspections, including body shops, medical clinics, loss locations etc. • Enters SIU claim data information into multiple SIU systems • Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement • Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed • Utilizes analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the fraud and damages • Conducts complex online data application searches, research, and evaluation • Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads • Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making process • Researches and responds to complex customer communications, concerns, conflicts or issues Supervisory Responsibilities • This job does not have supervisory duties. #LI-TR1 Compensation Base compensation offered for this role is $57,500 - $105,000 annually and is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A- (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at **************.
    $33k-45k yearly est. Auto-Apply 27d ago
  • Patient Services Coordinator LPN Home Health

    Humana Inc. 4.8company rating

    Bradenton, FL job

    Become a part of our caring community and help us put health first The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management. * Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console. * Initiates infection control forms as needed, sends the HRD the completed "Employee Infection Report" to upload in the worker console. * Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. * Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff. * Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. * Completes requested schedules for all add-ons and applicable orders: * Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen. * Schedules TIF OASIS collection visits and deletes remaining schedule. * Reschedules declined or missed (if appropriate) visits. * Processes reassigned and rescheduled visits. * Ensures supervisory visits are scheduled. * Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report. * Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. * Verifies visit paper notes in scheduling console as needed. * Assists with internal transfer of patients between branch offices. * If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary. * If clinical, may be required to perform patient visits and / or participate in on-call rotation. Use your skills to make an impact Required Experience/Skills: * Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices * Have at least 1 year of home health experience. * Prior packet review / QI experience preferred. * Coding certification is preferred. * Must possess a valid state driver's license and automobile liability insurance. * Must be currently licensed in the State of employment if applicable. * Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $45,400 - $61,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $45.4k-61.3k yearly 60d+ ago
  • Community Health Worker

    Humana Inc. 4.8company rating

    Zephyrhills, FL job

    Become a part of our caring community and help us put health first Working within an interdisciplinary care integration team (CIT), the Community Health Worker is responsible for proactively engaging patients and serving as the linking role between a patient, their community, and their healthcare ecosystem including PCP and other specialists, and implementing targeted interventions to address barriers to health and increase access to care. This role requires outreach strategies to engage patients at least weekly, providing culturally appropriate health education, advocate for needs, facilitate communication between key stakeholders in the patient's community (e.g., facilitate coordination with local food bank) and health care providers (e.g., coordinate visits, review annual wellness visits, and education materials, and engage people on the complex items healthcare stakeholders are sharing with them to help establish a question list for their next appointment and work with patients to help navigate). Community Health Workers (CHW) coordinate care across health and social service systems serving as their patient advocate and support including yet not limited to the following: * Needs Assessment: Assessing the health needs of a community to identify priority areas for intervention. * Screening and Coordination: Conducting basic health screenings and help coordinate with the appropriate healthcare providers for further evaluation and treatment. * Outreach and Home Visits: Conducting community outreach activities, including home visits, to identify individuals and families in need of healthcare services, understand their living situation, and understand what barriers the patient is facing. * Health Education: Providing culturally appropriate health information and education. Engage patients in material from providers / clinicians to help them understand or formulate questions for their next visit. * Care Coordination: Facilitate communication between individuals, healthcare providers, and social service agencies to ensure seamless care coordination including facilitation of the coordination in partnership with patients virtually, in home, or on a 3-way call helping patients as needed. * Advocacy: Advocating for individuals and communities to access necessary healthcare services, addressing barriers including transportation, language, and financial limitations. Includes assisting patients in setting services up and empowering patients/caregivers to support self-management. * Social Support: Provide emotional support and coaching to individuals navigating complex health situations. * Community Engagement: encourage and empower patients to build relationships with community leaders and organizations to promote health initiatives and increase community participation (e.g., attend a community center Zumba class with a patient the first time) * Cultural Competence: Understanding and respecting the cultural differences of the community they serve to effectively communicate and provide culturally sensitive care Duties and Responsibilities * Develop a wholistic view of patient needs and facilitate addressing barriers to health * Identify existing barriers to engagement with necessary resources and supports * Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support * Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems * Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team * Facilitate interdisciplinary team rounds in partnership with the care team * Supporting patients' self-determination and motivate patients to meet health goals they have identified * Facilitate and help patients with necessary services and supports * This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation * Participate in interdisciplinary review of and coordination around complex patients * Maintain patient confidentiality in accordance with HIPAA * Document patient encounters in medical record system in a timely manner * Follow general policies related to fire safety, infection control and attendance * Perform all other duties and responsibilities as required Use your skills to make an impact Required Qualifications * Minimum of 2 years of experience working in health care services and navigating community-based resources * Must live in Hillsborough or Pasco County Preferred Qualifications * Strong experience and comfortability leading interdisciplinary team meetings * Bilingual in English and Spanish with the ability to speak, read and write in both languages without limitations or assistance * Bachelor's Degree in applicable discipline (i.e. Social Work) * Familiarity with state Medicaid guidelines and application processes * Experience working with seniors' complex needs * Prior experience conducting home visits and knowledge of field safety practices Skills/Abilities/Competencies * Ability to multi-task in a fast-paced work environment * Flexibility to fluidly transition and adjust in an evolving role * Excellent organizational skills * Advanced oral and written communication skills * Strong interpersonal and relationship building skills * Compassion and desire to advocate for patient needs * Critical thinking and problem-solving capabilities Working Conditions This role takes place in the field, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections. Workstyle: Combination in clinic and field, local travel to meet with members Location: Must reside in Tampa metro - Hillsborough or Pasco County Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, incremental time may be requested to meet business needs. Tuberculosis (TB) screening: This role is considered member facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Driver's License, Reliable Transportation, Insurance This role is part of Humana's Driver safety program and therefore requires an individual to have: * a valid state driver's license, * carry insurance in accordance with the state minimum required limits, or $25,000/$25,000/10,000 whichever is higher and a reliable vehicle. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $53.7k-72.6k yearly 12d ago
  • Senior Consultant - Risk Control

    Liberty Mutual 4.5company rating

    Tampa, FL job

    Under limited supervision, provides loss prevention consulting services within a specific Loss Prevention department, specialty area or for a broad range of products/services in all Loss Prevention operations. Conducts extensive research, data collection and evaluation and analysis in order to make recommendations to control customer's source of risk, loss and/or costs. Conducts extensive research and data collection which helps to identify customer's source of risk, loss and costs. Compiles facts from on-site visits and various reports and databases to assess existing processes/practices, determine severity/frequency of problems, and identify needs. Assesses and benchmarks customers performance against internal and industry standards. Interprets and analyzes data to determine best course of action and/or solution that satisfies customer's risk services needs. Utilizes advanced software applications to help find innovative and cost-effective solutions to customers risk services needs. Conducts cost-benefit analysis to determine how and when a recommended improvement at customers facility/operation will pay off. Investigates cause and effect relationships. Prepares technical reports which reports and evaluates data. Organizes data into a format which can easily be presented to customer. Prepares and presents reports which outline action plan for improved practices and/or changing workforce cultures/behaviors. Maintains effective partnerships with customers. Learns about customer's business in order to identify risk management objectives and needs. Ensures accurate and concise communication and mutual understanding with customers. Keeps customers informed of status of services, support material available and outside resources relevant to identify customers' safety concerns. Participates in training and development of customers. Oversees implementation of program(s). Provides technical support to assist with implementation of recommendations/actions plans. Counsels customers regarding technical issues. Actively pursues professional development efforts to better meet customer expectations. May actively participate in acquiring new business by following up on leads and presenting proposals to potential customers. Serves as a technical expert in a specific specialty area. Qualifications Strong communication and listening skills in order to develop and maintain relationships with customers. Proven ability in advance level research, evaluation and analysis functions. Proven ability to deal with all levels of an organization. Effective leadership qualities. Maintains advanced level of understanding loss prevention products, services and operations within realm of responsibility. Successful demonstration of technical skills in areas of risk assessment, risk analysis, solutions management and progress measurement. Bachelor's degree or equivalent with coursework in mathematics and engineering or related area, plus a minimum of 3 years of directly related consulting experience. Previous experience applicable to loss prevention may be substituted for lack of formal education or advanced degree may be substituted for 2 years of experience. Master's degree, designation(s) or certification(s) preferred. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $80k-100k yearly est. Auto-Apply 11d ago

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