Material Handler will receive shipments, ensure that all inventory is properly placed and stored within the pharmacy. The Material Handler will work closely with the inventory support team and follow all best practice for pharmacy operations. Available Shifts Monday - Friday 11am to 7:30pm Essential Duties and Responsibilities Receiving of Pharmaceutical Inventory from all wholesalers
Validating all Pharmaceutical Inventory receipts to the invoice, either electronically manually.
Stock medications according to FEFO inventory system
Assist with inventory audits to eliminate expired drugs in inventory
Assist with all Physical Inventories
Provide support to the Inventory Department
Assist with general clerical duties and filing
Respect and maintain confidentiality guidelines of HIPAA
Follow and aid in enforcement of all company policies and procedures
Responsible for other duties assigned
Education and Experience
Required High School Diploma or equivalent
Previous inventory experience preferred
Pervious pharmacy experience preferred
Familiarity with Microsoft Word, Excel, and Outlook
Knowledge, Skills, and Abilities
Attention to detail
Ability to handle multiple activities or interruptions at once
Ability to communicate effectively, patiently and courteously
Focused team player, who can work in conjunction with pharmacists, other departments, customers, and leader
Ability to lift 30lbs
Work independently with little supervision and meet daily deadlines
Ability to perform repetitious work accurately
WellDyne Can Offer You
Medical, Dental and Vision Benefits
Medical Savings Account Options with Company match
401K after 90 days of employment
Employee Assistance Program
Life and Supplemental insurance
Educational Reimbursement
Paid Time Off
Work Environment / Physical Demands
This position is in a typical office environment which requires prolonged standing in front of a computer. In addition, this position requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including the operation of standard computer and phone equipment. This position may be required to work long hours. The position may have to handle or have exposure to hazardous drugs or products.
EOE M/F/D/V
$22k-28k yearly est. 12d ago
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Marketing Manager
Welldyne 4.1
Welldyne job in Florida
Summary The Marketing Manager will accelerate delivery of key marketing initiatives in support of the company's aggressive growth goals. This position requires a marketing professional with diverse skills, including content development, project management and sales enablement, who can drive efficient execution of a wide variety of marketing initiatives. This role supports timely execution of the strategic marketing plan across all divisions, while supporting new product opportunities. This is a hands-on role and the candidate must be able to adeptly maneuver between disparate marketing projects and lead a wide variety of events and initiatives. This position has broad areas of responsibility and will work cross-functionally across the organization. Essential Duties and Responsibilities:
In collaboration with marketing leadership, execute a wide variety of marketing initiatives that support enterprise growth goals and enable the marketing and proposal functions to move with speed.
Develop project plans to ensure key initiatives are delivered on time, within budget, are well-coordinated with internal stakeholders and are fully leveraged across multiple audiences and all available touchpoints.
Facilitate interdepartmental relations and communications as it relates to execution of marketing strategy and development of materials.
Own enterprise event strategy and execution through partnership events, industry conferences and thought leadership.
Track emerging trends, assess market conditions and analyze competitive activities in conjunction with the Commercial team
Foster team development through coaching and mentoring as over time this position will have direct reports to lead.
Areas of Focus / Specific Responsibilities: Sales Enablement, Lead Generation and Client Support
Serve as the lead for one or more enterprise brands. Develop tailored marketing plans based on the audience needs, including lead generation ideas, tailoring PPT presentations to specific clients, prospects or consultants and general marketing support.
Contribute ideas for generating new sales leads and promoting services to clients and prospects in conjunction with the marketing team and business units.
Develop and support for client initiatives, including but not limited to client welcome kits, newsletters and communications, and client portal content.
Support the development of new marketing collateral that is aligned with business priorities.
Marketing Promotion
Support the development of our digital marketing strategy to fully leverage this critical channel.
Develop marketing deliverables for a variety of audiences - client, prospect, consultant and employees.
Support cross-functional product rollouts by developing go-to-market strategies, crafting compelling value propositions and delivering launch materials that equip the Commercial team for success.
Drive conference and thought leadership strategy to elevate brand visibility, position key leaders as industry experts and drive deeper engagement with prospects, clients and partners.
Analysis and Optimization
Monitor and evaluate the performance of marketing initiatives to assess ROI, identify performance gaps, and uncover opportunities for refinement.
Produce a monthly marketing dashboard that tracks key metrics such as campaign performance, lead quality, conversion rates and engagement trends.
Leverage analytics to continuously optimize campaigns, enhance audience targeting and identify opportunities to enhance our competitive positioning in the market.
Education and Experience
Bachelor's degree in Marketing, Communications, Business or related filed
5-7 years' marketing (or related) experience
Experience with Salesforce (or other CRM platform)
Project management experience
Strongly preferred, but not required, experience:
Healthcare, PBM or life science experience
B2B marketing experience
People leadership
Experience using WordPress (or other content management systems)
Experience with marketing automation platforms (Pardot, Marketing Cloud, Mail Chimp, etc.)
Experience with adobe creative cloud
Knowledge, Skills, and Abilities
Strong computer skills in Word, PowerPoint, and Excel
Excellent verbal and written communication skills
Exhibit great creativity and resourcefulness and good problem-solving skills
Must be able to handle a wide work variety and work in a fast-paced environment
Must be a detail-oriented, organized, self-starter and have an ability to prioritize workload
Willingness to travel up to 10% of the time
Work Environment / Physical Demands This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required. EOE M/F/D/V2
$58k-91k yearly est. 7d ago
Non Call QA Analyst
Convey Health Solutions 4.1
Sunrise, FL job
Convey Health Solutions is a BPO serving several Medicare Healthcare companies. At Convey Health Solutions, we're experts in highly-compliant member enrollment, service and administration support (Medicare, Medicaid and Commercial / EGWP). For over a decade, we've managed very large-scale end-to-end health insurance processes for our business clients - from eligibility and enrollment processing to service, premium billing and payment processing, reconciliation and other related services.
Job Description
The QA Analyst NC will provide the highest level of support to ensure that Convey Health Solutions Non Call Operations quality and performance improvement goals are met through process auditing.
Under the guidance and direction of the Non Call QA Supervisor and/or Manager, the QA Analyst NC is expected to demonstrate knowledge of all department systems, e.g. Convey Health Solutions 1) Medicare Service Platform, 2) External Client RX Claims System, Non Call QA Automated System, in addition to CMS's database system. This position is responsible for monitoring all Non-Call transactions ensuring accurate processing of all transactions as well as adherence to CMS regulatory requirements if required. The incumbent will ensure that we are providing a superior level of service to our internal and external clients in an environment that is empowering, creative and constantly improving.
Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company.
Responsible for participating in quality assurance, compliance and in-service and continuing education activities as requested by Company.
Responsible for performing other duties and responsibilities as required.
Ability to review Standard Operating Procedures, Policy & Procedures, Job Aids, Process Flows and interpret its purpose.
a. Policy & Procedures - how an entity will function and be administered.
Standard Operating Procedures - established or prescribed methods to be followed routinely for the performance of designated operations or in designated situations. Job Aid - Tool that allows an individual to quickly access the information he or she needs to perform a task.
Process Flow - Tool to use to visually document the stages involved in performing a certain procedure.
Ability to take the above tools and apply it to functions/actions being performed in a members account.
Capacity to not only ensure that the agents/analysts/specialist are performing their tasks according to above tools (to specifications), but to identify when a function/action was performed that is not included in the documentation available.
Understand how to research an account, look in all screens available to interpret function/actions taken.
Ability to review and understand the CMS guidelines and how they correlate to the internal processes.
Understand what and when an exhibit should be triggered.
Understand how Medicare Service Platform disposition affect account status, trigger events, queue activities. If not clearly defined in tools above, reach out to Operations leadership to provide.
Understand timelines for exhibits triggers, status changes, system activity, etc.
Capability to develop writing skills to be clear, simple and to the point.
Qualifications
Education and Experience - Required education, training, licenses, accreditation or certification and number of years and type of directly related experience. If applicable, please identify if an alternate “equivalency” of a combination of education and experience is sufficient.
Degree High School Preferred major/area of study N/A
Number of years of supervisory/management experience (if any)
Number of years of experience 1 - 2 in Quality Assurance and/or Medicare Advantage Plans.
Type of experience - Requires:
Strong organizational & time management skills with the ability to assist with workflow planning.
Have a high standard of workmanship and a keen eye for detail.
• Computer and data entry proficiency.
• In-depth, hands-on knowledge of Microsoft Office suite, particularly Word, Excel, Access & PowerPoint.
Intermediate knowledge of Medicare regulations and processes is required.
Must have excellent oral and written skills.
Additional Information
All your information will be kept confidential according to EEO guidelines.
$56k-76k yearly est. 2d ago
Practice Coordinator, Mental Health
Teladoc Health 4.7
Florida job
Join the team leading the next evolution of virtual care.
At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.
Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens.
Summary of Position
The Practice Coordinator, Mental Health will report directly to the Practice Manager, providing direct administrative and project support for our growing 24/7 telemedicine practices. Primary responsibilities will be coordinating physician schedules, patient rescheduling, referral, and prior authorization support, assisting in implementation and roll out of new product offerings and ensuring that staff physicians feel supported in their day-to-day role in virtual healthcare. The candidate will work closely with stakeholders across Teladoc Health, including Provider Relations, Physician Credentialing, Planning and Delivery as well as the Clinical Operations Care Team.
Essential Duties and Responsibilities
Schedule, cancel, and reschedule patient appointments.
Provide service recovery and proactive support to enhance member experience.
Inform patients about updates and changes.
Assist members in connecting with suitable providers.
Handle member escalations and direct inquiries or complaints appropriately.
Monitor provider schedules to optimize patient flow in a virtual care setting.
Aid in referral management and billing processes.
Support clinicians and Care Team staff with referrals and prior authorizations.
Provide administrative and technical support for CME, financial reimbursement, licensing, and other tasks.
Address provider requests and escalate as needed.
Support new physician onboarding and monitor credentialing and training progress.
Partner with the credentialing team to manage physician license approvals, renewals, and expirations.
Provide feedback to management on training needs, physician performance, and process improvements.
Assist with department staff meeting agendas, attendance, minutes, and follow-up items.
Participate in performance improvement projects and other related duties.
Comply with company policies and procedures.
The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.
Supervisory Responsibilities
No
Required Qualifications
Ability to adapt to new situations.
Excellent customer service skills.
Knowledge of medical terms and practices.
Strong interpersonal and communication skills.
Attention to detail and organization.
2-4 years of healthcare experience or experience in an ambulatory medical office (Mental Health experience preferred).
Excellent oral and written communication skills.
Customer service oriented.
Experience supporting physicians.
Ability to work in a fast-paced environment and meet deadlines.
Well-organized and self-motivated.
Strong written communication skills.
Team player with effective interaction skills.
Ability to generate reports and documents.
Proficient in Microsoft Office Suite.
High School Diploma , Bachelor's degree preferred.
No specific license or credential .
Required license or credential needed to perform job: N/A
The above qualifications, knowledge, experience, and/or background are expected but not required for this role.
Work Environment
☐ Office ☐ Remote ☐ Hybrid (Office & Remote)
Travel
Travel percentage reflects an estimate and is subject to change dependent on business needs.
Physical Requirements
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Teladoc Health will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual in line with company policy.
The base salary range for this position is $20-25/hourly. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.
As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.
Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
Why join Teladoc Health?
Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission.
Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.
Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day.
Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.
Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available
at this link
.
$20-25 hourly Auto-Apply 5d ago
Non Call QA Supervisor
Convey Health Solutions 4.1
Sunrise, FL job
Convey Health Solutions is a BPO serving several Medicare Healthcare companies. At Convey Health Solutions, we're experts in highly-compliant member enrollment, service and administration support (Medicare, Medicaid and Commercial / EGWP). For over a decade, we've managed very large-scale end-to-end health insurance processes for our business clients - from eligibility and enrollment processing to service, premium billing and payment processing, reconciliation and other related services.
Job Description
The Non Call Quality Assurance Supervisor will provide the highest level of support to ensure that Convey Health Solutions Non Call Operations quality and performance improvement goals are met through process reconciliation, auditing, root cause analysis, process monitoring, and trend analysis.
Under the guidance and direction of the Non-Call Quality Assurance Manager, the Non Call Quality Assurance Supervisor is expected to supervise overall team members and workflow management. This position is also responsible for the delivery and completion of all Non-Call QA projects. Must also understand all Medicare products and processes as well as demonstrate knowledge of all department systems, e.g. Convey Health Solutions Medicare Service Platform System, Client Rx Claims System, ADP-Payroll System, in addition to CMS's database system. This individual must be able to provide appropriate assistance to team members as needed. This position is responsible for monitoring all Non Call transactions ensuring accurate processing of all transactions as well as adherence to CMS regulatory requirements if required. The incumbent will ensure that we are providing a superior level of service to our internal and external customers in an environment that is empowering, creative and constantly improving. In addition this individual will collaborate with the Program Managers, Business Analyst, and PMO and others during implementation of new processes or process improvement efforts and system modifications to support new business and client Service Level Agreements (SLA).
Qualifications
Degree Bachelors Preferred major/area of study Quality Assurance / Business
Number of years of supervisory/management experience (if any) 2 years minimum
Number of years of experience 3 +
Type of experience - Requires:
•Health Care Administration Business, related field or equivalent extensive experience in lieu of degree.
•Minimum 2 years administrative management experience in a company with interactive CMS contact.
• Minimum one year quality assurance and or training experience.
• Advanced knowledge of Medicare regulations and processes is required.
• Must have excellent oral and written skills.
• Knowledge of Medicare Requirements and use of CMS systems.
Additional Information
All your information will be kept confidential according to EEO guidelines.
$48k-69k yearly est. 2d ago
Chief Compliance and Privacy Officer (Healthcare)
Convey Health Solutions 4.1
Fort Lauderdale, FL job
The Chief Compliance and Privacy Officer oversees the corporate Compliance and Privacy programs. This leadership position is responsible for general oversight of compliance teams to ensure senior leaders, management, team members, comply with the rules and regulations of the Centers for Medicare and Medicaid Services (CMS) as well as other regulatory agencies.
The Chief Compliance Officer, together with the Enterprise Compliance Committee, is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program.
Job Description
Oversees the day-to-day functions of the corporate compliance and privacy programs
Review all company compliance and privacy related policies to ensure Convey is meeting requirements with regulatory guidelines
Creates and implements new compliance and privacy policies and procedures in response to regulatory changes and external reviews
Reviews all updated CMS Chapters and creates training on revisions and changes
Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution
Manages all required breach determination and notification processes under HIPAA and applicable State breach rules and requirements
Create and monitor Business Associate Agreements to ensure that all Business Associates are maintaining privacy requirements and responsibilities
Reviews all client contracts from a compliance perspective
Qualifications
Qualifications/
Requirements
10+ years' experience in the Medicare managed care and/or pharmacy benefit management environment Understanding of all applicable CMS Medicare
Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company and client related business
Education:
A Bachelor's degree required; Master's preferred
Compliance Certification and Healthcare Privacy Certification required
Knowledge and experience in state and federal information privacy laws
Additional Information
All your information will be kept confidential according to EEO guidelines.
$54k-82k yearly est. 2d ago
Specialty Pharmacist
Welldyne 4.1
Welldyne job in Lakeland, FL
At our company, we move fast, adapt quickly, and turn challenges into opportunities-all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary
The primary responsibility of the Pharmacist is to ensure accuracy when performing all duties associated with the dispensing of pharmaceuticals, provide customer service to patients and healthcare professionals, and provide leadership and guidance to supporting staff.
Essential Duties & Responsibilities
Interpreting prescribers' prescriptions
Take and pass out-of-state pharmacist licenses
Contacting prescribers and/or patients to verify information on prescriptions and expedite processing of patient orders
Tracking order status and resolving outstanding issues
Consulting with patients regarding the use of medications and potential drug interactions
Taking calls from patients regarding clinical issues related to orders or dispensing
Maintain daily production, quality and service levels
Vary work priorities and activities to accommodate business needs
May train less experienced pharmacists
Maximizes positive results in the areas of service and quality
Operates in accordance and complies with all Federal and State pharmacy rules and regulations, and company policies and procedures
Provide oversight and quality assurance to pharmacy technicians
Verify and confirm validity of all prescriptions, including controlled substance prescriptions
Verify the accuracy of prescription information entered into the system by data entry or order entry personnel and product selection of dispensed medications
Work with physicians to convert prescriptions to generic or preferred drugs whenever possible
Back up other pharmacists as needed
Perform additional duties as assigned by management
Willingness to work flexible schedules especially during times of peak volume
Education and Experience
BS Pharmacy required, PharmD preferred
Active/Clear License to practice Pharmacy in the state of Florida required
Ability to become licensed in multiple states as required
Specialty pharmacist certification is preferred.
Two years minimum of pharmacy experience
Specialty pharmacy experience preferred
Proficiency with Microsoft Word, Excel, and Outlook required
Proficiency with Power Point and Access preferred
Knowledge, Skills, and Abilities
Bilingual preferred (Spanish)
Time management
Oral and written communication skills
Professionalism
Customer service skills
Ability to multi-task and be detail oriented
Ability to work efficiently without creating distraction or disruption to other employees
Ability to relate well and communicate effectively with other employees and patients
Ability to work well with various personalities and work as a team
Should be independent and self-motivated
Ability to work and accomplish goals with little to no supervision
Organizational skills
Must be dependable and maintain levels of confidentiality
General knowledge of internet navigation and research
Knowledge of e-mail, fax transmission and copy equipment are essential
Knowledge of laws pertaining to storage, recordkeeping, and dispensing of drugs are essential
Bilingual preferred
Work Environment / Physical Demands This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required. EOE M/F/D/V - WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.
$66k-105k yearly est. 49d ago
VP, Data Engineering and Operations
Convey Health Solutions Holdings Inc. 4.1
Fort Lauderdale, FL job
The VP of Data Engineering and Operations will be driving the organization's deliverables and long-term strategy, with a strong emphasis on AI/ML engineering, data operations and delivery excellence. They will oversee the engineering of data ingestion, processing and analytics delivery platform that caters to the needs of internal and external stakeholders as well as data operations and implementations teams. Collaboration with cross-functional teams will be essential to align strategies and work towards achieving company-wide objectives. The VP of Data Engineering and Operations will proactively participate in Pareto leadership meetings and be an active leader across the organization. Leadership will be instrumental in fostering a culture of excellence, collaboration, and accountability within teams, guiding them towards peak performance in data operations and delivery. By mentoring, cultivating, and recruiting the next generation of engineering leaders, the VP of Data Engineering and Operations will leave a lasting impact on the organization's growth and success.
KEY DUTIES AND RESPONSIBILITIES:
In the role of VP of Data Engineering and Operations, the candidate will be responsible for leading both people and technology. Here are the major responsibilities to expect:
* Technical Strategy Development: Develop and execute a technical strategy that supports the organization's long-term goals, emphasizing innovation, efficiency, and scalability. Strategy should strongly emphasize the usage of AI/ML technologies, along with leading cloud data platforms.
* Architecture Leadership: Define and communicate the technical architecture vision and roadmap, ensuring scalability, reliability, efficiency and security of with business goals and industry best practices.
* Technical Excellence: Champion working cross functionally to promote technical excellence within the engineering, quality and operations team, setting a high standard for execution, quality, and discipline in all projects and initiatives.
* Data Management Strategies: Develop and implement cloud data management strategies to optimize data collection, storage, processing, and analysis, supporting Pareto's analytic software solutions and data engineering initiatives. This includes implementing FinOp's strategies to effectively manage cloud utilization, costs.
* Data Processing Platform Development: Lead the design, development, and optimization of data processing platforms and pipelines to meet business requirements for efficiency, quality and scalability needs.
* Quality Assurance Oversight: Establish and oversee quality assurance processes to maintain high standards of software quality, performance, and reliability across all engineering initiatives.
* Performance Monitoring and Improvement: Monitor and analyze data performance metrics related to completeness, timeliness, and accuracy, identifying areas for improvement, and implementing corrective actions to enhance data quality and operational efficiency.
* Team Leadership and Development: Evaluate, mentor and empower a team of software and data engineers, implementation and data operations engineers and quality assurance professionals to drive technical excellence, collaboration, and continuous learning.
* Cross-Functional Collaboration: Collaborate with stakeholders across the organization, including data scientists, product managers, and business leaders, to understand requirements and deliver integrated solutions. This also includes working closely with the Convey enterprise technology shared services teams, partnering to leverage Convey technologies and expertise.
* Continuous Improvement Culture: Foster a culture of continuous improvement, encouraging innovation, knowledge sharing, and the adoption of best practices to drive technical excellence and operational efficiency.
* Security and Compliance: Ensure proactive transparency and compliance with security standards, system availability, and data integrity requirements across all organizational levels, mitigating risks and safeguarding sensitive healthcare data.
* Proven experience: Developing and executing an AI or automation strategy that aligns with business objectives.
EDUCATION AND EXPERIENCE:
* Bachelor's degree in computer science, computer engineering, electrical engineering, systems analysis or a related field of study, or equivalent experience.
* 10+ years of experience information technology with demonstrated growth.
* 7+ years of experience in managing and overseeing remote/hybrid, onshore/offshore software engineering teams of 20+.
* 5+ years of experience in building and maintaining modern, cloud data platforms (e.g. AWS, Azure, Snowflake).
* 5+ years of experience working with AI/ML technologies and exposure to newer AL technologies (generative, agentic).
* 3+ years of experience in healthcare data analytics.
* 5+ years of experience working with Agile methodologies.
OTHER DUTIES AND RESPONSIBILITIES:
* Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company.
* Responsible for participating in quality assurance, compliance and in-service and continuing education activities as requested by Company.
* Responsible for performing other duties and responsibilities as required.
Knowledge, Skills, and Abilities:
* Experience leading engineering remote and offshore teams with a track record of increased quality and productivity
* Strong interpersonal and communication skills to collaborate effectively with cross-functional teams and stakeholders.
* Ability to collaborate with cross-functional teams, including data scientists, analysts, and business stakeholders, to understand requirements and deliver solutions.
* Ability to prioritize and lead multiple projects simultaneously and meeting project goals in an agile environment
* Strong analytical and problem-solving skills to identify and resolve debug complex software issues, ensuring smooth operations and data accuracy
* Ability to provide technical guidance and support to the team, ensuring high-quality code and adherence to best practices.
* Knowledge of healthcare industry standards, regulations, and data privacy requirements (e.g., HIPAA).
* Experience with secure software development lifecycle, static and dynamic analysis tools and vulnerability remediation
* Hands on experience architecting and building large scale data processing infrastructure
* Experience in designing and implementing data ingestion routines and parsers to extract, transform, and load data from various sources
* Proficiency with data integration techniques, data mapping, and data transformation processes
* Knowledge of software testing methodologies, including unit testing, integration testing, and regression testing
* Experience in at least one systems language (Java, C++, Scala or Go)
* Ability to manage multiple simultaneous tasks with individual timeframes and priorities.
* Ability to motivate and encourage a team of front line employees.
* Ability to set and manage to expectations for a team responsible for direct customer contact.
Compensation and Benefits:
The expected base salary for this position ranges from $205,000 - 240,000 USD with a bonus target of up to 20% of the base salary. While it is not typical to offer candidates at or near the top of the range, we do consider a wide range of factors when making offer decisions, including (but not limited to) the scope and responsibilities of the position, a candidate's relevant skills, training, experience, education and where applicable, licensure and certifications obtained. We also consider organizational and market factors when making offer decisions. This range is a general guideline and represents a good faith estimate of what we would reasonably expect to pay for this position. We reserve the right to modify this range in the future as organizational and market conditions dictate.
At Convey, we believe that the right benefits package can improve the quality of our employees and their family members' lives. Therefore, we offer a competitive total rewards package, which includes health and welfare benefits, 401(K) savings with employer matching, paid time off, life, AD&D and disability insurances, and various ancillary benefits, such as pet insurance, virtual physical therapy, and employee assistance programs.
Equal Employment Opportunity Statement:
Convey Health Solutions is an Equal Opportunity Employer committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.
Convey Health Solutions also provides reasonable accommodations to qualified individuals with disabilities in accordance with applicable laws. Applicants requiring accommodation during the application or interview process should contact the Human Resources department.
About Us
Convey Health Solutions, together with Pareto Intelligence, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.
As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.
Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at ************************************
$205k-240k yearly 34d ago
Client Advisory Analyst
Convey Health Solutions Holdings Inc. 4.1
Fort Lauderdale, FL job
Job Title: Client Advisory Analyst Pareto Intelligence is a bold and innovative healthcare analytics organization redefining how health plans approach data, insights, and performance improvement. We are a team of passionate professionals driven to challenge conventional thinking and deliver transformative analytic solutions that others say are not possible.
Our Client Advisory Analysts are key members of this mission-immersing themselves in advanced data analytics, modeling, and problem-solving to drive measurable client outcomes. This role bridges data and decision-making, helping clients interpret analytical insights while contributing to the enhancement of Pareto's proprietary tools and methodologies.
Essential Duties and Responsibilities:
* Serve as a trusted partner to clients, interpreting outcomes from Pareto's suite of data analytic tools.
* Manage multiple client engagements and relationships concurrently.
* Apply critical thinking to develop customized analytic interpretations and solutions for client needs.
* Provide live demonstrations and user instruction for Pareto's data analytic tools to current and prospective clients.
* Collaborate extensively with technical and non-technical team members to ensure seamless delivery and insight translation.
* Uphold the security, confidentiality, and integrity of client information across all engagements.
* Innovate by translating client feedback into enhancements for Pareto's analytic and visualization tools.
* Contribute to process improvements and product evolution through active participation and solution-oriented thinking.
Education and Experience Requirements:
* Bachelor's degree in data Analytics; Economics; Management Information Systems; Finance; Accounting; or a related field.
* Up to 2 years of consulting or data analytics experience.
* Strong quantitative and analytical skills with the ability to apply statistical analysis to unstructured problems.
* Proficiency in interpreting data outputs and translating findings into actionable insights.
* Demonstrated experience presenting analytics and system functionality to client stakeholders.
Skills and Attributes:
* Complex Problem Solving: Ability to identify and address challenges by evaluating information, assessing options, and implementing effective solutions.
* Critical Thinking: Ability to use logic and reasoning to evaluate alternative approaches and determine optimal strategies.
* Deductive Reasoning: Ability to apply general rules to specific problems to derive accurate conclusions.
* Inductive Reasoning: Ability to identify patterns and relationships across diverse data and scenarios.
* Communication Skills: Strong oral and written communication skills with the ability to convey complex ideas clearly.
* Quality Assurance: Commitment to accuracy, precision, and thorough self-review of analytical outputs.
* Adaptability: Ability to thrive in an entrepreneurial environment where learning and innovation are continuous.
Travel Requirements:
The successful candidate must be willing and able to travel as needed; estimated travel is less than 25% of the time.
Compensation and Benefits:
The expected base salary for this position ranges from $80,000 - $90,000 USD; with a bonus target of up to 5% of the base salary. While it is not typical to offer candidates at or near the top of the range, Pareto Intelligence considers a wide range of factors when making offer decisions; including (but not limited to) the scope and responsibilities of the position; relevant skills; training; experience; education; and, where applicable, certifications or licenses. Organizational and market factors are also taken into account. This range represents a good faith estimate of what we would reasonably expect to pay for this position and may be modified as conditions dictate.
Pareto Intelligence offers a competitive total rewards package; including health and welfare benefits; 401(k) savings plan with employer matching; paid time off and holidays; life, AD&D, and disability insurance; and additional wellness programs and voluntary benefits.
Equal Employment Opportunity Statement
Pareto Intelligence is an Equal Opportunity Employer committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; sex (including pregnancy; sexual orientation; or gender identity); national origin; age; disability; genetic information; veteran status; or any other protected characteristic under applicable law;
Pareto Intelligence provides reasonable accommodations to qualified individuals with disabilities in accordance with applicable laws. Applicants requiring accommodation during the application or interview process should contact the Human Resources department.
About Us
Convey Health Solutions, together with Pareto Intelligence, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.
As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.
Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at ************************************
$80k-90k yearly 13d ago
Patient Financial Coordinator
Bioplus Specialty Pharmacy 4.2
Altamonte Springs, FL job
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Responsible for assisting patients in managing their out of pocket costs, and working with patients who are underinsured and need help via assistance programs or pharmaceutical manufacturer programs.
Encompasses activities that support the functions of the Accounting Department.
Responsibilities:
Work directly with patients to negotiate copayment arrangements
Retrieve method of payment from patient for co pay, and notate appropriate systems accordingly
Understand and help coordinate assistance via Pharmaceutical Manufacturer programs and /or foundations for patients with little coverage, no coverage or those that we cannot offer internal assistance by referring them to the manufacturer
Stay abreast and adhere to Federal, State, and contractual regulations regarding co pay assistance
Act as the liaison between Billing, Patient Care Coordinators, and Collection departments to assist in resolving financial assistance related to prescription refills
Update patient information and software systems to accurately reflect the outcome of negotiations
Respond in a timely manner to all assistance inquiries by patients, and other departments
Stay updated with foundation and manufacturer programs that relate to the disease classes that we service
Attend departmental and other meetings as scheduled
Prepare financial reports as requested, and submit to appropriate Manager
Create and maintain tracking programs for reporting financial assistance as well as manufacturer assistance transfers as directed
Update sales personnel as to assistance resolutions allowing them to update MD offices
Other duties as defined by manager
Requirements:
Three years of healthcare experience
Three years of Verification and/or financials, preferably in a Specialty Pharmacy.
Must have excellent negotiation skills along with a caring, compassionate attitude.
Must have the ability to work cooperatively, and be a liaison between departments when needed.
Must have excellent verbal and written communication skills. · Must have a professional image.
High school diploma or equivalent
Basic math skills
Understanding of insurance coverage gaps
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer
$38k-51k yearly est. 60d+ ago
Fill Technician I
Welldyne 4.1
Welldyne job in Lakeland, FL
At our company, we move fast, adapt quickly, and turn challenges into opportunities-all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary A WellDyne Fill Technician brings creativity and courage to the Pharmacy Fulfillment Operation, as well as compassion to our patients. A Fill Technician ensures patient prescriptions are filled and prepared in an accurate and timely manner. The schedules we are offering at this time are:
Monday to Thursday 2pm to 12:30am
Monday to Friday 12pm to 8:30pm
Friday, Saturday and Sunday 7am to 7:30pm
Essential Duties and Responsibilities
Responsible for filling and preparing prescription orders in a timely manner.
Accountable for stocking and managing the robotic counting machine.
Assist with stocking medications when scheduled.
Responsible for keeping the pharmacy clean based on a cleaning schedule.
Accountable for checking expired drugs on a monthly basis when scheduled.
Assist in monthly inventory count.
Assist with packing and shipping functions as needed.
Respect and maintain confidentiality guidelines of HIPAA.
Follow and aid in enforcement of all company policies and procedures.
Technicians will be required to assist with inventory when it is assigned.
Perform routine, professional pharmacy functions.
Responsible for other duties as assigned.
Education and Experience
High School Diploma or equivalent
Registered Pharmacy Technician License with the State of Florida in good standing required.
One year minimum of pharmacy experience is strongly preferred.
Knowledge, Skills, and Abilities
Ability to fill 40 prescriptions per hour.
Attention to detail.
Ability to handle multiple activities or interruptions at once.
Ability to work in a standing environment.
Ability to communicate effectively, patiently and courteously.
Focused team player, who can work in conjunction with pharmacists, other departments, customers, and management.
Work independently with little supervision and meet daily deadlines.
Ability to perform repetitious work accurately.
Work Environment / Physical Demands This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required. EOE M/F/D/V - WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.
$22k-38k yearly est. 60d+ ago
Registered Pharmacy Technician
Bioplus Specialty Pharmacy 4.2
Altamonte Springs, FL job
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners. Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Responsible for the preparation and fulfillment of prescription orders, ancillary supplies, and related activities under the direction and supervision of a Pharmacist.
Responsibilities:
Prepare pharmaceutical and chemotherapeutic agents under a pharmacist's supervision, demonstrating a commitment to quality, efficiency, and excellence
Initiate and complete delivery/shipment forms
Identify and manage orders needing additional attention and communicate timely and effectively to the appropriate team(s), ensuring follow up and resolution in order to maintain patient continuity of care at all times
Attend and participate in all staff meetings, patient care meetings, in-service education or on-going educational training with demonstration of competency specific to the pharmacy technician role
Assist in maintaining the pharmacy facility in adherence to Policy and Procedures for achievement of excellent audit results
Responsible for knowing and adhering to Policy and Procedures governing pharmacy operations and pharmacy technician responsibilities
Responsible for knowing and adhering to State Pharmacy regulations governing pharmacy technicians
Assist Pharmacist(s) in inventory procedures including record keeping and ordering
Log, shelve, and rotate incoming inventory and overstock
Proactively identify and communicate inventory stock concerns to designated company personnel and work collaboratively to problem solve delays and challenges that arise during the workday
Organize assigned workload to best facilitate its accomplishment
Involvement in Continuous Quality Improvement Program
Registered Pharmacy Technicians are not permitted to dispense, transfer prescriptions, accept telephone orders, or consult concerning contents, therapeutic values, and uses of any medicinal drug. Registered Pharmacy Technicians may not advise regarding interactions of patent or proprietary preparations, whether pursuant to prescriptions or in the absence an entirely independent of such prescriptions or orders. Registered Pharmacy Technicians may not make an alteration to a prescriber's directions, the diagnosis or treatment of any disease, the initiation of any drug therapy, or any activity relating to the practice of medicine
Assist the pharmacist, when requested, in performing dispensing pharmacy duties and functions according to standard practices of the profession and in accordance with all state, federal, and other applicable laws
Perform other tasks as requested by the pharmacists on duty and supervisor(s)
Must be able to demonstrate competency and technical ability in all work functions of the dispensing pharmacy
Must always maintain a positive attitude of teamwork and collaboration
Participate and perform other duties as assigned by leadership
Skills & Abilities:
Knowledge of standard medical terminology
Meet any continuing education requirements of the company's clinical program, as defined within the company's policy and procedures
Ability to stay abreast of developments in the field of specialty infusion, injectable, and oral therapies
Ability to handle challenging situations in a professional and proficient manner utilizing available resources and critical thinking skills
Ability to learn quickly, solve problems, and make decisions that promote a positive impact on patient care and internal pharmacy operations
Demonstrate excellent verbal, presentation, and written communication skills
Demonstrate proficiency in the use of MS Office software, which includes Excel, Word and Outlook
Demonstrate the BioPlus C.A.R.T. values
Qualifications
Requirements
High school diploma or equivalent
Registered Pharmacy Technician in the State of Florida or applicable state required
Minimum of one-year experience in retail pharmacy or specialty pharmacy
National Certification as a Pharmacy Technician highly preferred
Knowledge of basic pharmacy terminology, evaluation, and pharmaceutical law
Excellent verbal and written communication skills
Must have basic understanding of computer technology
Health Alert
Responsibilities may include handling hazardous drugs and materials. Adverse health effects from hazardous drug exposure may include skin disorders, reproductive disorders and possibly cancer. Additional information is available at: *********************************
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer
$26k-34k yearly est. 2d ago
Shipping Clerk I
Welldyne 4.1
Welldyne job in Lakeland, FL
Under the direct supervision of the Pharmacy Supervisor, pack and ship prescriptions following all shipping procedures. This is a onsite position, in office presence is required. At this time we are seeking candidates located within comfortable driving distance of Lakeland, FL.
The schedules we are offering at this time are: Monday - Thursday 2:00pm - 12:30am Monday - Friday 12pm -8:30pm
Friday - Sunday 7:00am-7:30pm Training schedule: Monday - Friday 10:am - 6:30pm for approx. 2 weeks Essential Duties & Responsibilities
Accurately ship prescription orders for all three pharmacies in a timely manner.
Follow all shipping procedures and each step on the shipping checklist when packaging an order.
Responsible for stocking freezers with ice packs.
Respect and maintain confidentiality guidelines of HIPAA.
Responsible for keeping the warehouse clean and stocked.
Accountable for receiving and signing for all deliveries that come into the facility.
Responsible for keeping area clean and adequately stocked with boxes and supplies.
Follow and aid in enforcement of all company policies and procedures.
Responsible for ordering supplies and boxes when needed.
Accountable for contacting the courier or post office for any reason such as late pick-ups or special requests.
Responsible for other duties as assigned.
Education and Experience
REQUIRED: High School Diploma or equivalent
One year minimum of shipping/receiving experience strongly preferred
Knowledge, Skills, and Abilities
Ability to lift 30lbs.
Ability to drive a handheld forklift.
Ability to work in a standing environment.
Ability to communicate effectively, patiently and courteously.
Focused team player, who can work in conjunction with pharmacists, other departments, customers, and management.
Work independently with little supervision and meet daily deadlines.
Ability to perform repetitious work accurately.
Ability to handle multiple activities or interruptions at once.
Attention to detail.
WellDyne Can Offer You
Medical, Dental and Vision Benefits
Medical Savings Account Options with Company match
401K after 90 days of employment
Employee Assistance Program
Life and Supplemental insurance
Educational Reimbursement
Paid Time Off
Shift Differential working overnight hours
Work Environment / Physical Demands
This position is in a typical office environment which requires prolonged standing in front of a computer. In addition, this position requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including the operation of standard computer and phone equipment.
EOE M/F/D/V
$23k-29k yearly est. 10d ago
Lead Data Engineer
Convey Health Solutions Holdings Inc. 4.1
Fort Lauderdale, FL job
Job Title: Lead Data Engineer The Lead Data Engineer is both a technical authority and individual contributor for delivery, and continuous improvement of healthcare data products and platform components. With a proven track record of architecting secure, high-throughput pipelines and directing the work of high-performing teams (4-5 engineers), they are responsible for translating business strategy into data engineering execution. They guide the team in the adoption of tools like AWS Glue, Iceberg, SageMaker, and feature flag frameworks while ensuring HIPAA and HITRUST compliance. They will lead in best practices for ingesting/cleaning/validating client data and orchestrate a streamlined implementation process to onboard new clients and increase the efficiency of existing ones.
Key Duties and Responsibilities:
* Lead the creation of automated data validation frameworks to ensure client data integrity is at the level needed for our solutions
* Follow best practices and coding standards to create custom scripts to clean/map/align client data to the expected inputs for the ETL pipelines of various solutions
* Architect and lead the adoption of serverless data platforms, integrating services like AWS Glue, Lambda, DynamoDB, and Lakehouse Formation.
* Lead GitOps strategy for infrastructure and pipeline deployment, ensuring compliance, rollback safety, and peer-reviewed workflows.
* Establish best practices for feature flag toggling strategies in critical data pipelines.
* Drive internal knowledge sharing and technical writing culture, including mentoring junior staff on documentation standards.
* Thrives in collaborative team environments and takes pride in mentoring junior team members by providing guidance, support, and best practices.
* Adept at designing scalable architectural solutions while effectively communicating complex concepts to both technical and non-technical audiences. Skilled in tailoring messaging and presentation style based on audience needs to ensure clarity, alignment, and impact across stakeholders.
* Owns technical environment and tooling strategy across the data engineering organization. This role ensures standards, documentation, and collaboration practices are in place and consistently applied.
* GitHub (repo standards)
* AWS Console (Glue, Iceberg, EMR, IAM governance)
* Jupyter/Python IDE (advanced notebook-based development)
* Lucidchart (platform-wide architecture)
* Microsoft Teams/Zoom (engineering leadership, stakeholder updates)
* Jira & Confluence (governance documentation, delivery tracking)
Qualifications
Education
* Bachelor's degree in Computer Science, Engineering, or a related field of study, or equivalent experience
Experience
* 10+ years in data engineering roles.
* Extensive experience working with large-scale data systems and cloud-based architectures (AWS).
* Prior experience with healthcare or regulated datasets strongly preferred.
Technical Skills
* Python, PySpark, Scala (10+ yrs) - Directed large-scale data platform development with an emphasis on modularity and performance.
* Airflow (6+ yrs) - Defined standards for DAG design, observability, and reusability across the team.
* AWS (Glue, EMR, Lambda, Step Functions) (5+ yrs) - Oversaw hybrid orchestration strategies using serverless and EMR-based pipelines.
* Iceberg (4-5 yrs) - Led lakehouse strategy including governance, versioning, and cost optimization.
* Deep expertise in designing and optimizing data lake and lakehouse architectures at scale, including governance, schema evolution, cost efficiency, and access control.
* Leads strategy and implementation of hybrid lakehouse ecosystems leveraging technologies like Iceberg, Delta Lake, and catalog services across multiple environments (e.g., dev, staging, prod).
* Directed team of data engineers of 5-8 engineers, driving architecture decisions, enforcing engineering standards, and championing Agile delivery practices within a high-performance data engineering environment.
* Docker/Kubernetes (6-8 yr) - Oversaw Kubernetes-based orchestration for enterprise data pipelines; established Docker standards across teams and integrated container practices with compliance and DevOps strategies.
Supervisory Responsibilities:
This position provides work direction only
Knowledge, Skills, and Abilities :
* Excellent written, verbal, and interpersonal communication skills.
* Excellent organizational skills and attention to detail.
* Excellent documentation skills.
* Team player.
* Ability to provide clear and accurate information through multiple media.
* Ability to extrapolate, from historical trends, future volumes, and staffing needs.
* Ability to manage open requests and follow up when necessary, without outside direction.
* Ability to manage time effectively with strong attention to detail.
* Ability to read and interpret documents including safety rules, operating and maintenance instructions, procedure manuals and general correspondence.
* Ability to write routine reports and correspondence.
* Ability to deal with problems involving several concrete variables in standardized situations.
* Ability to interact politely, tactfully, and firmly with a wide range of people and personalities.
* Ability to work in an environment with potential interruptions.
* Ability to manage multiple simultaneous tasks with individual timeframes and priorities.
* Ability to motivate and encourage a team of front-line employees.
* Ability to set and manage to expectations for a team.
Compensation and Benefits:
The expected base salary for this position ranges from $125,000 - $145,000 USD with a bonus target of up to 5% of the base salary. At Convey, we believe that the right benefits package can improve the quality of our employees and their family members' lives. Therefore, we offer a competitive total rewards package, which includes health and welfare benefits, 401(K) savings with employer matching, paid time off, life, AD&D and disability insurances, and various ancillary benefits, such as pet insurance, virtual physical therapy, and employee assistance programs.
Equal Employment Opportunity Statement
Convey Health Solutions is an Equal Opportunity Employer committed to fostering an inclusive and diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local laws.
Convey Health Solutions also provides reasonable accommodations to qualified individuals with disabilities in accordance with applicable laws. Applicants requiring accommodation during the application or interview process should contact the Human Resources department.
About Us
Convey Health Solutions, together with Pareto Intelligence, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.
As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.
Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at ************************************
$125k-145k yearly 7d ago
Account Manager - Payor Relations
Bioplus Specialty Pharmacy 4.2
Altamonte Springs, FL job
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Position Summary
Responsible for providing support in managing payor relations, program implementation, data feeds as contracted, and other contractual requirements. Provide analysis of contracts, facilitate internal company communication concerning payor clients, and manage payor contract requirements in order to maintain compliance and contract obligations.
Essential Functions:
Ensure accurate and timely completion of all assigned and contractual client requirements (reporting, application/contraction completion, presentation, monthly analysis).
Serve as the primary contact for assigned accounts, interacting with client contacts to facilitate problem resolution and promote high client satisfaction
Work directly with internal stakeholders including finance, IT, legal, operations, account management, contract management, sales and others to define requirements and support successful implementation and sales pull through on payor contracts.
Maintain a current request for proposal (RFP) library, coordinate with stakeholders to maintain relevant and accurate information, develop RFP responses as approved by the executive team.
Assist the Director of Contract Management with the business development process of contracting and executing new payor relationships.
Work with other department, sales/account managers, pharmacy, billing, PCC's and other departments to support company objectives.
Engages targeted payors for contracts to allow pending patient dispensing
Assist Credentialing Specialist as needed to complete enrollment applications/packages (Medicaid, Part D, MCO)
Respond to questions surrounding contracts (reimbursement, benefit design, contracted services)
Collate and create monthly, quarterly, and annual payor reports
Review and analyze weekly shipped, non-admit, and discharge reports
Assist admissions/PA with difficult patient cases
Provide insight of changes within plans to sales, admissions, pharmacy, and billing departments
Provide analysis of growth potential within each plan and a full region
Assist Hemophilia team (reimbursement, plan access, LOA, patient onboarding, etc.)
Obtain Letter of Agreement when required for services (workmen's comp/medical services)
Announce drug formulary changes at a plan to internal customers
Provide analysis and support for VPs of Managed Care, Sr. Director of Contract Management and the SVP Trade
Manage, review and follow up of pending contracts and provide support for timely completion, update contract files upon contract execution
Other Duties:
Participate and perform other related duties as assigned by Leadership.
Competency:
Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care
Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
Ability to work and lead in a team-oriented, collaborative environment.
Excellent organization skills required and the ability to work on multiple accounts simultaneously.
Maintains compliance with all BioPlus Specialty Pharmacy policies and procedures
Strong organizational skills with the ability to manage multiple work streams and implementation projects simultaneously.
Ability to rapidly adapt and respond to changes in environment and priorities
Demonstrate excellent oral and written communication skills
Strong networking skills
Demonstrate proficiency in the use of MS Office software; which includes Excel, Word and Outlook
Demonstrate the BioPlus C.A.R.T. values
Competence
Accountability
Respect
Trust
Qualifications
Qualifications
Education/Experience Requirements:
Associate or Bachelor's degree in healthcare related field preferred
3+ years of experience with Healthcare Plans or Specialty Pharmacy
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer
$38k-52k yearly est. 60d+ ago
Enrollment Representative - Benefit Investigator
Bioplus Specialty Pharmacy 4.2
Altamonte Springs, FL job
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners. Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Representative that gathers pertinent verification of insurance benefits and prepares the appropriate documentation in adherence with company's 2-hour brand promise. Works efficiently and provides appropriate and timely information to other departments.
Participation in all aspects of patient's insurance verification functions in adherence to company's 2-hour brand promise.
Responsibilities
Responsible for accurately completing benefit investigations with adherence to company's 2-hour brand promise
Must be proficient in Pharmacy Benefit and Major Medical coverage including Commercial, Medicare B and Supplements, Medicare D and State Medicaid
Responsible for a complete understanding of health insurance benefit structure including copay structure, co-insurance, deductibles, out of pocket, coordination of benefits, etc
Adjudicate claims through Pharmacy Benefit Managers
Ability to read and understand paid and rejected claims
Ability to be able to read Rx and select appropriate dose/units per day supply
Must have great customer service phone skills with the ability to use persistence and ask the right questions to obtain thorough and accurate information
Ability to work independently and within a team setting. Must present positive attitude to create a positive work environment
Adapt to departmental and company procedures as necessary
Update sales staff and verification team with pertinent information
Other Duties as assigned by Manager/Supervisor of Admissions Enrollment
Skills & Abilities
Excellent Computer Skills
Knowledge of medical terminology
Excellent communication skills
Ability to work cooperatively and be a liaison between departments when needed
Professional image
Ability to adhere to C.A.R.T. principles
Qualifications
Requirements
High School Diploma or Equivalent
At least 1 year of insurance verification experience
Certified and Registered Technician preferred
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer
$27k-35k yearly est. 2d ago
Business Intelligence Analyst
Welldyne 4.1
Welldyne job in Lakeland, FL
At our company, we move fast, adapt quickly, and turn challenges into opportunities-all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable. Our Vision: Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential. Our Mission: To be the disruptive force that drives meaningful change within pharmacy services. Summary Come join HealthDyne and help drive the transformation of our operational experience at scale. We are actively looking for a passionate Business Intelligence Analyst to join our team to help inform the direction of HealthDyne Business through data, at scale. Successful candidates will be comfortable creating and optimizing table structures, identifying KPIs that drive the business, generating reports for those KPIs that are consumed across the Business organization, analyzing data to inform strategic and tactical initiatives, and writing up the findings from analyses for less-technical audiences. Strong SQL (any implementation) is a must. Scripting skills, and background in operations is extremely valuable. This is a highly visible role that partners with business, product management, operations, and the technical team. Essential Duties and Responsibilities
Design, implement, and support a platform providing ad hoc access to large datasets.
Manipulate/mine data from database tables (ex. Redshift, MySQL, Oracle, SQL Server) using SQL and ETL.
Manipulate/mine data from log files, spreadsheets by writing scripts (ex. PERL, Python, UNIX).
Develop analytical tools: deep-dive tools, UIs, metrics, and dashboard.
Perform deep-dives and root cause analysis to answer business questions.
Work with cross functional stakeholders in defining the source of truth and obsessively making sure the data fidelity is high.
Effectively communicate (written and verbal) solutions and methodologies to senior leadership.
Work with engineering teams to enable the appropriate capture and storage of data.
Complete ad hoc data retrieval and analysis.
Monitor existing metrics, develop and propose new metrics, and identify new, actionable risk signals.
Education and Experience
3+ years of analyzing and interpreting data with Redshift, Oracle, NoSQL etc. experience
Experience with data visualization using Power BI, Tableau, Quicksight, or similar tools
Experience with data modeling, warehousing and building ETL pipelines
Experience in Statistical Analysis packages such as R, SAS and Matlab
Experience using SQL to pull data from a database or data warehouse and scripting experience (Python) to process data for modeling
Knowledge, Skills and Abilities
Experience with AWS solutions such as EC2, DynamoDB, S3, and Redshift.
Experience in data mining, ETL, etc. and using databases in a business environment with large-scale, complex datasets
Work Environment / Physical Demands This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required. EOE M/F/D/V - WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.
$58k-81k yearly est. 7d ago
Front End Supervisor - Specialty Operations
Welldyne 4.1
Welldyne job in Lakeland, FL
At our company, we move fast, adapt quickly, and turn challenges into opportunities-all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary
Under the direction of Manager, Specialty Pharmacy Operations, the Front-End Supervisor oversees all front-end pharmacy operations such as prescription intake, benefits investigations, prior authorizations, and all front-end operational queues. The Supervisor will also support the pharmacy with issues concerning billing, and work as a liaison between the pharmacy and member AR. The Supervisor will monitor, develop, and train staff on front-end operating procedures as well as develop training materials to support the staff ensuring accuracy and compliance with SOP's. Shift: Monday to Friday 9:30am to 6pm. Onsite Centennial, CO or Lakeland, FL
Essential Duties & Responsibilities
Develop, implement, and oversee all front-end pharmacy standard operating procedures as it pertains to: prescription intake, benefits investigation, order entry, item entry, prior authorizations, and adjudication.
Actively contributes to the strategic planning and achievement of departmental goals and objectives; attends pertinent meetings when necessary
Respect and maintain confidentiality guidelines of HIPAA.
Responsible for scheduling, developing, coaching, training, and directing department personnel.
Effectively communicate information to the staff and supervisors in an open and timely manner.
Handle pharmacy service-related complaints and concerns in accordance with company policy and promote a positive customer experience.
Assist with quality improvement programs (i.e. URAC quality projects, ACHC)
Cooperates in the documentation and resolution of customer service-related issues.
Contributes to and supports an atmosphere of effective teamwork and coordination.
Observe employee performance and participate in writing performance reviews.
Oversee and develop pharmacy training materials for front-end operations and personnel.
Coordinate and assist with all employee training and development.
Monitor reports and operational processes to ensure maximum efficiency.
Assist in system software upgrades with testing.
Responsible for submitting any system issues or concerns to appropriate parties.
Assist other departments when necessary.
Follow and aid in enforcement of all company policies and procedures.
Responsible for other duties as assigned.
Education and Experience
Certified and Registered Pharmacy Technician, (Colorado) in good standing required
High School Diploma or equivalent
Registered with the State of Florida (Florida) in good standing required, certification preferred
Two years of experience as a pharmacy technician
Experience in a specialty pharmacy is preferred
Proficient with Microsoft Word, Excel, and Outlook
Knowledge, Skills, and Abilities
Attention to detail and accuracy.
Ability to handle multiple activities or interruptions at once.
Ability to communicate effectively, patiently and courteously.
Focused team player, who can work in conjunction with pharmacists, other departments, customers, and management.
Work independently with little supervision and meet daily deadlines.
Work Environment / Physical Demands
This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required.
EOE M/F/D/V - WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.
$23k-30k yearly est. 9d ago
Item Entry Technician
Welldyne 4.1
Welldyne job in Lakeland, FL
At our company, we move fast, adapt quickly, and turn challenges into opportunities-all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary Create prescription orders following all pharmacy procedures and guidelines and accurately interpret and enter prescription information into prescription processing system Shift: Monday to Friday 10:30am to 7 pm Essential Duties and Responsibilities
Perform standard pharmacy functions in compliance with established procedures.
Maintain patient confidentiality in accordance with HIPAA regulations.
Verify patient identity using date of birth, address, and other identifiers before initiating orders.
Ensure that prescription details are accurate and complete prior to processing.
Complete and update patient profiles
Adhere to and support all company policies and procedures.
Conduct a PD3Q quality check before finalizing and submitting orders.
Perform additional duties as assigned
Education and Experience
High School Diploma or equivalent
Registered Pharmacy Technician with the State of Florida.
Preferred - national certification (CPhT)
One year minimum of pharmacy experience
Knowledge, Skills, and Abilities
Ability to enter 30 prescriptions per hour (prescriptions received via mail, phone or fax)
Ability to enter 60 prescriptions per hour (prescriptions received electronically)
Attention to detail.
Ability to handle multiple activities or interruptions at once.
Ability to communicate effectively, patiently, and courteously.
Focused team player, who can work in conjunction with pharmacists, other departments, and management.
Work independently with little supervision and meet daily goals.
Ability to perform repetitious work accurately.
Strong communication skills using Microsoft Teams for team coordination and Outlook for professional correspondence
Work Environment / Physical Demands
This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be .
EOE M/F/D/V - WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.
$23k-31k yearly est. 57d ago
Enterprise Data Manager & Architect
Welldyne 4.1
Welldyne job in Florida
At our company, we move fast, adapt quickly, and turn challenges into opportunities-all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary
The Enterprise Data Manager & Architect is responsible for defining, governing, and optimizing how WellDyne identifies, structures, secures, and manages data across transactional, operational, and analytical systems. This role focuses on data ownership, including where data resides, how it is sourced, how it flows across systems, and how it is made available for business consumption.
This leader will establish enterprise standards for data architecture, governance, metadata, lineage, access, quality, and stewardship- ensuring WellDyne's data is accurate, trusted, secured, and usable for operational and analytical needs.
Success in this role is measured by clear data sourcing frameworks, mature governance practices, adoption of enterprise data standards, improved data trust, and enabling modern capabilities such as Power BI Copilot, data lakes, and machine learning-enabled insights.
Essential Duties & Responsibilities
Data Strategy & Governance
Define and maintain the enterprise data sourcing strategy, documenting where data exists and how it supports transactional and reporting needs.
Establish and lead the Data Management Center of Excellence, including governance models, standards, and decision frameworks.
Create and enforce enterprise standards for data architecture, modeling, metadata, lineage, quality, MDM, and stewardship.
Ensure compliance with regulatory and data security requirements across systems.
Enterprise Data Architecture
Define enterprise data architecture and canonical data models across transactional, operational, and analytical systems.
Ensure alignment of integrations, data flows, and storage patterns across all platforms (cloud, on-prem, data lakes).
Guide modernization initiatives such as database redesigns, platform consolidation, and legacy system decommissioning.
Partner with cross-functional teams to ensure data is traceable, secure, well-governed, and accessible.
Data Platforms, Tooling & Frameworks
Define strategy and standards for data management platforms including data catalog, lineage, metadata, MDM, quality monitoring, and data lake components.
Oversee the creation and ongoing maintenance of a centralized metadata and report catalog to improve visibility and reduce redundancy.
Lead adoption of scalable cloud-native data platforms and lakehouse architectures.
Enablement, Insights & Advanced Capabilities
Enable business teams to self-serve insights through governed data models and Power BI Copilot/NLQ capabilities, without IT owning the reporting function.
Identify practical machine learning applications-such as anomaly detection, forecasting, and natural language insights.
Improve enterprise data literacy and promote standardized data usage across WellDyne.
Leadership & Collaboration
Mentor BI developers, data engineers, analysts, and other technical contributors.
Serve as an enterprise subject-matter expert and escalation point for data architecture and sourcing decisions.
Collaborate with IT and business stakeholders to ensure consistency and alignment across teams.
Performs additional duties as assigned.
Education & Experience
Bachelor's or Master's in Information Systems, Computer Science, Data Analytics, or related field.
8-12 years of progressive experience in data management, architecture, or governance, including 3-5 years in a lead/architect role.
Experience establishing or maturing a Data Management COE or governance program.
Hands-on experience with data lakes, modern cloud data platforms (AWS/Azure/GCP), SQL, and ETL/ELT.
Experience with Power BI Copilot and enabling natural-language data access.
Exposure to applied machine learning preferred.
Professional certifications preferred (Azure/AWS Data, Power BI, DAMA, TOGAF).
Knowledge, Skills & Abilities
Deep expertise in data architecture, modeling, metadata, lineage, and governance frameworks (DAMA/DMBOK, DCAM, TOGAF).
Strong understanding of data lakes, semantic modeling, and modern integration patterns.
Ability to define enterprise-wide data structures and ensure adoption.
Excellent communication and influencing skills across technical and business audiences.
Strong leadership, facilitation, and mentorship capabilities.
Ability to simplify complex data concepts for business stakeholders.
Success Measures
Enterprise data strategy and sourcing framework adopted.
Data governance standards consistently implemented across systems.
Data architecture modernized and redundant or legacy structures eliminated.
Centralized metadata and report catalog operational and used across teams.
Improved trust, quality, security, and usability of data.
Successful enablement of Power BI Copilot/NLQ for business self-service.
Practical machine learning-enabled features (e.g., forecasting, anomaly detection) implemented to support operations.
Work Environment / Physical Demands
This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required.
EOE M/F/D/V - WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.
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WellDyne may also be known as or be related to WellDyne and Welldyne, Inc.