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Senior Analytics Engineer, Healthcare Informatics Location: Remote within approved states: Alabama, Florida, Georgia, Mississippi, Pennsylvania, excluding Philadelphia, South Carolina, and Texas Compensation: Target range of $45 to $55 per hour, with annualized compensation generally in the low-$90,000s to low-$110,000s, plus a target 10% bonus where applicable Work Model: Remote A remote opportunity is available for a senior-level analytics professional to lead modernization efforts within a healthcare informatics environment. This role will focus on converting and enhancing legacy SAS-based analytics into Python-based solutions while partnering closely with business stakeholders, analytics teams, and technology partners. This position is best suited for someone who combines strong technical depth with the ability to communicate clearly across both technical and business audiences. The role does not include direct people management, but it does require project leadership, cross-functional coordination, and ownership of complex analytics initiatives from design through deployment. What You Will Do: • Lead the design, testing, and deployment of analytics solutions that support business and operational priorities, • Translate and modernize existing SAS-based analytics, reporting logic, and data transformations into Python-based solutions, • Interpret existing SAS programs, including DATA steps, PROC SQL, and common analytical workflows, • Use Python, SQL, pandas, and numpy to build maintainable analytics code while preserving business logic and output accuracy, • Partner with business leaders and end users to understand reporting intent, metrics, and downstream usage, • Validate converted logic by reconciling outputs, row counts, aggregations, and derived metrics between SAS and Python, • Conduct complex analysis, data profiling, and data modeling activities to support reporting, operational decisions, and performance improvement, • Develop reporting, visualizations, and analysis that provide timely and consistent insight for business management, • Monitor system and reporting performance metrics and support continuous improvement initiatives, • Lead large projects and workgroups that support organizational initiatives and strategy, • Create and maintain documentation for business logic, assumptions, data transformations, policies, procedures, and best practices, • Support data governance efforts and help ensure alignment with regulatory and organizational requirements, • Mentor and support informatics staff and end users to improve adoption, proficiency, and long-term maintainability Required Qualifications: • Bachelor's degree in Statistics, Analytics, Information Technology, Engineering, or a related technical field, • 6+ years of related experience, • Strong Python experience for data analysis, including pandas, numpy, and SQL integration, • Working knowledge of SAS, with the ability to read, interpret, and work through existing SAS code, • Experience translating or modernizing legacy analytics, reporting logic, or data transformation workflows, • Strong understanding of core analytics concepts, including joins, aggregations, time-based logic, and derived metrics, • Experience validating analytical outputs and ensuring data accuracy, • Proven track record leading complex projects from conception through deployment, • Strong communication skills, including the ability to explain technical concepts clearly to business stakeholders, • Strong data analysis and data mining skills, • Understanding of data governance principles and healthcare regulatory requirements, • Basic knowledge of statistics, • Basic knowledge of the Medicare Part A and Part B programs, • Proficiency with Microsoft Office tools, • Strong technical writing and documentation skills Preferred Qualifications: • Master's degree in a related technical field, • 6+ years of experience analyzing Medicare claims, provider, or beneficiary data, • Experience in healthcare, payer, or other regulated data environments, • Familiarity with SAS macros and common PROC workflows, • Experience with relational databases, • Knowledge of medical terminology and coding structures such as CPT, ICD-9, and HCPCS, • Experience with business process design and requirements development, • Exposure to cloud-based analytics platforms or modern data stacks, • Experience supporting business intelligence, reporting, or informatics teams, • Background in analytics engineering or data transformation roles, • Project Management Certification Ideal Profile: The ideal candidate is a hands-on analytics leader who can move comfortably between technical execution and business collaboration. This person can interpret legacy logic, modernize it thoughtfully, validate outputs carefully, and communicate clearly with stakeholders across the organization.

Job Locations US-CA-Concord | US-FL-Jacksonville | US-NY-New York | US-CO-Denver | US-IL-Chicago | US-VA-Arlington Requisition ID 2026-11938 Category Risk Management Do you consider yourself to be a highly technical, strong communicator with the desire to work in a team environment on complex projects? Gilbane is seeking a Senior Claims Manager to manage complex claims for our Federal division. This role can be based out of any Gilbane US location or remote. The Senior Claims Manager oversees the evaluation, investigation and resolution of complex Requests for Equitable Adjustment (REAs) or legal claims involving the Federal Government. The Senior Claims Manager supports project teams to ensure compliance, financial recovery, and efficient preparation of REAs and Certified Claims. The Senior Claims Manager is a professional with a high level of subject matter expertise in Federal dispute resolutions including REAs and Certified Claims. Who are we? As a Top-10 ENR Contractor, Gilbane is a family-owned business with 45 offices that has been shaping communities since 1870. Consistently recognized as one of the most reputable construction management firms in the country, Gilbane is committed to delivering projects safely and on-time. We are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. Who are you? You are a coach/leader who leads with an inclusive and empathetic mindset. You provide feedback and guidance to help others excel in their current or future roles. You determine priorities, delegate work, and effectively communicate progress. You establish measures to assess the impact, quality, and timeliness of results while praising successes and sharing lessons learned. You build high performing teams by attracting, engaging, developing, and retaining talented individuals through motivation and discipline to maximize impact on the organization and the individual. You leverage business insights by understanding industry trends, local market/economic conditions, and Gilbane's business model to make critical decisions and create competitive advantage. You deploy a strategic mindset when considering solutions to long-term opportunities and risks that may develop in the future. Your core values match Gilbane's: Integrity, Caring, Teamwork, Toughmindedness, Dedication to Excellence, Discipline, Loyalty, and Entrepreneurship. What's in it for you? Gilbane offers employees multi-dimensional training opportunities through a number of resources. While managing your responsibilities to projects, you will be able to enroll in trainings through our award-winning Gilbane University to build leadership and technical skills. In addition, you would work with an experienced team which provides you with the opportunity to learn new industry skills every day. You will protect and promote the interests of both Gilbane and the client in all matters as well as demonstrating the personal characteristics of a developing leader. Works with the project team and Contracts Manager to establish entitlement for REAs and a strategy for development. • Reviews all correspondence and back up documentation relevant to the REA., • Creates and maintains files in the appropriate file structure., • Coordinates with Gilbane Legal, Safety, Operations, and Accounting staff as needed., • Engages project teams or Business Unit Controllers to ensure costs are forecasted accurately and risk control measures are in place., • Interacts with external partners such as Outside Counsel, Scheduling Consultants, and Trade Contractors, as needed., • Coordinates with project teams to compile REA and claim submissions., • Supports settlement discussion as needed., • Creates monthly reports on the progress of closing REAs/claims., • Informs the Business leader of all REAs/ claims matters and obtains approvals as needed., • Interprets and translates the organizational strategy, ensuring team understanding of their role in accomplishing strategic goals., • Responsible for providing periodic training of project team members in change management and REA preparation., • Leverage Business Insights - Understand and act on industry trends, local market and economic conditions and our business model to make decisions and create competitive advantage., • Deploy a Strategic Mindset - Take a broad, global perspective when considering proactive solutions to long-term opportunities and risks that might develop in the future., • Display Emotional Intelligence - Demonstrate the capacity to recognize feelings and patterns of behavior and those of others. Manage emotions effectively in ourselves and our relationships., • Drive Team Accountability - Determine priorities and delegate work; monitor and communicate progress. Establish measures to assess the impact, quality and timeliness of results; praise success and learn from mistakes., • Coach and Develop Others - Provide feedback, instruction, and development guidance to help others excel in their current or future job responsibilities. Plan for and support development of individual skills and abilities. EXPERIENCE/EDUCATION • Bachelor's degree in a related field: Construction Management, Engineering, Contract Management preferred., • 5-10 years of experience in Federal claims or other relevant industries, • Or equivalent combination of education and experience KNOWLEDGE, SKILLS & ABILITIES • Advanced written, verbal, and interpersonal skills., • Ability to function as an integral part of a team while being highly collaborative., • Ability to coordinate efforts involving individuals from different geographic areas as well as external partners., • Ability to understand issues quickly and follow through with a resolution., • Advanced customer service skills., • Advanced problem solving, planning, multi-tasking, and organizational skills., • Proficient in Microsoft Office specifically Outlook, Word, and Excel., • RMS (Resident Management System) and eCMS (Electronic Construction and Facility Support Contract Management System) proficiency is beneficial., • Proficient in Schedule evaluation and analysis; experience with P6 is beneficial., • Experience with searching, extracting, and handling large data bases., • Experience with Cost Analysis., • Familiarity with Federal Acquisition Regulation (FARs)., • Experience and knowledge of construction process and documentation - Drawings and specifications. This position can be performed remotely or from any U.S. location where Gilbane has an office. Salary to be determined based on factors such as geographic location, skills, education, and/or experience of the applicant, as well as the internal equity and alignment with the team. The pay ranges from $163,710 - $232,800 plus benefits and retirement program. Gilbane offers an excellent total compensation package which includes competitive health and welfare benefits and a generous profit-sharing/401k plan. We invest in our employees' education and have built Gilbane University into a top training organization in the construction industry. Qualified applicants who are offered a position must pass a pre-employment substance abuse test. Gilbane is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, color, national origin, race, religion, sex, sexual orientation, gender identity, protected veteran status, or disability status. Note to Recruiters, Placement Agencies, and Similar Organizations: Gilbane does not accept unsolicited resumes from agencies. Please do not forward unsolicited agency resumes to our jobs alias, website, or to any Gilbane employee. Gilbane will not pay fees to any third party agency or firm and will not be responsible for any agency fees associated with unsolicited resumes. Unsolicited resumes received will be considered property of Gilbane and will be processed accordingly. We can recommend jobs specifically for you! Click here to get started.

Job DescriptionBenefits: • Dental insurance, • Health insurance, • Paid time off, • Medical, Dental, and Vision Insurance, • Life Insurance, • Disability Insurance, • 403b, • PTO, • Paid Holidays, • Flexible Spending Account Job Summary Renaissance Behavioral Health Systems, a comprehensive mental health center and Joint Commission accredited organization, is seeking a SQL Application Support Specialist to work at our corporate headquarters in Jacksonville, Florida. The SQL Application Support Specialist will help to support, analyze, configure, test, and update the EHR systems functionality including the systems clinical, billing, accounts receivable, scheduling, and state reporting infrastructure with the overall goal of maximizing revenue capture. Responsibilities will include the configuration of system rules and tables; maintenance of interfaces for billing, payments, clearing houses, and state managing entities; creation or maintenance of accurate and effective SQL reports and scripts; and other system logic necessary to support compliance with payor contracts, billing and coding requirements, audit rules, and internal policies. Additionally, the SQL Application Support Specialist will provide support for the organizations fax, telephony, email, financial, payroll, and HR applications. Responsibilities Configuration, Maintenance, Reporting and Support: • Assists in the configuration and maintenance of the SmartCare system modules including SQL tables., • Interact with pertinent personnel to identify data needs, create, test and maintain accurate and effective SQL reports and scripts in support of billing and state reporting functions, • Assists in the development and maintenance of the Dynamic Form Architecture (DFA) and interoperability for the EHR system for existing and future functionality adoption., • Testing of new or revised EHR functionality including the development and update of test plans, testing, troubleshooting and final acceptance., • Maintains the updates of all internal and external documentation related to reporting, claims configuration and policy changes, • Fully supports internal audits and responds timely to any resulting action plans., • Accountable for outstanding customer service to all external and internal customers., • Assists in the accurate and timely loading of the following (including annual updates): Payor contracts, Providers, Fee schedules, Code Set Mapping, and Specialized Rules and Alerts., • Serves our staff as a support team resource for our information systems. Supporting functions of the software, including but not limited to; AR Month End close processing, Quality Control and Audits, generation and distribution of SQL reports and review of Census., • Ensures the timeliness of adding new users, staff transfers and termination requests of users from our systems and systems access., • Maintains email group management and support for our internal and external email systems., • Reviews and updates calendar reminders for contract renewals, knowledgebase administration and process/procedural reviews, • Performs periodic site visits, virtual or physical, to conduct user group discussions, workflow design reviews and/or provide updates on system changes., • Specialist will provide support for the organizations financial, payroll and HR applications including quarterly updates and assisting the software vendors with troubleshooting.Training:, • Assists in Role Specific Billing Training as needed (System and Procedural Updates), • Maintains Billing Training support documentation and materialsOn-Call - IT Hotline:, • During normal business hours: Resolves user problems as reported via the IT Hotline., • As scheduled by IT management, receives and resolves IT Hotline calls on nights, weekends and holidays., • Resolves, if possible, otherwise consults with or refers problems to other IT technical staff., • Utilizes remote PC administration tools to resolve user problems. When required, travels to facilities to resolve system or application related issues.Qualifications, • In order to be considered, candidates must have a High School diploma or equivalent required. Associates or Bachelors degree in Information Technology or Healthcare preferred., • SQL certifications preferred., • Minimum one year of experience writing reports in SQL and supporting system applications., • Experience in a healthcare EHR environment is required., • Proficiency in Microsoft Office programs and use of the Internet. Renaissance Behavioral Health Systems and Mental Health Resource Center are Equal Opportunity Employers. Background screening and clearance through the Florida Care Provider Background Screening Clearinghouse is required for all positions:

Job Description Job Type: Contract Workplace Type: Remote, but must live in US and preferably within Central/Eastern Time Zone Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours COMPANY OVERVIEW Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Claim Recovery Agents are responsible for reviewing information provided on a damage, determining the liable party, invoicing the responsible party, and pursuing recovery of the repair costs. Duties • Review and analyze claim information, identify liable party, and take action to move claims toward successful resolution, • Gather costing and prepare invoices for select clients, • Correspond with liable party/insurance carrier both verbally and in writing, • Negotiate settlements, • Strong computer skills and knowledge of Microsoft Office, • Ability to work independently, manage goals and deadlines, have good attention to detail, • Adaptability, logical thinking and conscientiousness, • Excellent communication skills (both verbal and written), • Strong conflict resolution and negotiation skills, • Uncapped Compensation Potential: Top Performers who excel at the role have the ability to earn an annual compensation of more than $100,000

Job DescriptionMEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization and have a positive impact on the lives of millions of people. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Medicare Contractor Medical Director (CMD) provides medical leadership and decision making for an organization that serves as a Medicare Administrative Contractor (MAC). This role serves as a liaison between the Centers for Medicare and Medicaid Services (CMS) and stakeholders. CMDs play a vital role in developing Local Coverage Determinations (LCDs) and ensuring compliance with Medicare policies, reviewing medical claims, and promoting evidence-based healthcare. ESSENTIAL DUTIES & RESPONSIBILITIES Clinical Expertise and Consultation 30% • Provide leadership in clinical program outreach to the practitioner/provider/supplier/beneficiary community., • Provide direction and assistance to clinical staff in conducting provider education, as well as assist in the development of clinical guidelines as needed., • Keep clinical knowledge up to date and abreast of medical practice and technology changes., • Serve as a subject matter expert in medical and clinical areas relevant to the Medicare program., • Provide clinical consultation to internal teams (e.g., medical review staff, appeals teams) and external stakeholders., • Provide the clinical expertise, scientific literature analysis, claims data analytics to effectively focus medical polical policy and reviews on identified problem areas. Collaboration and Leadership 30%, • Collaborate with CMS and other Medicare Contractors (e.g., A/B or DME MACs and others) to develop and update medical policies and articles based on clinical evidence and regulatory requirements., • Work with multidisciplinary teams within the MAC to improve processes and ensure compliance with CMS directives., • Liaise with CMS staff, medical societies, and other stakeholders to align goals and address emerging issues., • Represent the MAC at CMS meetings and industry conferences., • Strengthen the quality improvement procedures with emphasis on decision consistency and clinical education of clinical staff through various mechanisms including but not limited to overseeing Inter-Reviewer Reliability (IRR) reviews. Program Integrity 20%, • Support program integrity initiatives, including identifying trends in inappropriate billing practices or noncompliance., • Ensure the proper application of Medicare regulations, national and local coverage determinations (NCDs and LCDs), and clinical guidelines., • Participate in all phases of LCD development by leading the Local Coverage Determination (LCD) process to include development, revision, retirement, education, and decision making., • Collaborate with investigative teams and law enforcement when required. Medical Review (MR) and Appeals 10%, • Oversee medical review activities to ensure appropriate and consistent decisions on claim determinations including pre- and post-payment determinations., • Provide leadership in developing and implementing MR Quality Assurance Programs., • Provide leadership in effectively focusing MR and developing internal MR guidelines., • Review complex or high-level appeals and provide guidance on the application of Medicare policies., • Provide support to the claim appeal process including assistance in the development of position papers and participation in the administrative process when needed such as Administrative Law Judge (ALJ) hearings. Provider Education and Communication 10%, • Provide leadership in the provider community (including interacting with hospital/specialty associations)., • Educate providers, individually or as a group, regarding identified problems or medical policy., • MD or DO degree from accredited Medical School, • Minimum of three years clinical practice experience as an attending physician, • Extensive knowledge of the Medicare program, particularly the coverage and payment rules, • Work experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines., • Knowledge, skill, and experience to evaluate clinical evidence, and to develop evidence-based medical necessity standards within the Medicare fee-for-service benefit structure, • Ability to develop strategies and processes to ensure evidence-based decision-making for policy in the Medicare population, • Basic understanding of medical coding conventions, • Ability to effectively communicate, collaborate with, and provide education on health care policy issues to both internal team members and external entities, • Ability to work collaboratively with internal staff to evaluate aberrancies, determine appropriate billing, coding, pricing, and utilization of services, • Proficiency with effective public speaking and ability educate providers, • Ability to work collaboratively with clinical and non-clinical team members, • Ability and desire to educate team members and external entities (i.e., CMS, providers, other federal agencies, law enforcement, etc.), • Computer literacy, including proficiency using word processing, spreadsheets, presentation, and virtual meeting applications, • Current, active, valid, unrestricted license to practice medicine in at least one state or territory within the United States, never suspended or revoked in any state or territory of the United States, • Eligible for licensure within jurisdiction of enterpriseoperations, • Experienced Physical Medicine and Rehabilitation (PM&R), Oncology, Radiology, Ophthalmology or Infectious Diseases professionals with five years of clinical practice, • MBA, MHA, MS in Management, or formal accredited coursework in medical systems management, • Demonstrated successful working experience in organized medicine group(s) (e.g., AMA, specialty society, state health department) as a committee chairperson or other leadership, • Medical Director experience in Medicare-related or commercial healthcare organization, • Coding and billing experience utilizing HCPCs, CPT, and ICD-10 codes, • Experience using GRADE methodology for literature analysis and performing systematic reviews ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Job DescriptionSyms Strategic Group (SSG) is seeking a talented Senior Database Developer Location: Remote Department: Veterans Affairs (VA) Type: Full Time Min. Experience: Experienced Security Clearance Level: Public Trust (MBI) Military Veterans are highly encouraged to apply! Essential Duties and Responsibilities • Establish database management systems, standards, requirements, guidelines, and quality assurance for database deliverables such as conceptual design and architecture, logical database, capacity planning, external data interface specification, data loading plan, data maintenance plan, and security policy, • Work with clients to translate business requirements into a logical model that will accurately support and represent the client’s entity relationship and flow of data, • Develop the appropriate database framework to convert the logical model into a physical model, including the creation and maintenance of schemas containing windows, screens, tables, columns, and reports that support the model, • Make recommendations to maximize opening efficiency, support storage requirements and vendor software updates, enforce data governance, and ensure recovery is maintained, • Participate in quality assurance and develop test application code in client server environment Required Skills and Experience, • Proven track record of working with complex database systems and data warehousing solutions, • Experience with database design, architecture, and data modeling, • Proficiency in Structured Query Language (SQL) programming and query optimization, • Strong knowledge of database management systems (DBMS) such as Microsoft SQL Server, Oracle, MySQL, or PostgreSQL, • Experience with performing tuning, indexing, and database query optimization techniques, • An ability to write and troubleshoot complex SQL queries, stored procedures, and triggers, • Familiarity with Extract, Transform, and Load (ETL) processes and tools (e.g., SSIS, Informatica, Talend), • An understanding of data warehousing concepts and technologies, • Knowledge of backup and recovery processes, • Experience with database security, user roles, and permissions, • Proficiency in scripting languages such as Python or PowerShell for database automation tasks, • Strong analytical and problem-solving skills, • Excellent communication and collaboration abilities, • Capability to work independently and as part of a team, • Attention to detail and commitment to high-quality work, • An ability to prioritize multiple tasks and meet deadlines, • A strong understanding of business processes and requirements gathering, • SSG will not make assumptions regarding your qualifications. Your answers to the mandatory screening questions must be supported by the information on your resume. Applications with inconsistencies will not be considered., • Recruiters or Third parties will not be considered., • This is a 100% U.S. based remote position. However, candidates from CA, CO, IL, MN, NJ or NY will not be considered., • This is a W-2 position, • All interviews will be conducted on Microsoft Teams with your camera on; there will be no exceptions. Syms Strategic Group, LLC is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, marital status, disability, veteran status, sexual orientation, or genetic information. Powered by JazzHR 7gPvB9mpar

Job DescriptionAbout Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About the Role Lyra is committed to addressing urgent and costly mental health needs with specialized support where it’s needed most. Our Center of Excellence for Neurodiversity offers psychological assessments, diagnosis, and tailored care for ADHD, and support for autism and learning differences. We are looking for contract Testing Psychologists who are passionate about whole-person, whole-family mental health care. The Testing Psychologist will perform comprehensive psychological assessments to support diagnostic clarity, treatment planning, and intervention strategies for children, adolescents, and adults. This role focuses on addressing behavioral health complexities, providing actionable insights through psychoeducational and psychological evaluations, and collaborating with interdisciplinary care teams to optimize outcomes. This role is a great fit for providers who are results driven, detailed, process oriented, and comfortable with data. Candidates with an independent work ethic who are flexible and adaptable, we encourage you to apply. Key responsibilities: • Work with patients of all ages is preferred, as well as their families, by providing psychological evaluations, • Administer, interpret, and integrate a wide variety of psychological test batteries, focusing on cognitive, emotional, behavioral, and academic functioning, • Provide clear, evidence-based diagnostic impressions and actionable recommendations tailored to the individual’s needs, • Collaborate and review work with psychometrists and psychometrist assistants, overseeing test administration, scoring, and ensuring quality control, • Deliver compassionate feedback through live in-person testing sessions and create feedback videos to communicate findings and recommendations, • Maintain a detail-oriented, process-focused approach to ensure the accuracy of testing data and comprehensive reporting, • Utilize telehealth platforms effectively for remote assessments, including adapting testing strategies for virtual delivery, • Conduct intake interviews, testing sessions, and live feedback sessions in person, as indicatedRequirements:, • Doctorate degree in Psychology (PhD or PsyD) from an American Psychological Association accredited program, • Licensed Clinical Psychologist in at least one state, • PSYPACT authorized or PSYPACT eligible preferred, • 3+ years of experience in psychological assessments with children, adolescents, or adults, • Familiarity with evaluating complex behavioral health needs (e.g., ASD ADHD, mood disorders, anxiety, trauma), • Expertise in psychological and psychoeducational assessment tools (e.g., BASC, Conners, ADOS, WAIS, WISC), • Effective therapeutic communication skills, • Proficiency with telehealth platforms and remote testing tools, • Experience conducting testing virtually, • Ability to deliver care virtually or in person and within your own office space, • Candidates must successfully pass a drug screen and background check for this opportunityHere are some of the advantages of joining the Lyra + Bend network:, • Connect with highly compatible clients who are a good fit for your clinical expertise, • Support from caring and highly qualified, vetted psychometrists, • Set your own schedule, without a minimum hours requirement, • Focus less on the administrative burden of billing with Lyra’s paperless billing and quick payment turnaround, • Have peace of mind with Lyra’s 24/7 Care Navigation team for client crisis support, • Access to a robust offering of live and recorded CE credited courses (approved by APA, ASWB, and NBCC), • Access to cutting edge technology and a team of support staff (e.g., psychometrists, psychometrist assistants) to help ease the administrative burden of the evaluation process

Job DescriptionPROVIDER AUDIT AND REIMBURSEMENT MANAGER (CMS) - REMOTE ARC Group has an immediate opportunity for a Provider Audit and Reimbursement Manager (CMS)! Must have experience with Medicare Cost Reports. This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization offering tremendous career growth potential. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Job Description: The Provider Audit and Reimbursement Manager is responsible for managing a team of auditors and ensuring the work is performed in compliance with the Medicare laws and regulations, the standards set forth by the Centers for Medicare and Medicaid Services (CMS), the company's and department's quality and production standards, and the company's policies and procedures. The Manager will be responsible for either audit or reimbursement functions and can be responsible for one of four primary roles -- desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product. The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team. ESSENTIAL DUTIES & RESPONSIBILITIES: • Manages team members and workload of the Audit/Reimbursement unit to ensure compliance with the standards set forth by CMS. The standards are in the form of Medicare laws and regulations and budget dollars granted for completion of the workload. (20%), • Manages the daily activities of the Audit/Reimbursement unit, coordinates their interactions with other departments and numerous external entities. Assigned team members can be in more than one office location. (20%), • Coordinates and manages the reimbursement for services, ensures that assigned team members update interim rates and other payment factors, ensures that all changes are entered into the claims processing system, and produces credible output reports that capture all relevant claim payment data required for cost report preparation and settlement. (5%), • Coordinates the testing and validation of the pricing software releases installed in the payment system. (5%), • Manages audits, provides direction to team members via work assignments, coordinates subordinate duties and provides guidance on audit issues. (5%), • Maintains and controls audit and appeal assignments, and also schedules resources to meet performance requirements. (5%), • Ensures that the Provider Audit unit completes its assigned objectives within the limits of established quality, policies, regulations and budgets. Determines the initial plan of audit work to be performed at desk and in the field for all assigned units. (5%), • Reviews workpapers of auditors for correctness, control and adherence to Generally Accepted Accounting Practices (GAAP), Generally Accepted Accounting Standards (GAAS) and Government Auditing Standards (GAS) as required. Examines and reviews workpapers upon completion of the audit to ensure compliance with CMS Uniform Desk Review (UDR), policy, or technical direction and reflects proper reference, clear and concise conclusion of the major audit categories and assembly of working papers into logical sequence. (5%), • Reviews, evaluates and approves the disbursement of tentative cost settlements in compliance with Federal Government regulations for each class/type of provider within area of responsibility. (5%), • Makes accounting decisions relative to audits, conferring, when necessary, with Senior Manager or Director on audit problems and/or interpretations of regulations. (5%), • Reviews completed audit reports and approves them prior to the Senior Manager's or Director's review. (5%), • Attends entrance and exit conferences, lends assistance to auditors as required, and follows up on audit recommendations. Reviews, researches and/or answers inquiries from governmental and other agencies regarding findings made on provider cost reports. (5%), • Researches and reviews all written policies as related to the interpretation and application of governmental regulations on a consistent basis as affecting cost settlements. (5%), • Attends meetings away from office as needed and renders assistance to providers by responding to inquiries. (5%) REQUIRED QUALIFICATIONS, • Bachelors'/Master's degree with a concentration/major in Accounting or Finance. Bachelor's/Master's degree in other fields can qualify if the candidate has 15 or more credit hours in specific Accounting or Finance classes., • 4 years' related work experience in Medicare audit and reimbursement, including 3 years supervisory/project management lead or other leadership experience., • Demonstrated oral and written communications skills, • Demonstrated ability to exercise independent judgement and discretion, • Masters in Business Administration (MBA), • Certified Public Accountant (CPA) This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL and PA in-office and hybrid work may also be available. Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke or apply online while viewing all of our open positions at . ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Job Description.Net Developer - Remote ARC Group has an immediate opportunity for a .NET Developer. This is starting out as a contract position running through January 2025 with strong potential to extend or possibly convert to FTE. This is a fantastic opportunity to join a well-respected organization that offers tremendous career growth potential. Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). This position is 100% remote Reference # 16679-1 MUST HAVES: • SQL experience (Team uses MSSQL), • Producing code using .NET languages (C#, VB .NET, ASP .NET), • Proven experience as a .NET Developer or Application Developer, • Familiarity with architecture styles/APIs (REST, RPC) PREFERRED: • Medical claims processing background Job Description: ESSENTIAL FUNCTIONS: Producing code using .NET languages (C#, VB .NET, ASP .NET) Upgrading, configuring and debugging existing systems Providing technical support for web, desktop or mobile applications Participate in requirements analysis Collaborate with internal teams to produce software design and architecture Write clean, scalable code using .NET programming languages Test and deploy applications and systems Revise, update, refactor and debug code Improve existing software Develop documentation throughout the software development life cycle (SDLC) Serve as an expert on applications and provide technical support REQUIREMENTS: Experience with unit testing, release procedures, coding design and documentation protocol as well as change management procedures Proficiency using versioning tools: GIT, GNU, RCS, SCCS, CVS, SVN, Mercurial, Monotone, etc Demonstrated organizational, analytical and interpersonal skills Flexible team player Ability to manage tasks independently and take ownership of responsibilities Ability to learn from mistakes and apply constructive feedback to improve performance Must demonstrate initiative and effective independent decision-making skills Ability to communicate technical information clearly and articulately Ability to adapt to a rapidly changing environment In-depth understanding of the systems development life cycle Proficiency programming in more than one object-oriented programming language; .Net, React.Js, Node.JS, JavaScript, HTML, VB.NET and C# o May include languages such as; Hadoop, Storm, Spark, Kafka, Hive, NFI, Scoop, etc o May include database knowledge in; SQL, MySQL, Oracle DB, PostgreSQL, Cassandra, dBase, MS Access, etc Proficiency using standard desktop applications such as MS Suite and flowcharting tools such as Visio Proficiency using debugging tools; Advanced Debugger, Allinea DDT, AQtime, ARM, CA/EZTEST, etc Proven experience as a .NET Developer or Application Developer Familiarity with architecture styles/APIs (REST, RPC) Familiarity with the ASP.NET framework, SQL Server and design/architectural patterns (e.g. Model-View-Controller (MVC)) High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy PREFERRED QUALIFICATIONS: The preferred qualifications listed below reflect desired knowledge, skill, and/or experience. Additional Preferred Qualifications: Various Domain experience; Health Care, Financial, etc Experience using Agile, Waterfall, or hybrid methodology Specific tools, languages and specialty skills may vary REQUIRED EXPERIENCE: Required Work Experience: 5+ years related work experience, Professional experience with technical design and coding in the IT industry Required Education: Related Bachelors degree or related work experience MUST HAVES: • SQL experience (Team uses MSSQL), • Producing code using .NET languages (C#, VB .NET, ASP .NET), • Proven experience as a .NET Developer or Application Developer, • Familiarity with architecture styles/APIs (REST, RPC) PREFERRED: • Medical claims processing background Would you like to know more about our new opportunity? For immediate consideration, please apply online and view all our open positions at . ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. ARC Group is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. Position offered by No Fee agency.

Job Description(Full stack) Java/react Developer - Remote ARC Group has an immediate opportunity for a(Full stack) Java/react Developer! This position is 100% remote. This is starting out as a contract position running through February 2025 with strong potential to extend longer or possibly convert to FTE. This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Reference # 16822-1 Candidates must have permanent work authorization and work for any employer without sponsorship now or in the future. Third party candidates are not eligible for this role. Job Description: PROJECT SCOPE: Claims connect project (Full stack) Java/react Application: A multi-year project with most of it focused on in the React space. Ability to edit claims in new claims connect application (web-based) JOB SUMMARY: • Must have 5+ years of Full-Stack Java development exp., with an emphasis on React, • Strong leadership/communication skills, • Deployments using Jenkins highly preferred (not required) GENERAL REQUIREMENTS:, • Experience with unit testing, release procedures, coding design and documentation protocol as well as change management procedures, • Proficiency using MERN and MEAN Scaffolding tools, • Demonstrated organizational, analytical and interpersonal skills, • Flexible team player, • Ability to manage tasks independently and take ownership of responsibilities, • Ability to learn from mistakes and apply constructive feedback to improve performance, • Must demonstrate initiative and effective independent decision-making skills, • Ability to communicate technical information clearly and articulately, • Ability to adapt to a rapidly changing environment, • In-depth understanding of the systems development life cycle, • Proficiency programming in more than one object-oriented programming language; React.Js, Node.JS, JavaScript, and HTML, • Proficiency with HTML, CSS, SASS, JavaScript/jQuery, local storage, and cross-browser compatibility are required, • May include database knowledge in MongoBD, • Experience with modern web/UI development tools and techniques: Node, Webpack, Grunt/Gulp, GIT, Axios, Jest, • Client-side templating: mustache.js, handlebars.js, panni.js, and dust.js, • Proficiency using standard desktop applications such as MS Suite and flowcharting tools such as Visio, • Proficiency using debugging tools such as; Advanced Debugger, Allinea DDT, AQtime, ARM, CA/EZTEST, etc, • Solid knowledge of DOM manipulation and client-side validation, • Solid knowledge with jQuery and other JavaScript libraries, • High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy, • Experience with responsive grid systems REQUIRED EDUCATION/EXPERIENCE: • Related Bachelors degree or related work experience, • 5+ years related work experience, Professional experience with technical design and coding in the IT industry, • Must have 5+ years of Full-Stack Java development exp., with an emphasis on React, • Strong leadership/communication skills ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. ARC Group is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. Position offered by No Fee agency.

Job Description Cancer Specialists of North Florida is recruiting for an experienced Insurance Follow-Up Specialist for our busy Central Business Office. This is not a remote position. The Insurance Follow-Up Specialist is responsible for reviewing all specifically assigned accounts, in order to resolve unpaid patient accounts. In addition, the Specialist will assist patients with their inquiries regarding their account. The Specialist also reviews EOBs to provide proper claim reimbursement, interprets fee schedules, and prepares write-off requests for supervisors. Essential duties and responsibilities include the following: • Performs review of patient accounts to ensure accuracy and timely payment per protocol, • Demonstrates the ability to deal with patients and insurance companies in a professional manner regarding sensitive financial matters and recapture unpaid balances, • Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments, • Receives written requests for refunds; researches and requests funds appropriately, • Responds to insurance companies request for information in a prompt and professional manner, • Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payer trends to supervisor, • Interprets fee schedules and utilize to ensure proper payments, • Prepares write-off requests with appropriate documentation and submits to supervisor, • Works multiple A/R reports as provided by supervisor within specified timeframe, • Requests necessary information from site. Follows up to assure receipt of information, • Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation, • Attends seminars as needed Location Address: 7751 Belfort Parkway, Jacksonville, FL 32256 Education and Experience: • High School Diploma or Equivalent

Job DescriptionBenefits: • 401(k) matching, • Opportunity for advancement Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 340+ franchise locations across North America, seeks a Commercial Operations Specialist. In this role, you will oversee and assist our offices with working on commercial jobs and communicating with our customers. This individual establishes relationships with our customers from the initial call, notifying us of the job through daily updates and final invoicing, realizing that sales and customer service are part of the entire process. This role supports our offices daily with job processing, estimating, and project oversight. This role has flexible work hours but sometimes requires conversations with customers and offices during night and weekend hours. The ideal candidate for this role will have strong project management and customer service skills, and experience in the insurance industry and structural damage estimating. Position: Commercial Operations Specialist Reports to: Vice President Commercial Operations Location: Remote Salary Range: $70,000 - $90,000 annually Essential Duties/Responsibilities • Receive jobs from national customers and assign to the local Paul Davis office based on location and job requirements., • Sometimes required to have conversations with customers and offices during the night and weekend hours - flexible work hours., • Builds relationships with national customers., • Oversees job confirming that the office is meeting the requirements of the service level agreement with the customer., • Communicate initial job information and reporting to customer based on-site inspections., • Assist offices with the creation of preliminary reports, rough order of magnitude estimates, and timelines on all jobs., • Locate additional resources or expertise within the Paul Davis network if the job requires., • Partner with other internal business functions to facilitate a successful commercial job process, • Work with offices to provide daily updates to customers on the progress of jobs., • Manage the progress of jobs through the job management system., • Provide assistance with cost estimating on the job., • Communicate with offices regularly to confirm the job is progressing based on the timeline., • Review estimates submitted by offices to confirm accuracy based on scope and reporting, and that correct pricing is used., • Discusses the estimate or bid with the customer, focusing on sales and customer service., • Provide final estimate to Finance and Administration Coordinator for invoicing., • Other duties as assigned.Competency Knowledge, Skills, and Abilities:, • Motivated, confident, and experienced in handling commercial restoration jobs or claims, • Strong property damage estimating skills and experience, • Advanced operating knowledge of Xactimate, • Demonstrated skill in customer service and managing relationships with multiple customers, • Proficiency in managing a project or claim load, • Highly detail-oriented and organized., • Project Management skills, • Ability to work under pressure to meet deadlines, • Exceptional analytical and problem-solving skills, • Excellent written and verbal communication skills, • Ability to work independently and make decisions, • Demonstrated success in driving process improvements, • Effective interpersonal skills, • Ability to foster teamwork Preferred Education and Experience A minimum of 10 years of relevant property insurance or restoration industry experience. Physical Requirement The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is occasionally required to sit, climb or balance, stoop or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. • Must be able to stay in a stationary position up to 100% of the time, • Needs to occasionally move about inside the office to access file cabinets, office machinery, etc., • Constantly operates a computer and other office productivity machinery, such as a calculator, fax machine, copy machine, and computer printer., • Must be able to observe and perceive information on a computer and documents, • Must be able to communicate and converse with customers over the phone, • Occasionally will lift up to 20lbs Travel This position may require up to 30% travel for vendor sites, business visits, as well as for team meetings and training. Reasonable Accommodation for Disability Any applicant or employee who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer.. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. This is a remote position.

Collections / Remote] - Anywhere in U.Flexible Schedule - M-F 7AM-4PM CST / Medical-Dental-Vision / PTO / 401k Matching - As an AR Follow Up Specialist, you will: Monitor and manage outstanding accounts receivable; Follow up with insurance companies on unpaid or denied claims; Resolve billing issue

The Senior Claims Manager is a professional with a high level of subject matter expertise in Federal dispute resolutions including REAs and Certified Claims. Do you consider yourself to be a highly technical, strong communicator with the desire to work in a team environment on complex projects? Gilb

Highly rated Law Firm // Growing + competitive pay + benefits This Jobot Job is hosted by: Henry Chung Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $160,000 - $180,000 per year A bit about us: We are working with a local Law firm that helps deliver tailored legal and business solutions to clients across Florida—including individuals, businesses, nonprofits, government agencies, and especially community associations. From the boardroom to the courtroom and from government offices to community meetings, their attorneys support clients through every stage of the legal process. Community Association Law Our dedicated HOA team advises condominium associations, homeowners associations, country clubs, cooperatives, developers, and financial institutions on governance, statutory compliance, collections, and more. Commercial Litigation & Appeals Skilled in both trial and appellate advocacy, we handle business litigation, construction law, labor and employment, insurance defense, and medical malpractice across state and federal courts. Additional Expertise We also offer comprehensive services in real estate, corporate and land use, estate planning, government relations, and lobbying Why join us? Board-Certified Expertise Many of our attorneys are certified by the Florida Bar in their respective specialties—such as Condominium & Planned Development Law, Real Estate Law, Construction Law, Civil Trial Law, and Business Litigation. High Ethical Standards We are an AV® Rated by Martindale-Hubbell®, the highest peer-review rating awarded to only 1% of law firms. Seasoned Legal Leadership Our team includes a rich array of talent—from former public officials and auditors to real estate developers and general counsel—bringing broad insight and deep experience to every case. Recognized Thought Leaders Our attorneys are invited speakers and frequent contributors to legal education and legislative efforts in community association law. Job Details We are seeking an Association Attorney with experience representing condominium and homeowners associations in turnover and construction-related claims. The ideal candidate will guide associations through the transition from developer to homeowner control, while also handling construction defect and warranty matters to protect the community’s interests. Key Responsibilities Advise boards on legal issues arising during developer-to-association turnover Review governing documents, contracts, and warranties for compliance and enforceability Investigate, evaluate, and pursue construction defect and warranty claims Represent associations in negotiations, mediation, arbitration, and litigation Collaborate with engineers, experts, and board members to develop case strategies Provide proactive counsel to minimize risk and resolve disputes efficiently Qualifications Juris Doctor (JD) and/OR active bar license in FL 3–7+ years of experience in community association or construction law Strong litigation and negotiation skills Excellent communication and client relationship management abilities Ability to work independently while managing multiple matters Ability to work mostly in-office (in Boca) - with an option to have 1 remote day weekly Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. 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Job DescriptionBenefits: • Medical, Dental & Vision Benefits, • 401(k) matching, • Training & development Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 300+ franchise locations across North America, seeks an Estimating Team Manager. This Estimating Team Manager will serve as a member of the Claims Force team (formerly known as Quality Assurance). The primary responsibility of the Estimating Team Manager is to lead a team of estimators in performance management, SMART goal creation, and team meetings that involve collaboration with other departments within the franchisor, designed to strategically position Paul Davis at the top of each carriers scorecard. Work standards for the Manager and the team are focused on accuracy, speed, customer service, and similar supporting metrics. The Estimating Team Manager will support the team with claim management escalations, performance accountability, and general oversight. Position: Estimating Team Manager Reports to: Director of Estimating Location: Hybrid Essential Duties/Responsibilities • Recruits, onboards, and trains new team members, • Completes monthly meetings with team members for performance coaching and management, • Completes monthly Goal Setting & Review (GS&R) Meetings with team members focusing on continuous improvement, • Supports team members growth with the creation of SMART Goals and development paths, • Facilitates and conducts regular team calibration meetings, • Supports assignment-level success through control points that include but are not limited to: Scorecard support, pre-estimate upload SLAs, estimate reviews, centralized remote estimate creation, and post-CF Approval managed repair, • Provides direct support for any function within the team during periods of assignment spikes, catastrophe events, team member absences or shortages, and as requested based on organizational demands, • Communicates effectively with direct reports, supervisors, franchisees, insurance carrier partners, and all stakeholders within the organization, • Communication expectations include inbound and outbound phone calls, Validate, CMS, claim management system notes, email, MS Teams, and other potential software/communication applications, • Coach franchises on opportunities to improve their estimating and documentation performance, • Provides assistance to franchises on estimating requirements and claim expectations, based on carrier guidelines; and supports technical claim inquiries across the estimating/claim management platforms, • Identify and communicate trends to Directors, Team Managers, Account Managers, Regional Business Coaches, and other organizational stakeholders, • Provides trend analysis of internal performance to the supervisor and participates in problem-solving sessions to address gaps, • Provide support to the Director of Estimating and other leaders in the onboarding process of new team members and those in new positions, acting as a key support role in organizational and departmental success, • The support provided to the franchise network and carrier partners provides an opportunity for Paul Davis to obtain more jobs through improved scorecard performance, • Creates opportunities for team building through engaging meetings and events, strengthening the cohesiveness of the team, and creating the opportunity for a high level of support to the network, • Collaborates with other departments to create standard operating procedures and program guidelines, • Approve timecards for direct reports, • Approves expense reports for direct reports, • Other duties as assigned.Competency Knowledge, Skills, and Abilities:, • Proficient use of a laptop and operating accessories, • Proficient use of Microsoft Office applications (Outlook, Teams, OneDrive, SharePoint, Forms, PowerPoint, Word, Excel), • Subject matter expert-level knowledge and performance excellence within the insurance industry, including but not limited to mitigation, contents, and reconstruction concepts, operational practices, and verbiage, • Ability to lead and manage a team to move through reviews of varying job types, estimate severity, and complexity, • Assertive, professional communication skills - adaptive communication based on the context of the information being conveyed, both verbal and written, • Ability to assertively embrace the continuous improvement model and provide feedback necessary to move the business forward, • Proficient use of technology applications, including the creation of new documents, • Ability to independently problem solve, resolve conflict, and manage priorities, • Ability to learn and implement new processes related to our industry and the specific duties and responsibilities required to be successful in this role, • Ability to review and write estimates for water mitigation, mold, fire mitigation, temporary repairs, contents, reconstruction, and other job-type estimates in an accurate and timely manner, • Ability to complete multiple reviews or estimates within a given time frame, • Knowledge of estimating platforms; Xactware Products, Symbility, and other estimating software, • Ability to learn and operate our primary operating systems, • Ability to successfully pass required industry and company certifications on the first attempt, • Ability to answer and communicate with PDRI, independent franchises, and PDO offices via phone and email, • Ability to work office equipment (fax, scanner, printer, phone system, computers), • Ability to work in our main operating systems, • Ability to work independently, • Ability to pass and maintain a satisfactory background check, • Ability to maintain a level of confidentiality, • Ability to follow our Paul Davis Values, Vision, Mission, and 10 Serving BasicsRequired Education and Experience, • High school diploma or GED, • Bachelors degree or equivalent experience in insurance claims or related field, • 3 plus years of experience with estimation principles, concepts, and experience in the property restoration/insurance industry, • 3 plus years of experience with personnel management or coachingPreferred Education and Experience, • Experience serving in a customer service role, • 2 plus years of experience with contracting and/or fieldwork for a given trade., • 5 plus years of experience in the restoration industry regarding water mitigation/mold remediation, abatement, contents, fire structure cleaning, and reconstruction., • Must be able to stay in a stationary position up to 100% of the time, • The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., • Constantly operates a computer and other office productivity machinery, such as a calculator, fax machine, copy machine, and computer printer, • Must be able to observe and perceive information on a computer and documents, • Must be able to communicate and converse with customers over the phone, • Occasionally will lift up to 10lbs Travel This position may require up to 20% travel. This position may require travel to franchise locations, trainings, and team meetings. Reasonable Accommodation for Disability Any applicant or employee, who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. Flexible work from home options available.

Job DescriptionBenefits: • 401(k) matching, • Training & development Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 300+ franchise locations across North America, seeks a FAST Estimating Coach to support the team. This position will report to the Director of Estimating and be responsible for providing support across the organization, providing direct support to franchisees interested in utilizing the FAST Remote Estimating Service, providing world class remote estimating service to the Paul Davis network. In addition, this role helps support internal team members providing this service, bringing resources to the entire organization to ensure a smooth onboarding experience and ongoing opportunities to practice continuous improvement. This position assists in driving performance to exceed Customer (franchisee) and Carrier expectations. Position: FAST Estimating Coach Reports to: Director of Estimating Location: Corporate Office or Remote Essential Duties/Responsibilities This role is designed to provide operational support to the Paul Davis network of franchises and jointly to the FAST Estimating Team, ensuring collaborative efforts are made to complete accurate, timely, and profitable estimates. • Communication Coordination: Provide coordination of communication between the FAST Team, other PDRI team members, and franchisees. Ensure proper routing of urgent and important communication related to gaps in process, collaboration, or other areas. Provide support in scheduling 1:1 calls, FAST Consultations, and other meetings as requested., • Team Support: During times of spike volume, provide direct support to the network in writing estimates for all job types and estimating platforms., • Quality Assurance Focus: Ensure that scoping and documentation practices, software, and communication expectations are driving accurate and profitable estimating. This includes coordination, communication, training, and coaching with the offices as well as the FAST Estimating Team., • Documentation and Reporting: Provide support to provide key statistics and KPI updates on network demand, volume projections, and other data points that will drive appropriate resource allocation to support the network., • Communication and Problem Resolution: Act as a liaison within the FAST team, within PDRI, and within the greater organization to provide resources to solve problems and fill gaps in subject matter expertise, capacity, and other opportunities., • Teamwork and Collaboration: Attend company or team meetings in person or virtually, as required, to be informed on all things Paul Davis. Provide support to other Claims Force team members during periods of lower FAST Estimating demand, as cross-team support is required., • All other duties as assigned Key Result Areas: • Meet with offices interested in leveraging the FAST Estimating Service, to train and coach on standard processes, best practices, and problem-solve concerns that may arise., • Support FAST Estimating Team in the initial onboarding of new team members and those promoted to new roles, as well as ongoing training and calibration opportunities., • Act as liaison between all stakeholders to practice continuous improvement, driving demand for the FAST Estimating Service, • Develop, enhance, and share training and communications on the FAST Estimating Service, • Distribute new FAST Estimate requests to appropriate team members, rebalancing workloads as needed, to drive service level commitment delivery, • Route communication within the team, PDRI, and the franchise network to drive a streamlined remote estimating processCompetency Knowledge, Skills, and Abilities:, • Ability to creatively and efficiently leverage technology to drive engagement in training and coaching sessions with a learner-focused design, • Strong organizational and time management skills, with the ability to prioritize, communicate, and manage the completion of multiple assignments simultaneously., • Excellent verbal and written communication skills, with a customer-service mindset, • Ability to work collaboratively with franchisees and internal teams to ensure smooth operations., • Proficiency with project management software, CRM systems, and general office tools (e.g., Microsoft Office Suite, especially PowerPoint) and communication tools (Zoom, Teams), • Ability to learn and operate our primary operating systems (RMS, Xactimate, XactAnalysis, Claims Connect, Mobile Claims, MICA Exchange, PowerBI, SharePoint, OneDrive, Adobe, and others), • The ability to work under pressure, • Exceptional attention to detail, • Ability to conceptualize, • Ability to work independently, • Self-driven, • Ability to work office equipment (fax, scanner, printer, copier, phone system, computers), • Maintain a high level of confidentiality, • Ability to follow our Paul Davis Values, Vision, Mission, and 10 Serving Basics Required Education and Experience, • High school diploma or GED, • Bachelors degree or equivalent experience in business administration or related field, • 2 plus years' experience direct coaching, training, or onboarding experience, • 3 plus years experience with estimation principles, concepts, and experience in the property restoration/insurance industryPreferred Education and Experience, • Experience serving in a customer service role, • Must be able to stay in a stationary position up to 100% of the time, • The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., • Constantly operates a computer and other office productivity machinery, such as a calculator, fax machine, copy machine, and computer printer, • Must be able to observe and perceive information on a computer and documents, • Must be able to communicate and converse with customers over the phone, • Occasionally will lift up to 10lbs Travel This position may require up to 25% travel. This position may require travel to franchise locations, trainings, and team meetings. Reasonable Accommodation for Disability Any applicant or employee who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. This is a remote position.

Job DescriptionCLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review. ESSENTIAL DUTIES & RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. 90% of time will be spent on one or more of the following activities depending on assignments: Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization: • Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations., • Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies, as well as accepted medical standards of care., • Review provider practices and identify issues of concern, overpayment and need for corrective action as necessary; includes surfacing potential fraud and abuse or practice concerns., • May develop recommendations for further corrective action based on medical review findings., • May refer for review, or implement, corrective action related to medical review activities. Identify providers needing education and individually educate providers who are subject to medical review processes: • Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of a medical review (e.g., probe, progressive corrective action, consent, etc.) or appeal., • This may involve discussion with CMS leaders and leaders in the provider community., • Valid nursing degree, • 2 years' clinical experience, • Excellent written and oral communication skills, • Demonstrated experience with evaluating medical and health care delivery issues (e.g., Inpatient Rehab Facility), • Strong computer skills to include Microsoft Office proficiency, • Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS • Inpatient Rehabilitation Facility Experience, • Bachelor of Science in Nursing (BSN), • Insurance industry experience, • Certified Coder ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

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Most research studies are conducted remotely from home, though some may be in-person. Comfort participating in remote, market research studies. We're currently looking for individuals across the country to take part in remote paid market research, including online focus groups, product trials, and c

No commute needed should you choose to work from home remotely. If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Remote Work From Home Customer Service Representative Agent -

Customer Support / Remote] - Anywhere in U.

Senior Electrical Estimator – Jacksonville, FL.Sack is redefining the industry, experiencing explosive growth year after year with no signs of stopping! As the fastest-growing MEPF, millwright, and rigging company in the South, we are building the future with innovation.We offer competitive pay, g

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Bank Clothiers - 9340 Arlington Expressway, Jacksonville, FL, United States, 32225-8213 [Customer Service Representative] As a Customer Service Representative at JoS.Bank Clothiers, you'll: Handle and accurately follow standard operating procedures for all customer purchases, returns, exchanges, sto

Customer Support / Remote] - Anywhere in U.

Bank Clothiers - 9340 Arlington Expressway, Jacksonville, FL, United States, 32225-8213 [Customer Service Representative] As a Senior Customer Service Representative at JoS.Bank Clothiers, you'll: Assist management with register opening and closing procedures and monitoring cash handling; Perform au

We connect motivated professionals with flexible, remote opportunities where performance, professionalism, and communication truly matter. Previous remote or performance-based work experience.

Estimator – Commercial Construction | Jacksonville, FL.Have you got the right qualifications and skills for this job Find out below, and hit apply to be considered.I’m partnering with a respected commercial construction firm in Jacksonville to hire an experienced.This is a great opportunity to j

Is this the next step in your career Find out if you are the right candidate by reading through the complete overview below.A relationship-driven commercial general contractor based in Jacksonville is looking to add a seasoned Estimator to their growing preconstruction team.Recognized as a top contr

Men's Wearhouse - 9340 Arlington Expressway, Jacksonville, FL, United States, 32225-8213 [Retail Associate / Team Member] As a Customer Service Representative at Men's Wearhouse, you'll: Handle and accurately follow standard operating procedures for all customer purchases, returns, exchanges, store

Customer Service Representative.Leverage your customer service expertise and provide billing support to a company's customers, all from the comfort of your own home!.Stride 2 Hire works with our premier partner, Parkes & Co.Fortune 500 clients through a virtual platform.You have the power to choose

This position requires regular, on-site presence and cannot be performed remotely.

What sets you apart: Experience handling water loss claims including water mitigation, water loss estimating and reconciliation Experience desk adjusting property claims involving Dwelling, Other Structures, Loss of Use, and Contents using virtual technologies (Hosta, Hover, Xactimate, ClaimsX) Expe

Men's Wearhouse - 9340 Arlington Expressway, Jacksonville, FL, United States, 32225-8213 [Retail Associate / Team Member] As a Customer Service Representative at Men's Wearhouse, you'll: Handle and accurately follow standard operating procedures for all customer purchases, returns, exchanges, store

Customer Service Representative Distribution Center.Under the supervision of the Operations Manager, the Distribution Customer Service Representative provides exceptional customer service to all company branches.You are responsible for providing accurate, reliable, and helpful information in a timel

Coordinate customer service requests including order entry, pricing, expediting, billing, order maintenance, credit and claims.

Experience handling specialty property claims involving Condo, Florida Civil Remedy Notice, Notice of Intent, Appraisal, Mediation, NC Wind Pool Residential property adjusting experience handling DWG, APS and ALE adjustments Handling claims from start (FNOL, reviewing policy, making coverage decisio

Customer Service Representative.It is the primary responsibility of this position to coordinate and manage the customer ordering process.This includes but is not limited to creating order acknowledgements, posting signed order acknowledgements and payments to individual orders, communicating with cu

LYNX Services division works in partnership with the world's largest insurance companies to provide claims services using live agents and digital assistants to help consumers with home and auto insurance policies. We've got you covered on the training - which will provide you with a solid base of in

Why Choose Suddath to "Move" Your Career to the Next Level?.At Suddath, you can be part of something special and inclusive! Join a team that has a 100+ year reputation for excellence as an innovative, growing, and financially stable company that is dedicated to promoting a culture that thrives on in

Customer Service Representative.We at Sheltair are committed to excellence a philosophy that can be seen in everything we do.Because of our heritage in the construction and aviation industry, we understand the importance of quality design, customer service, cost containment and on-time delivery.Thi

SP+ is an artificial intelligence company for the real world.We use computer vision to enable checkout-free parking experiences.So there's no fumbling with tickets, machines, apps, or credit cards.You just "drive in and drive out.We are the largest parking network in America, with over 23,000 employ

Customer Service Representative.Collabera is a leading Digital Solutions company providing software engineering solutions to the world's most tech-forward organizations.With more than 25 years of experience, we have hired over 17000 employees across 60+ offices globally and currently place 10000+ pr

Customer Service Representative.Under close supervision, the Customer Service Representative is responsible for accurately fulfilling customer orders and managing incoming customer calls.Responds to basic customer inquires regarding products, provides quotes, and handles order entry.Places customer