Jobs in Belleair Bluffs Florida

Gastroenterologist needed for mid-sized private practice in coastal/Metropolitan Florida Awesome coastal/metro Florida area! Established, well respected, mid-sized group.

Competitive guaranteed salary, plus incentives and benefits.

Fast partnership track with option to buy shares of a surgery center.

Come join a practice that is consistently involved in current clinical trials and cutting edge technology.

BC required unless a fresh out of training.

ERCP/EUS not required.

Do not miss out on this great opportunity in a prime location with plenty of water activities, golf, museums, professional sports, fantastic cuisine, and more that a major city has to offer.

If you are interested in hearing more about this opportunity, please call HDA at , or text to .

You can also reach us through email at .

Please reference Job ID # 63481

About Us

Tired of stuffy suits, rigid hierarchies, and soul-crushing law-firm vibes? atCAUSE Law Office is different. We're the "Non-Stuffy" attorneys in Clearwater, FL—forward-thinking, client-centered, and actually fun to work with. Our mission: Transform clients' challenges into peace of mind with a warm, professional, uplifting approach and flawless legal services.

We're growing fast and need a sharp, relationship-driven Legal Sales Consultant to help more families and businesses find that peace of mind—while enjoying weekly catered lunches, unlimited PTO after year one, a relaxed dress code, and a great team.

Role Description

We're seeking a sales professional to join our team and drive new client acquisition. This is a key growth position where you'll leverage your salesmanship to connect potential clients with the right solutions from our firm. You'll work closely with our intake and legal team in a collaborative, results-oriented environment. This role is ideal for someone who thrives on building relationships, understanding client needs, and closing deals.

Also, because we are not allowed to go directly to the public, all leads have already reached out to us to inquire about services. NO COLD CALLING.

Key Responsibilities

• Conduct consultations to understand prospective clients' legal needs and match them with appropriate services (e.g., estate planning, probate or Medicaid)
• Present firm capabilities, explain service value, and guide clients through the engagement process
• Manage the sales pipeline, track progress in our CRM, and follow up consistently to convert leads into retained clients
• Collaborate with attorneys and team members to ensure smooth handoffs and high client satisfaction
• Meet or exceed monthly/quarterly sales targets and contribute to firm growth strategies
• Working with the Intake team to make sure that no potential client is missed

Who You Are

• Proven experience (2+ years) successfully selling legal services directly for a law firm (Strongly Preferred)
• Background working in a law firm environment—whether as a sales professional, former lawyer, paralegal, or in a client-facing legal role
• Excellent communication and interpersonal skills with a consultative, relationship-focused sales approach
• Self-motivated, resilient, and comfortable with performance-based incentives
• Organized with strong follow-up habits and understanding of CRM tools
• Willing to work on site in our Clearwater firm
• Bachelor's degree or equivalent experience preferred; legal education or certification a plus but not required

Compensation and Benefits

• Base salary: $55,000 per year
• Uncapped bonus structure with significant earning potential—top performers who consistently meet or exceed targets would achieve total earnings of $120,000–$150,000+ annually
• PTO and sick days after 90 days
• Unlimited PTO after one year
• Fun and "Non-Stuffy" atmosphere
• Relaxed dress code
• In-house training programs
• Weekly catered meals in the office
• Free snacks and drinks in the office

COMMITMENT TO DIVERSITY

atCause Law is an equal opportunity employer and does not discriminate on the basis of anyone's race, color, religion, age, national origin, gender, gender identity, sexual orientation, or disability, and actively fosters inclusion in all forms. We recognize that a multigenerational and multicultural workforce. reflective of our communities, is an integral and welcome part of a successful and ethical business.

About Us

We're continuing to build a transformative healthcare accreditation platform that is revolutionizing how our clients and new hospitals manage compliance, quality improvement, and regulatory processes. Our platform combines cutting-edge technology with deep healthcare domain expertise to solve real problems for healthcare organizations nationwide.

The Opportunity

The goal is to have interns turn into full time employees; Therefore, you will be given full time responsibilities day one. To add onto that, you will be working in a high velocity growth startup and will be required to move fast. You'll work directly with our engineering team on a production healthcare platform, gaining hands-on experience with enterprise-grade systems while making real contributions that impact our product and customers.

Compensation Structure: Base position is unpaid, however qualified candidates may receive upfront equity compensation based on their experience level and demonstrated capabilities. We evaluate each applicant individually and offer equity packages commensurate with their potential contribution.

What You'll Do

*During the internship you may choose the area to focus on...

Application Testing & Quality Assurance

• Design and execute comprehensive test plans for our healthcare portal
• Perform manual testing across web applications, APIs, and integrations
• Identify and document bugs, usability issues, and edge cases
• Test healthcare compliance features (HIPAA, document security, audit trails)

Test Automation Development

• Build automated test suites using modern testing frameworks
• Develop API testing scripts for healthcare data integrations
• Create performance testing scenarios for document upload/processing
• Implement continuous testing pipelines with CI/CD integration

AI/ML Quality Support

• Collaborate with our AI team on document processing accuracy testing
• Help validate machine learning models for healthcare document extraction
• Design test datasets for training and validation of AI systems
• Analyze and report on AI/ML model performance and data quality

Data Engineering Quality Assurance

• Develop data quality monitoring and validation processes
• Create automated checks for data integrity across MongoDB systems
• Build dashboards and alerts for data quality metrics
• Support ETL pipeline testing and validation

Process Improvement & Strategy

• Analyze current QA processes and identify optimization opportunities
• Research and recommend new testing tools and methodologies
• Participate in technical decision-making and sprint planning
• Document QA best practices and create team knowledge base

What We're Looking For

Required Qualifications:

• Currently pursuing or recently completed degree in Computer Science, Engineering, or related field
• Strong understanding of software testing principles and methodologies
• Experience with at least one programming language (Python, JavaScript, Java, etc.)
• Basic knowledge of databases (SQL/NoSQL) and API testing
• Excellent problem-solving skills and attention to detail
• Strong communication skills and ability to work in a collaborative environment

Preferred Qualifications:

• Experience with test automation frameworks (Selenium, Pytest, Jest, etc.)
• Knowledge of healthcare IT, compliance requirements, or regulated industries
• Familiarity with cloud platforms (AWS) and DevOps practices
• Experience with data analysis, ETL processes, or machine learning
• Previous internship or project experience in QA/testing roles

Technical Skills We'd Love to See:

• Testing Tools: Selenium, Postman, Jest, Pytest, Cypress
• Programming: Python, JavaScript, SQL
• Databases: MongoDB, SQL databases
• Cloud/DevOps: AWS, Docker, CI/CD pipelines
• Data Tools: Pandas, data validation frameworks
• Version Control: Git, GitHub

What You'll Gain

Professional Development:

• Real Impact: Your work directly affects a production healthcare platform used by hospitals
• Mentorship: Work closely with senior engineers and receive structured feedback
• Healthcare Domain Knowledge: Learn about healthcare compliance, accreditation, and regulatory requirements
• Enterprise Technology: Gain experience with production-grade systems, security, and scalability

Technical Skills:

• Advanced testing methodologies and automation frameworks
• Healthcare data processing and compliance requirements
• AI/ML model testing and validation techniques
• Data engineering and quality assurance practices
• Modern DevOps and CI/CD practices

Career Opportunities:

• Immediate Value: Potential upfront equity compensation based on qualifications
• Strong potential for full-time conversion based on performance
• Network with healthcare technology professionals
• Portfolio of real-world healthcare technology projects
• Experience that's highly valued in the growing healthtech sector

Our Tech Stack

• Frontend: React, Modern CSS
• Backend: Node.js, TypeScript, Python, RESTful APIs
• Database: MongoDB, with future SQL integrations
• Cloud: AWS (EC2, S3, Lambda, RDS)
• AI/ML: Document processing, natural language processing
• Security: HIPAA compliance, encryption, audit logging
• DevOps: Docker, GitHub Actions, automated testing

Compensation & Equity

• Base Position: Unpaid educational internship
• Equity/Stock Compensation: Available upfront based on applicant qualifications and experience level

Our Hiring Process

We believe in a transparent and thorough selection process that respects your time while ensuring mutual fit:

1. Initial Screening Call We'll discuss your background, experience, and career goals, while providing an overview of the role and our team culture.
2. Technical Interview We'll have an in-depth discussion about your experience and explore related technical concepts. You should be prepared to walk through every aspect of quality assurance as it pertains to your resume.

Ready to apply? We look forward to hearing from you!

MedLaunch is an equal opportunity employer committed to diversity and inclusion.

About Us

We're continuing to build a transformative healthcare accreditation platform that is revolutionizing how our clients and new hospitals manage compliance, quality improvement, and regulatory processes. Our platform combines cutting-edge technology with deep healthcare domain expertise to solve real problems for healthcare organizations nationwide.

The Opportunity

We are looking for motivated developers for our intern-to-full-time track. You will be given full-time responsibilities from day one in a high-velocity growth startup environment. You'll work directly with our engineering team on a production healthcare platform, gaining hands-on experience with enterprise-grade systems while making real contributions that impact our product and customers.

Compensation Structure:

The base position is unpaid; however, highly qualified candidates may receive upfront equity compensation based on their experience level and demonstrated capabilities. We evaluate each applicant individually and offer equity packages commensurate with their potential contribution.

About the Role We are hiring a Front-End Developer who can bridge the gap between front-end implementation, and design-to-code workflow. You will be responsible for a variety of tasks on the front-end, working on features all the way through to the final, pixel-perfect user interface.

Key Responsibilities

• Front-End Development: Build responsive, performant user interfaces and dashboards using React.js with modern patterns, implementing styling with a strong focus on raw CSS.
• Design & UI/UX Implementation: Collaborate with design by utilizing tools like Claude Code, Cursor, or Codex, adapting generated code, and focusing on pixel-perfect design implementation and mobile-first responsiveness using raw CSS/HTML.
• DevOps & Quality: Develop and maintain automated testing, version control using Git/GitHub, and contribute to CI/CD pipelines.

Technical Stack

• Front-End: React 18+ (JavaScript), Raw CSS, React Context/Query, Vite
• UI/UX: Raw CSS, HTML5, Figma

Required Qualifications

• Front-End Foundation: 2+ years of experience with React.js (JavaScript, modern patterns, hooks). Strong understanding of modern web security, data protection, and collaborative development workflows using Git/GitHub.
• Balance of use of a AI IDE (Cursor, Claude Code...) with your own logic and understanding
• Front-End Depth: Expertise in raw CSS and advanced JavaScript (ES6+), with proven ability to build complex, responsive, and performant UIs.
• UI/UX Implementation Depth: Experience specializing in raw CSS/HTML for advanced layouts, familiarity with AI Figma-to-code tools, and proven ability to adapt AI-generated code to align with an existing component architecture.

Preferred Qualifications (Nice to Have)

• Previous experience in a high-velocity team environment with separated responsibilities.
• Experience with DevOps practices (Docker, CI/CD).
• Experience contributing to or maintaining a react component library or design system.

Our Hiring Process We believe in a transparent and thorough selection process that respects your time:

• Initial Screening Call: Discussion of your background, experience, and career goals.
• Technical Challenge: A real-world technical challenge to complete at your own pace.
• Technical Interview: An in-depth discussion where you will walk through, debug, and defend your solution, demonstrating complete ownership and understanding of the entire codebase and architectural decisions—regardless of whether code was generated manually or with AI assistance.

We're looking for engineers who can think critically, adapt their approach, and truly understand the systems they build.

About Us

We're continuing to build a transformative healthcare accreditation platform that is revolutionizing how our clients and new hospitals manage compliance, quality improvement, and regulatory processes. Our platform combines cutting-edge technology with deep healthcare domain expertise to solve real problems for healthcare organizations nationwide.

The Opportunity

We are looking for motivated developers for our intern-to-full-time track. You will be given full-time responsibilities from day one in a high-velocity growth startup environment. You'll work directly with our engineering team on a production healthcare platform, gaining hands-on experience with enterprise-grade systems while making real contributions that impact our product and customers.

Compensation Structure:

The base position is unpaid; however, highly qualified candidates may receive upfront equity compensation based on their experience level and demonstrated capabilities. We evaluate each applicant individually and offer equity packages commensurate with their potential contribution.

About the Role

We are hiring a Backend Engineer who can design, implement, and maintain the robust, scalable server-side systems that power our platform. You will be responsible for a variety of tasks focused on data integrity, API performance, and system reliability, working on features from the database all the way through to serving the application's core logic.

Key Responsibilities

• Backend Development: Design and develop robust Node.js (TypeScript) server-side applications, build and maintain RESTful APIs, and ensure data integrity and security within MongoDB.
• Database & Data Modeling: Own the database schema design, optimization, querying, and indexing within MongoDB Atlas to ensure high performance and scalability.
• API Architecture: Define and evolve the structure of our internal and external RESTful APIs, focusing on performance, security, and maintainability.
• System Scalability: Implement caching, message queues, and distributed system concepts to ensure the platform remains performant and scalable under high load.
• Security & Compliance: Implement secure authentication systems, ensure HIPAA compliance, and maintain high security standards across the platform, especially for data at rest and in transit.
• DevOps & Quality: Develop and maintain automated backend testing, version control using Git/GitHub, and contribute to CI/CD pipelines and cloud deployment strategies.
• Cloud Infrastructure: Utilize and manage backend services within AWS (ECS, S3, Lambda) to support highly available and resilient application services.

Technical Stack

• Back-End: Node.js (TypeScript), MongoDB Atlas, AWS (ECS, S3, Lambda), RESTful APIs
• DevOps/Tools: Git/GitHub, Automated Testing Frameworks

Required Qualifications

Successful candidates must have a specific deep specialization and a foundational understanding of the others to contribute across the backend stack:

• Backend Foundation:
• 2+ years of experience with Node.js (TypeScript, API development).
• Strong understanding of modern web security, data protection, and collaborative development workflows using Git/GitHub.
• Backend Depth: Strong expertise with MongoDB (design, optimization, complex querying, aggregation pipelines) and implementing robust RESTful APIs with authentication, authorization, and error handling.
• System Design & Architecture: Proven ability to design and architect highly available, scalable, and resilient server-side applications.
• Problem Solving: Ability to debug and troubleshoot complex production issues and performance bottlenecks in the backend and database layers.

Preferred Qualifications (Nice to Have)

• Previous experience in a high-velocity team environment with separated responsibilities.
• Understanding of HIPAA compliance and working within the healthcare or other regulated industries.
• Experience with AWS services (ECS, S3, Lambda) or DevOps practices (Docker, CI/CD).
• Experience with server-side caching (e.g., Redis) or message queuing systems (e.g., SQS).

Our Hiring Process

We believe in a transparent and thorough selection process that respects your time:

• Initial Screening Call: Discussion of your background, experience, and career goals.
• Technical Challenge: A real-world technical challenge to complete at your own pace.
• Technical Interview: An in-depth discussion where you will walk through, debug, and defend your solution, demonstrating complete ownership and understanding of the entire codebase and architectural decisions—regardless of whether code was generated manually or with AI assistance.

We're looking for engineers who can think critically, adapt their approach, and truly understand the systems they build.

We are seeking a dynamic and detail-oriented Analytical Chemist to join our innovative laboratory team. In this role, you will be at the forefront of quality assurance and product development, utilizing advanced analytical techniques to ensure our products meet the highest standards of safety, efficacy, and regulatory compliance. Your expertise will drive critical testing processes, support regulatory submissions, and contribute to continuous improvement initiatives. This position offers an exciting opportunity to apply your scientific skills in a fast-paced environment committed to excellence and innovation.

Responsibilities:

• Conduct comprehensive chemical analyses using techniques such as spectroscopy, chromatography (gas chromatography and high-performance liquid chromatography), and microscopy to characterize raw materials, intermediates, and finished products.
• Perform wet chemistry procedures, including titrations, pH measurements, and sample preparations in accordance with Good Laboratory Practices (GLP) and Standard Operating Procedures (SOPs).
• Calibrate laboratory instruments such as spectrophotometers and chromatographs regularly to ensure accurate and reliable results.
• Maintain detailed documentation of all experiments, test results, calibration records, and quality control data within Laboratory Information Management Systems (LIMS).
• Ensure compliance with FDA regulations, CGMP (Current Good Manufacturing Practices), and other regulatory standards during all testing activities.
• Support quality control initiatives by verifying product specifications, conducting stability studies, and troubleshooting analytical issues.
• Collaborate with cross-functional teams, including biochemistry, microbiology, and quality assurance, to optimize analytical methods and improve laboratory workflows.

Experience:

• Proven laboratory experience in analytical chemistry or related fields within a regulated environment, such as pharmaceutical or biotechnology industries.
• Hands-on expertise with spectroscopy techniques, including UV-Vis, IR, or atomic absorption spectroscopy.
• Strong knowledge of chromatography methods—gas chromatography (GC) and high-performance liquid chromatography (HPLC)—and their application in quality testing.
• Familiarity with wet chemistry techniques and microbiological testing procedures is highly desirable.
• Experience working under GLP guidelines and understanding FDA regulations relevant to pharmaceutical or biotech manufacturing.
• Proficiency with laboratory information management systems (LIMS) for data entry, analysis, and reporting.
• Background in biochemistry or microbiology is advantageous for supporting diverse analytical projects.

Join us to be part of a passionate team dedicated to advancing scientific excellence!

We are seeking a motivated and talented Process Engineer to join our team in developing and manufacturing lifesaving sterile drug products such as pre-filled syringes, vials, cartridges, and autoinjectors. The Process Engineer plays a critical role in designing, scaling up, and optimizing manufacturing, labeling, and packaging processes in compliance with current Good Manufacturing Practices (cGMP).

The Process Engineer will work with advanced equipment, including automated/robotic fillers, filtration and purification systems, sterilizers, isolators, and supporting utilities such as HVAC, steam, compressed air, and USP-quality water systems. The role also involves troubleshooting, process improvement, and collaboration with vendors and cross-functional teams.

Responsibilities:

• Design facilities, process equipment, and utilities to support next-generation medicinal products and technologies.
• Attend review meetings; review and approve user requirement specifications, design specifications, functional specifications, and qualification protocols.
• Attend Factory Acceptance Tests (FAT) to ensure equipment and machinery perform as expected.
• Support formulation, manufacturing, filtration, sampling, and in-process testing of sterile drug products using advanced equipment and instruments.
• Set up, operate, and validate sterile fill robots, automation systems, and software.
• Operate, maintain, and validate mixing equipment such as magnetic drive mixers.
• Collaborate with formulation scientists on drug development and experimental design.
• Define and control critical process parameters to ensure consistent product quality.
• Develop manufacturing processes to eliminate contamination and ensure product safety.
• Operate and validate steam sterilizers and perform sterilization qualification studies.
• Prepare and review regulatory submissions (NDAs/ANDAs and CMC Module 3).
• Design and validate terminal sterilization processes.
• Ensure all critical activities comply with SOPs, protocols, and regulatory standards.

Qualifications:

• Bachelor’s degree in Chemical Engineering, Pharmaceutical Engineering, or Pharmacy with an engineering background.
• Strong verbal and written communication skills with attention to detail.
• Ability to work independently and collaboratively in a team-oriented environment.
• Skilled in troubleshooting equipment and performing complex system tests.
• Familiarity with automation, motion control, pneumatics, and reading P&IDs and schematics.
• Willingness to work in a GMP manufacturing environment, including aseptic cleanrooms and shift operations.
• Eagerness to learn and adapt to new technologies and workflows.

Job Type: Full-time

About Us

We’re continuing to build a transformative healthcare accreditation platform that is revolutionizing how our clients and new hospitals manage compliance, quality improvement, and regulatory processes. Our platform combines cutting-edge technology with deep healthcare domain expertise to solve real problems for healthcare organizations nationwide.

The Opportunity

The goal is to have interns turn into full time employees; Therefore, you will be given full time responsibilities day one. To add onto that, you will be working in a high velocity growth startup and will be required to move fast. You’ll work directly with our engineering team on a production healthcare platform, gaining hands-on experience with enterprise-grade systems while making real contributions that impact our product and customers.

Compensation Structure

Base position is unpaid, however qualified candidates may receive upfront equity compensation based on their experience level and demonstrated capabilities. We evaluate each applicant individually and offer equity packages commensurate with their potential contribution.

About the Role

We’re hiring for an AI Engineer. To be considered, you must have a deep expertise in a focus and some knowledge of the latter.

Requirements

• Deep specialization in one of these areas: Agentic AI (Claude Agent SDK, MCP Servers, Tool Use) + Node.js/TypeScript + AWS + RAG

• Strong understanding of modern practices and version control (Git)

• Ability to work collaboratively within a specialized team structure

• Passion for building production-ready, scalable systems

Nice to Have

• Experience working in team environments with separated responsibilities

• Understanding of production AI deployment

• Experience with Claude Code, MCP server development, or agentic AI frameworks

• Previous experience with healthcare or regulated industries

What You’ll Build

• Agentic AI systems: Autonomous agents using Claude Agent SDK, MCP servers, and tool use for domain-specific workflows, combined with RAG for knowledge retrieval via Bedrock

• Node.js API services: Production AI inference endpoints and services integrated into our existing Node.js/MongoDB platform + Voyage AI vector database management

• AWS AI services: Lambda-based inference, Bedrock integration

• Semantic search & MCP integrations: Knowledge extraction and contextual Q&A systems using S3 Vectors, Mongo DB Atlas and OpenSearch (hybrid search), exposed via MCP servers for agent consumption

Key Responsibilities

• Conduct exploratory data analysis to identify patterns in complex healthcare datasets

• Build agentic AI systems using Claude Agent SDK, MCP servers, and tool use, alongside RAG pipelines with AWS Bedrock and vector databases

• Manage vector databases: Mongo DB/S3 Vectors

• Develop document processing pipelines for text extraction and analysis

• Create production Node.js services for real-time AI inference, integrated with our MongoDB data layer

• Implement semantic search and knowledge extraction from document repositories

• Design Lambda-based inference systems on AWS

• Integrate LLMs via agentic frameworks (Claude Agent SDK, MCP) for domain-specific autonomous workflows and Q&A systems

• Develop ETL processes for external data sources and APIs

Required Qualifications

Candidates must meet all Core Qualifications.

Core Qualifications

• Node.js/TypeScript programming skills

• Git for version control

• Understanding of deployment and production systems

• Collaborative development workflows

AI/ML Development

• Experience building production AI services in Node.js/TypeScript

• 1+ years with AWS services (Lambda, Bedrock, S3, EC2) and agentic AI frameworks (Claude Agent SDK, MCP servers, tool use)

• RAG development experience with vector databases

• NLP/Document processing expertise (text extraction, classification, information retrieval)

Nice to Have

• Healthcare or regulated industry experience

• Experience with Claude Code and agentic development workflows

• Experience with Hugging Face transformers and LLMs

• MongoDB experience and familiarity with aggregation pipelines

• Time-series forecasting and anomaly detection

• Advanced statistical modeling (survival analysis, propensity scoring)

• Knowledge of data privacy and compliance frameworks

Technical Stack

AI/ML Development: Node.js/TypeScript, AWS (Bedrock, Lambda, S3, EC2), Agentic AI (Claude Agent SDK, MCP Servers, Tool Use, Claude Code), MongoDB, Vector Databases (S3 Vectors, OpenSearch), NLP libraries (sentence-transformers), Git

Our Hiring Process

We believe in a transparent and thorough selection process that respects your time while ensuring mutual fit:

Initial Screening Call

We’ll discuss your background, experience, and career goals, while providing an overview of the role and our team culture.

Technical Challenge (issued on case by case basis)

You’ll receive a real-world technical challenge to complete within a specified timeframe. We encourage you to leverage all available resources—including AI tools, documentation, and libraries—just as you would in a production environment. This reflects how we actually work and allows you to showcase your problem-solving approach.

Technical Interview

We’ll have an in-depth discussion about your solution and explore related technical concepts. You should be prepared to walk through every aspect of your submission—explaining architectural decisions, code logic, trade-offs, and potential improvements. Whether you wrote the specific code section manually or generated it with AI assistance, you must demonstrate complete ownership and understanding of the entire codebase. This is a production-level assessment: we expect you to discuss, debug, and defend your work as if it were going live tomorrow.

We’re looking for engineers who can think critically, adapt their approach, and truly understand the systems they build—not just those who can generate code.

Ready to apply? We look forward to hearing from you!

MedLaunch is an equal opportunity employer committed to diversity and inclusion.

Medical Claims Manager for TPA Organization

Pay: $95K-$110K Base Salary PLUS Annual Incentive Bonus based on performance

Position Summary:

Third-Party Administrator (TPA) Company which provides a wide range of administrative services to insurance companies, sharing organizations, insurance marketing organizations, and employers. One core service is claims administration, where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost controls and ultimately adjudicated, resulting in an explanation of handling to the submitter.

This service is provided subject to service level agreements which mandate a high level of service measured by timely turnaround and a high degree of accuracy. Accuracy is measured by adherence to all written procedures and controls applicable to claims as well as the client’s stated coverage.

Qualifications and Competencies -Education and/or Experience:

• A minimum of at least 5-7 years in a Management role for Claims Operations, servicing health insurance policies or benefits.
• Third Party Administrator “TPA” experience required.
• In-depth knowledge of computerized automated claims adjudication is required.
• Experience in network vendor relations, experience in network repricing, and reference base pricing concept for our of network claims would a plus.
• Excellent written and verbal communication skills. A college degree is preferred.

Certificates, Licenses, Registrations:

• Project Management certification (e.g., PMP) or industry-related certifications (e.g., CEBS) a plus but not required

Supervisory Responsibilities:

• Leadership & Team Development

Competencies:

• Leadership & Team Development
• Operational Efficiency & Workflow Optimization
• Conflict Resolution & Change Management
• Strategic Planning & Growth Support
• Excellent Communication (Written & Verbal)
• Detail-Oriented, Organized, and Tech-Savvy

Computer Skills:

• Proficiency using software programs such as MS Word, ACCESS, PowerPoint, Excel and Outlook, Electronic Health Records.
• Familiarity with benefit administration platforms, CRM tools, project management software, and database systems preferred.

Essential Duties and Responsibilities:

• Participation in product development, including the technical review of new products and prospective new clients. This assistance will be focused on evaluation and interpretation of benefits, advancements in health care requiring updates to programs and plans, and advancements in administration, including use of AI.
• Ensuring that daily reporting provides an accurate portrayal of claims on hand, including those received by the clearinghouse, sent to re-pricing entities, unable to be systematically “matched”, auto-adjudicated, in Examiner queues waiting to be adjudicated, and in either audit or needing approval status.
• Developing and implementing strategies for greater automation in the claims process, including electronic receipt of claims and auto-adjudication.
• Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements.
• Establishing and monitoring strong operational controls relating to claims cost control, including review processes for potential pre-existing conditions, determining medical necessity, enforcing reasonable charge provisions and pursuing recovery of third-party liability.
• Monitoring and continually developing Policies and Procedures intended to enforce consistency in process and improve quality.
• Working with the Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes setting release authority levels and random audit percentages for Examiners reflecting experience and historical quality results. It will also include development of coaching and training programs linked to emerging quality issues.
• Using audit results to develop ongoing training programs and new procedures intended to increase procedural, payment and financial accuracy percentages.
• Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and responses are provided.
• Reviewing and approving higher dollar claims prior to payment.
• Oversight for the ongoing management of claims processing technology, including plan building and identification of new and updated benefit categories based on new medical coding and medical services.
• Act as a liaison with clients for escalation of service issues or program questions, establishing a strong working relationship and client trust.
• Investigates and participates in formal responses relating to complaints, grievances and appeals received by or applicable to PAS.
• Participates in Product Development and Sales processes, including participation when requested in prospective client presentations, regulatory reviews and contracting of vendors.

Essential Duties Specific to Claims Department:

• Participating actively as a key member of the Management Team, including demonstrating leadership through strong communications skills, use of business metrics to determine strategy and resource needs, and showing a high level of focus on continual quality improvement.
• Coordination of all activities of the Claims Department Management Team. This includes Supervisors and/or Team Leaders assigned to Customers.
• Responsibility for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement.
• Responsibility for Interviewing and final recommendation for hiring employees within the Claims Department. This is to ensure that high standards are maintained, and compensation arrangements are discussed and approved by the executive team.
• Creating a culture within the Claims Department of exceptional service to members and their providers, as well as transparency in reporting results, trends and issues to Senior Management and clients.
• Management of relationships with Preferred Provider Organizations and Reference-Based Pricing vendors which are essential to managing the cost of claims for clients.
• Management of relationships with essential vendors involved with the Claims Adjudication process, including clearinghouses, claims cost control vendors and the claims fulfillment vendor (printing and mailing of checks and EOP/EOB, as well as electronic payments).
• Identification and management of Subject Matter Experts (SMEs), with back-ups in various aspects of Claims, including procedures and use of technology.
• Oversight of Claims Training programs, including training for new employees and ongoing reinforcement training.
• Oversight of Claims documentation, including Policies and Procedures and reference materials.
• Participates in RFP/Proposal processes, including participation when requested in prospective client presentations.

Primary Performance Expectations:

Performance review for the Claims Manager is ongoing, with formalized reviews quarterly. There will be an Annual Review completed each January which will determine adjustments to compensation, and availability of incentive compensation. Performance expectations or goals are as follows:

Budget Performance:

The Claims Manager will be evaluated based on the level of variance with the budget established for the Claims Department, measured by staffing and other expenses. Operating expenses for the Claims Department will be measured by total per household per month (PHPM) and per inbound claim cost so that improvements in productivity and efficiency are rewarded.

Department Results for Service Level Agreements:

SLA results will be measured quarterly and reported specifically by client.

Department Satisfaction Level:

An annual Satisfaction Survey will be provided to the relationship manager for each PAS client where Claims services are provided. The Departments will be graded in total and by Team, and in each case must be graded with a score of at least 4 out of 5 (Highly Satisfied).

Department Quality Level:

The Department will be audited by Enterprise Risk Management (ERM). Actual results will be compared to goals in each period.

HIPAA and Data Privacy Obligations:

This role has direct access to Protected Health Information (PHI). The following rules are non-negotiable:

• Absolute confidentiality: Employees must not disclose PHI to unauthorized individuals under any circumstances.
• Secure environment: A private, locked workspace must be maintained to prevent exposure of PHI to family members, visitors, or others.
• Company-approved technology only: All work must be performed on secure, company-issued devices using encrypted connections (VPN required).

You will be required to complete HIPAA training upon hire and annually thereafter. Any breach of confidentiality or unauthorized disclosure of patient information may result in disciplinary action up to and including termination and may carry legal consequences under state or federal law.

Other Responsibilities:

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.

• Adheres to the policies and procedures of Company.
• Maintains strict confidentiality of client, company, and personnel information.
• Demonstrates a strong commitment to the mission and values of the organization.
• Adheres to company attendance standards.
• Performs other duties as assigned.

#GEN

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Paid training
• Vision insurance

About the Company

Nova Southeastern University (NSU), a vibrant R1 research university, is seeking a motivated Admissions Counselor to guide prospective students from first inquiry through enrollment. At NSU, you’ll be part of a mission-driven community that values innovation, service, and academic excellence.

About the Role

Are you passionate about helping students achieve their academic and career goals? Do you thrive in a dynamic, service-driven environment where every interaction matters? If you enjoy building relationships, presenting information, and providing top-tier customer service, this role may be the perfect next step in your higher education career.

Responsibilities

• Engage prospects through fairs, events, tours, outreach campaigns, referrals, and digital channels.
• Present program information and explain admissions requirements, curriculum, and services.
• Identify applicants’ educational needs and recommend appropriate programs in a consultative manner.
• Support undergraduate and graduate students through application, documentation, and enrollment steps.
• Review applicant materials, evaluate files, and determine eligibility.
• Coordinate undergraduate and graduate admissions interviews and guide faculty interview teams on evaluation processes and compliance.
• Manage your recruitment funnel—tracking inquiries, applications, and yield metrics through enrollment.
• Build and maintain relationships with community partners, alumni, employers, associations, and schools.
• Represent NSU at college fairs, conferences, special events, and recruitment activities.
• Develop and implement targeted recruitment strategies based on market trends.
• Prepare presentations and present to groups in a polished and engaging manner.
• Maintain data accuracy and confidentiality at all times.

Qualifications

• Bachelor’s degree
• At least 1 year of experience in student services, customer service, or a related field

Required Skills

• Strong administrative skills, organization, and accuracy
• Excellent consultative abilities—discovering needs and recommending solutions
• Strong written and verbal presentation skills
• Customer service mindset with the ability to connect with diverse audiences
• Critical thinking, attention to detail, and sound judgment
• Comfortable with MS Office (Word, Outlook, Excel)
• Valid driver’s license and ability to travel locally and occasionally overnight

Preferred Skills

• Experience in higher education recruitment or admissions
• Bilingual (English/Spanish)
• Knowledge of digital media, social media communication, and marketing tactics

Apply Here: Admissions Counselor – Graduate Admissions - 994520 - Clearwater, Florida, United States