485 Utilization Review Analyst jobs in Miami,FL

Care Review Clinician, ABA

Molina Healthcare

Miami Gardens, FL 33056

$26.41-$51.49/hr

~ 26 min Onsite

At least 2 years health care experience, including experience working as a behavioral analyst, or equivalent combination of relevant education and experience.
Board Certified Behavior Analyst (BCBA) or Licensed Behavior Analyst (LBA).
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
If licensed, license must be active and unrestricted in state of practice.
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

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Customer Service Representative - Onsite

Teleperformance

Hialeah, FL 33002

~ 21 min OnsiteUrgently Hiring

High School Diploma or equivalent
18 years of age or older
Proven call center experience
Typing 30 WPM
Proficient in PC operation and navigation
Entry-level network troubleshooting
Ability to set up home Wi-Fi network
Ability to set up and configure a router or switch
Core proficiency with a laptop or desktop computer
Able to work independently
Have excellent communications skills, both oral and written
Ability to work in a constantly changing and fast paced environment
Ability to stay composed and objective
Strong listening skills

SmartExplore AI is experimental.

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Quality Inspector

Heico

Hollywood, FL 33021

~ 29 min Onsite

High school diploma or GED equivalent.
At least 1 year of related experience and/or education.
Read, understand and inspect supplier certifications and material test reports to determine conformance to requirements.
Utilize computer technology systems such as Microsoft Office, SharePoint, ERP systems and QMS software such as Tip QA to complete and store applicable inspection records and documentation.
Ability to use typical layout inspection equipment such as micrometers, calipers, height gauges, dial indicators and an optical comparator
Language: Ability to read/interpret documents such as safety rules, operating and maintenance instructions and procedure manuals

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Care Review Clinician, ABA

Molina Healthcare

Fort Lauderdale, FL 33394

$26.41-$51.49/hr

~ 36 min Onsite

At least 2 years health care experience, including experience working as a behavioral analyst, or equivalent combination of relevant education and experience.
Board Certified Behavior Analyst (BCBA) or Licensed Behavior Analyst (LBA).
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
If licensed, license must be active and unrestricted in state of practice.
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

SmartExplore AI is experimental.

Recommended

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Customer Service Representative - Onsite

Teleperformance

Fort Lauderdale, FL 33328

~ 36 min OnsiteUrgently Hiring

High School Diploma or equivalent
18 years of age or older
Proven call center experience
Typing 30 WPM
Proficient in PC operation and navigation
Entry-level network troubleshooting
Ability to set up home Wi-Fi network
Ability to set up and configure a router or switch
Core proficiency with a laptop or desktop computer
Able to work independently
Have excellent communications skills, both oral and written
Ability to work in a constantly changing and fast paced environment
Ability to stay composed and objective
Strong listening skills

SmartExplore AI is experimental.

New, Posted 1 day ago

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Bilingual Analyst, Case Management – $5,000 New Hire Bonus - Field, North Miami Florida Area

CVS Health

Hollywood, FL 33026

Requires TravelBilingual Preferred

Bi-lingual in English and Spanish.
1+ year of experience in behavioral health or a long-term care setting.
Computer proficiency in Microsoft Word, Excel, and Outlook.
Must reside in North Miami, Pembroke, Miramar, Aventura, Hialeah, or Flagler FL.
Must possess reliable transportation and be willing and able to travel up to 50-75% of the time to meet members face to face in North Miami FL.
Bachelor's degree required, preferably in Social Work or related field.

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Senior Health Economics Analyst

ChenMed

Miami, FL 33169

Onsite

Minimum of four (4) years of related experience
Spoken and written fluency in English
This job requires use and exercise of independent judgment
Bachelor's degree: experience may substitute for education on a year-for-year basis above the minimum experience required

SmartExplore AI is experimental.

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Senior Geographic Information Systems (GIS) Analyst

City of Fort Lauderdale

Fort Lauderdale, FL 33301

$76,902.59-$119,214.36/yr

~ 36 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

Bachelor's Degree in computer science, geography, engineering, mathematics or a related field.
At least three (3) years of experience in the GIS field to include experience administering and using ESRI's ArcGIS suite of software.
Possess or be able to obtain a valid State of Florida driver's license within 30 days of hire.
On-call availability to work nights, weekends and holidays.
An in-depth pre-employment background check including a limited scope polygraph will be conducted as part of the post offer onboarding process as this position is deemed security-sensitive.
The position involves light physical demands, such as exerting up to 20 lbs. of force occasionally, and/or up to 10 lbs. of force frequently, and/or a negligible amount of force constantly to move objects.

SmartExplore AI is experimental.

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