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Financial Analyst (Hybrid Miami Fl)
Accounting/Finance · Alivi · Miami, FL*This is a Hybrid role working out of Miami, FL SUMMARY The Financial Analyst assesses Alivi’s financial data to provide insights and recommendations for decision-making. They analyze financial trends, prepare reports, and create financial mo...2 weeks ago on The ResumatorTools -
Fraud, Waste and Abuse Analyst
Jobs · Alivi · Miami, FLSUMMARY The ideal candidate will possess a strong understanding of healthcare regulations and compliance requirements. The primary responsibility of this role is to ensure adherence to regulatory guidelines, detect and prevent fraud, waste, and a...3 weeks ago on The ResumatorTools -
Fraud, Waste, and Abuse Manager
Management & Exec · Alivi · Miami, FLSUMMARY The Fraud, Waste, and Abuse (FWA) Manager is responsible for developing, implementing, and managing programs and processes to prevent, detect, and respond to fraud, waste, and abuse within the organization. This role involves conducting t...3 weeks ago on The ResumatorTools -
Call Center Team Lead (Remote Florida)
Customer Service · Alivi · Miami, FLSUMMARY *Remote role for state of Florida. *Must live in Florida *Medical Call Center experience must *Transportation background or Medicaid/Medicare Plans a plus * Bilingual in English/Spanish preferred The Customer Service Represen...3 weeks ago on The ResumatorTools -
Grievance and Appeals Coordinator
Jobs · Alivi · Miami, FLSUMMARY: The Grievance Coordinator is responsible for timely intake, processing, researching, documenting, and responding to grievances referred to Alivi by health plan partners. Responsible for entering pertinent information into the designated...4 weeks ago on The ResumatorTools -
Grievance and Appeals Lead
Jobs · Alivi · Miami, FLSUMMARY: The Grievance and Appeals Lead is responsible for timely intake, processing, researching, documenting, and responding to grievances referred to Alivi by health plan partners. Responsible for entering pertinent information into the design...4 weeks ago on The ResumatorTools -
Medical Claims Examiner
Insurance · Alivi · Miami, FLSUMMARY This position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services. The Medical Claims Examiner will ensure all claims received comply with all health plan...Over 4 weeks ago on The ResumatorTools -
Transportation Escalation Coordinator (Ride Assist, WMR, Chat)
Jobs · Alivi · Miami, FLJOB SUMMARY The Transportation Escalation Support Coordinator works closely with Alivi’s Transportation Providers, assigning, updating and monitoring all transportation requests from and for members of our health plan partners. The LCII maintain...Over 4 weeks ago on The ResumatorTools -
Member Services Coordinator
Jobs · Alivi · Miami, FLSUMMARY Initiates, coordinates, and executes specialized operational support functions for the Contact Center, with a primary focus on delivering exceptional care and attention to members' transportation services and needs. Responsibilities incl...Over 4 weeks ago on The ResumatorTools -
Member Services Team Lead
Management & Exec · Alivi · Miami, FLSUMMARY The Member Services Lead initiates, coordinates, and executes specialized operational support functions within the Contact Center, prioritizing the delivery of exceptional care and attention to members' transportation services and needs. T...Over 4 weeks ago on The ResumatorTools -
Revenue Cycle Specialist
Jobs · Alivi · Miami, FLSUMMARY The primary responsibility of this position is to identify and analyze circumstances that result in an open claim status. This involves coordinating tasks to guarantee that both external and internal deadlines are adhered to, facilitating ...Over 4 weeks ago on The ResumatorTools -
Sr. Business Analyst - Healthcare
Jobs · Alivi · Miami, FLJOB SUMMARY: The business intelligence analyst will conduct thorough data analysis, design, and implement analytic programs, generate reports, and collaborate with various teams to ensure we have the data necessary to optimize our resources, pro...Over 4 weeks ago on The ResumatorTools
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