Florida Licensed Healthcare Specialist

Job Summary

To support the organization's operations, the full-time Florida Licensed Healthcare Specialist will serve as a liaison between internal clients and functional departments, ensuring compliance with laws and regulations while managing complex projects and enhancing business processes in a remote environment.

Key responsibilities

• Act as a liaison between internal clients and departments, facilitating compliance with internal and external regulations
• Identify risks and implement compliance programs to prevent unethical business practices while recommending improvements for service quality
• Lead and manage large departmental projects, ensuring effective resource use and adherence to project management standards

Required qualifications

• 5+ years of related work experience
• Bachelor's degree in a related field or equivalent work experience
• Demonstrated experience with compliance audits and program administration
• Proven ability to lead complex projects and implement compliance programs
• Knowledge of Medicare Advantage, Commercial, and ACA plan-specific compliance requirements