Job Results
Financial Services
Posted 12 hours
Universal Banker
Ameris Bank - Jacksonville, FL
Ameris Bank is a purpose-driven company, dedicated to bringing financial peace of mind to communities, one person at a time. Whether a customer wants to grow their business, buy a home, or feel confident in their retirement plan, they have a partner in Ameris Bank. We serve customers in our locations across the Southeast, Mid-Atlantic and nationwide through our extensive digital offerings and mobile app. Delivering financial peace of mind starts with a team that values integrity and rewards ingenuity. At Ameris, you’ll find teammates who are inclusive, collaborative problem-solvers who go the extra mile to support one another and to meet every customer’s needs. When teammates are empowered and bring their diverse perspectives to the table, we create the best possible outcomes for our customers. At Ameris, we know that a growth mindset is key for high performance and fosters an environment that prioritizes continuous improvement. Teammates have access to Employee Resource Groups that serve as advocates and purpose and how you can bring it to life as an Ameris Bank teammate. Responsible for serving as a consultant to customers by conducting customer financial profiles, identifying customer needs, cross-selling, and up-selling opportunities. Seek to attract, expand, and retain customer relationships and is responsible for contributing to the financial growth of the banking center. Serve as both a Teller and Personal Banker to support customer and team needs. Performs other projects and duties as assigned. Essential Functions, Duties, and Responsibilities: · Responsible for the financial growth of the banking center through establishing, expanding, and retaining high-value consumer and business client relationships. · Proactively communicates with current and prospective clients to educate, ensure understanding, resolve issues, develop, and maintain customer loyalty and solicit customer feedback to improve bank performance. · Apply need-based sales techniques and conducts customer financial profiles to attract, expand, and retain client relationships by identifying products and services. · Maintain a working knowledge of banking products and promotions. · Open new accounts and service existing accounts. · Accountable for achievement of defined sales and service goals. · Make recommendations to supervisors concerning the budgetary needs of the branch and methods to improve the client’s experience. · Work to understand the root causes of customer service issues. · Identify and implement resolutions for service issues involving supervisors on more complex issues. · Conduct onboarding activities for new clients. · Provide backup support to other branches and employees as needed. · Work on the teller line when needed including operating the teller drawer and performing advanced, specialized teller functions including researching cash discrepancies, and handling complex customer transactions. · Perform accurate transactions, balance each day, and verify cash totals. · Scan daily proof work to the remote capture machine. · Provide assistance and training to other colleagues and serve as a mentor. · Practice ethical sales behaviors in accordance with the Bank’s Core Values of Integrity and Honesty. Required Knowledge, Skills and Competencies: · Highly motivated team-player with ability to develop and maintain collaborative relationships. · Strong written and verbal communication skills. · Intermediate PC proficiency. · Intermediate proficiency in Google Docs and Microsoft Office products. Industry and Work Experience: · 1 or more years of customer service experience required. · Cash handling or sales experience preferred. Academic: · High school diploma or GED required. · Bachelor’s degree in business or related field preferred. Benefits Available to Employees: Ameris Bank provides a comprehensive employee benefit package to all eligible employees. Medical, Dental and Vision Insurance Ameris Bank absorbs a major portion of the cost of healthcare. You become eligible for coverage on the first of the month following 30 days of employment Life Insurance provided at no additional cost to employees Accidental Death & Dismemberment Coverage Long-Term Disability Coverage Paid Sick and Vacation Leave 11 Holidays Volunteer/Service Day Employee Stock Purchase Plan 401(k) Retirement Plan Ameris Bank matches 50% of your first 8% of contributions to the plan Flexible Spending Accounts Health Savings Account Health Reimbursement Arrangement Supplemental Life & Other Insurance Plans Identity Theft Protection Pet Insurance Legal Insurance Employee Assistance Program Employee Advocacy Program Tickets at Work (Entertainment discounts for Ameris Bank Employees) AT&T Employee Discount Wellness Discounts for Medical Premiums and Other Rewards Employee Referral Incentive Education Assistance Employee Resource Groups Banking Advantages for Employees: In addition to a wide array of benefits, Ameris Bank employees are also eligible for special bank services. Free Interest Checking Free Safe Deposit Box Free Money Orders, Travelers’ Checks and Cashier Checks Discount on Mortgage Origination Fee Free Online Banking and Free Unlimited Online Bill Payment Employee Banking Perks Disclaimer: The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position. All job requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicantss of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Posted 12 hours
Treasury Analyst
Seacoast Bank - Jacksonville, FL
JOB SUMMARY: The Treasury Analyst supports the management and optimization of the Bank's balance sheet through quantitative analysis, financial modeling, forecasting, and reporting. This position partners across Treasury, Finance, Risk, Lending, and Deposits to provide analytical insight into asset-liability management (ALM), liquidity, investments, capital, funds transfer pricing (FTP), loan and deposit pricing, and other strategic treasury initiatives. The ideal candidate possesses strong analytical and technical skills, an understanding of fixed income and financial markets, and a passion for leveraging data and technology to improve decision-making. This role provides broad exposure across treasury functions and offers opportunities to support key strategic initiatives affecting the Bank's profitability, risk profile, and balance sheet performance. ESSENTIAL DUTIES AND RESPONSIBILITIES: Support initiatives across Treasury, including asset-liability management (ALM), liquidity management, investments, funds transfer pricing (FTP), loan and deposit pricing, capital planning, and balance sheet strategy. Develop, maintain, and enhance financial models used for forecasting net interest income, balance sheet growth, liquidity, capital, and profitability. Analyze fixed income securities portfolios and related metrics including yield, duration, convexity, market value, spread analysis, and interest rate risk exposures. Assist in valuation and risk analysis of financial instruments, including securities, loans, deposits, and derivatives. Support ALM and interest rate risk processes, including scenario analysis, stress testing, and assumption development. Assist in the development and maintenance of funds transfer pricing methodologies and profitability measurement frameworks. Perform loan and deposit pricing analyses to support product strategy, profitability, and competitive positioning. Conduct peer benchmarking, market research, and industry analysis to identify trends and strategic opportunities. Utilize quantitative techniques and statistical analysis to evaluate customer behaviors, deposit attrition, loan prepayments, and other balance sheet assumptions. Prepare analyses, presentations, and reporting packages for senior management, ALCO, Board committees, and regulators. Design and automate recurring reports, dashboards, and data processes using Excel, Power BI, Power Query, SQL, and other analytical tools. Support implementation and maintenance of treasury, ALM, and financial reporting systems. Collaborate with business partners across Finance, Risk, Lending, Deposits, and Technology to support strategic projects and process improvements. Identify opportunities to improve data quality, reporting efficiency, and analytical capabilities through automation and business intelligence solutions. Participate in special projects related to balance sheet optimization, profitability enhancement, liquidity management, capital planning, merger analysis, and regulatory initiatives. EDUCATION and/or EXPERIENCE: Bachelor’s Degree in Finance, Economics, or Accounting. MBA, CFA, or CTP candidate preferred. Proficiency in spreadsheet and database applications Demonstrates critical thinking and analytical skills High level of self-motivation and self-directedness The Statements above are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of responsibilities, duties, and skills. Because these statements are general, the job description is used for a variety of purposes including job evaluations; performance reviews; recruitment; etc. All Associates are required to adhere to the highest legal and ethical standards applicable to our industry. It is the policy of Seacoast Bank that all Associates will be familiar and compliant with all regulatory, legal, ethical and Bank risk mitigation requirements pertaining to both our industry and their individual roles. This includes the on time, successful completion of annual required training post-hire and effective execution of role responsibilities. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
Posted 12 hours
SIU Forensic Analyst – Interm
Citizens Property Insurance - Jacksonville, FL 32202
About our Special Investigations Unit (SIU) At Citizens, financial stewardship drives our Special Investigations Unit’s (SIU) mission to detect and deter insurance fraud with speed and precision. We are committed to continuous improvement—leveraging advanced analytics, investigative expertise, and innovative strategies to stay ahead of emerging fraud trends. Building a best-in-class SIU requires more than tools and technology—it requires exceptional people. We seek high-performing professionals who thrive in an environment that values accountability, respect, growth, and ownership. Our culture encourages fresh thinking, where the best ideas—even if new and untried—rise to the top and help shape our success. As part of Citizens’ SIU team, your contributions will be recognized and rewarded. We value dedication, performance, and integrity, and we are committed to supporting your professional development while empowering you to make a meaningful impact in the fight against insurance fraud. JOB SUMMARY This position’s primary purpose is leveraging robust analytic systems, and knowledge of insurance fraud, assist with the design, implementation, monitoring and performance tracking of Fraud detection models helpful in detecting fraud that impacts the insurance operation and provide technical guidance on suspicious policies and claims investigated within the Special Investigations Unit (SIU). JOB DUTIES Models’ ethical behavior and executes job responsibilities in accordance with Citizens core values, ethics, and information protection policies. Leverages complex analytic systems and insurance knowledge to analyze data and identify suspicious policies and claims; conducts moderate to complex forensic research. Conducts research on the exposure to identify trends, potentially fraudulent conduct, and expose organized ring activity. Uses independent judgement to plan, prioritize, respond to high-risk alerts, and determine the need for additional fact gathering. Provides consultative guidance on investigative strategies to individual contributors and managers within the insurance enterprise to resolve high-risk exposures. Creates and designs innovative and cutting-edge predictive models consisting of business rules, third party sources, and the critical components key to the business unit’s mission to expose suspect patterns and associations; monitors model performance and adjusts models. Assist with the implementation of new processes and software solutions, identify system improvements to prevent fraudulent activities and maintain fraud analysis models to improve efficiency and effectiveness of the predictive systems. Coaches, advises, counsels, and trains insurance staff; may also direct the work activities of others, provide input in the Performance Management goal setting and review process. REQUIRED EDUCATION and EXPERIENCE High School Diploma | GED X Associate/Technical Degree OR 2 years relevant experience, OR a combination of both college and experience equivalent to 2 years OR Bachelor’s Degree OR 3 years relevant experience, OR a combination of college education and relevant experience equivalent to 3 years PREFERRED EXPERIENCE and EDUCATION Criminal Justice/Corrections, Business Administration or related field. 4 or more years of combined SIU/investigative experience and/or property/casualty experience. 5 or more years of investigations / SIU experience in the P&C Insurance industry. Investigation experience with established workflows and hands-on reviewing the claims files. Knowledge of Fraud Analytics Software and/or Fraud detection methodologies. Demonstrated broad problem-solving skills. KNOWLEDGE, SKILLS, & ABILITIES High degree of knowledge and skills related to the investigation and defense of property claims. Demonstrated knowledge of the SIU investigation processes and methodologies. Ability to communicate effectively verbally and in writing with a wide range of staff and management. Proficiency with fraud detection software and tools. Ability to work independently with minimal supervision and manage a high volume of assignments. Ability to resolve conflicts and create rapport with business partners. Identify and resolve issues and identify solutions, utilizing comprehensive analytical skills and demonstrating attention to detail. Prior experience with risk analysis, risk management. Strong organizational and time management skills / Self Motivated. Strong customer Service skills and ability to build relationships and collaborate with internal and external stakeholders. Strong Microsoft Office Suite skills. Analytical skills and ability to make decisions; logical and sequential thinker. Citizens is proud to be an Equal Opportunity Employer. Visa sponsorship is not available for this position.
Posted 2 days
Client Service Advisor (Wealth Management)
Camarda Wealth Advisory Group - Fleming Island, FL 32006
*Personal Wealth Advisor (CFP- Lead Advisor) – $60,000-$85,000 Base + Performance Bonuses & Benefits– Metro Jax FL* *Role Description – CFP® Lead & Support Advisors* *Overview:* Camarda Wealth Advisory Group is seeking a *Personal Wealth Advisor* with *CFP® or ChFC® & Series 65 for* a full-time on-site position located in Fleming Island, FL (greater Jacksonville). This is not a sales position. Outstanding mentorship opportunity to learn advanced wealth management, including tax, asset protection, advanced estate & trust, tactical portfolio & much more. Career advancement tracks with unlimited upside, including to C-suite. Come help us deliver exceptional Total Wealth Care to our rapidly growing national clientele. Dedicated fiduciary, fee-only in all we do. Watch the video for more info on our values and culture. This individual will play a crucial role as lead advisor on our Wealth Advisor Team by directly providing exceptional service delivery to our clients. *Must have clean U4 and background check, and a minimum of 3 years’ experience working with clients’ investments and financial planning. CFP® or ChFC® (or completion soon) and Series 65 is required.* Must love the planning profession and be excited about helping clients achieve their investment and financial goals. Strong financial planning software and SalesForce experience required. We are looking for a long-term career minded professional to grow with our nationally recognized, rapidly growing, ethical culture, vibrant firm. Pleasant, energetic, and a winning personality able to build rapport with wide range of personality types required. Strong work ethic, get-it-done-when-promised mentality. *Key Responsibilities:* · As lead advisor, lead a team laser focused on excellence in client total wealth care · Provide scheduled portfolio & comprehensive financial planning advice · Rapid, caring response to client queries & requests · Provide ongoing advice to firm clients – not a sales position · Collecting & updating client financial data collection · Gather, organize and ensure accuracy and completeness of relevant client information, including financial statements, investment portfolios, and personal financial goals. · Financial software management including input and management of client data. · Update and maintain client profiles within the software platform. · Generate reports and analyses as needed to support client meetings and presentations. · Financial analysis including portfolio, insurance, tax, estate, retirement, asset protection · Opportunity to pursue paid education & career enhancement tracks leading to roles in: * Management (including C-level) * Advanced wealth specialization such as tax or legal * Business Development * Other advancement within firm operations in our growing national advisory footprint. *Mentorship Opportunity:* * Improve your practice of advanced wealth management with extensive training and a team of CFP®s/CFA®s led by PhD in Financial & Retirement Planning & Georgetown Masters in Tax Law * Advanced estate planning & trust design * Sophisticated & truly customized portfolio management including technical analysis * Rigorous retirement planning & retirement income modeling * Proactive tax reduction strategies * Structural asset protection planning * Learn to quarterback clients’ wealth plans & collaborate/direct internal legal, tax & other teams. *Long Term Career Track & Job Stability * * Extensive 90+ days orientation training while getting to know clients with ongoing advanced training thereafter * Lead advisor; management of client book with access to paraplanner support staff * Advancement opportunities to C-level positions or specialty analysis/planning * Partnership grant opportunities for exceptional performance. *Key Metrics:* * Deliver quarterly portfolio and scheduled financial planning advice timely * Have 2-way discussion with client via phone or email each quarter by mid quarter * Document and manage planning to dos to completion including recap emails to client & report updates re task status (including client to dos) and task completion * Respond to client service requests calls and emails immediately – no later than noon of following day latest * Oversee & manage your support team to timely and accurate completion of delegated tasks * Appropriate estate, tax & asset protection referrals to wholly-owned affiliate TaxMaster * Appropriate conversion of client outside assets to Camarda management * New client referrals from existing clients *Qualifications* * *CFP® completed or very close to completion. * * Bachelor's degree in Finance, Accounting, Business Administration or a related field * *3+ years of experience in the financial services industry, preferably in a similar client-facing role * * *Series 65 or Series 66 license * * Knowledge of investment solutions, financial planning strategies, advisory back-office operations * Proficient in Microsoft Office Suite and experience using investment software/planning programs * Experience with Money Guide Pro or other similar financial planning software (Preferred) *Benefits* * 401(k) * Dental, health, vision and life insurance * Paid time off * Professional development coaching * Educational tuition reimbursement *Compensation package: * * Bonus opportunities * Strong incentives for client retention, additional client assets & referrals * Performance & profits sharing bonuses Pay: $60,000.00 - $85,000.00 per year Benefits: * 401(k) * 401(k) matching * Dental insurance * Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance Education: * Bachelor's (Required) Experience: * Financial services: 2 years (Required) Shift availability: * Day Shift (Required) Ability to Commute: * Fleming Island, FL 32006 (Required) Work Location: In person
Posted 2 days
Claims Resolution Specialist, Hospital Billing Office, Full-Time, Days, Baptist Jacksonville
Baptist Health - Jacksonville, FL 32218
About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. Baptist Health is hiring a Claims Resolution Specialist III to join our Hospital Billing Office at Baptist Jacksonville (Downtown) in Jacksonville, FL. This is a full-time Hybrid opportunity, requiring1-2 days on-site. The Hospital Billing Office plays a critical role in ensuring accurate and timely reimbursement for hospital services provided across Baptist Health. This role is ideal for an experienced revenue cycle professional with strong knowledge of claims processing, reimbursement, denial management, and accounts receivable who can independently resolve complex claims and identify trends that impact revenue cycle performance. Claims Resolution Specialist III Job Responsibilities: Appropriately resolve medical claims submitted to commercial insurance companies, third-party organizations, and government payers Apply advanced revenue cycle knowledge across registration, eligibility, charge capture, clearinghouse, payment posting, claim denial, and credit management Analyze explanations of benefits (EOBs) to ensure proper payment to Baptist Health from responsible payers Communicate with third-party representatives as necessary to complete claims processing and resolve problem claims Perform daily follow-up on post-processing activities, including rejected billings, adjustments, corrected claims, overpayments, and denied claims Work assigned accounts according to established priorities based on account balance and age Identify trends in claim denials and communicate findings to leadership Collaborate with various departments to resolve outstanding claim issues and denial-related concerns Maintain current knowledge of CPT, ICD-10, HCPCS codes, and applicable modifiers Claims Resolution Specialist III Experience: 3–5 years of experience working in an acute care setting (required) 1–2 years Revenue Cycle Operations Experience (required) Billing Experience (required) Knowledge of CPT, ICD-10, HCPCS, and modifiers (required) Medical Insurance Experience (required) Reimbursement Experience (required) Accounts Receivable Experience (required) Claims Resolution Specialist III Education & Credential Requirements: High School Diploma (required) Bachelor of Arts/Bachelor of Science (BA/BS) (preferred) Certified Revenue Cycle Specialist (CRCS) (preferred) Certified Revenue Cycle Representative (CRCR) (preferred) If you are interested in this full-time Claims Resolution Specialist III opportunity with the Hospital Billing Office at Baptist Jacksonville (Downtown), please apply today! Responsible for appropriately resolving each medical claim sent to commercial insurance companies, third party organizations and/or government payers • The level III should have expertise in the following areas within the revenue Cycle: Registration, Eligibility, Charge Capture, Clearinghouse, Payment Posting, Claim Denial, and Credit Management • Analyzes explanation of benefits to insure proper payment to Baptist Health from paying entities • Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims • Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, corrected claims, overpayments, and denied claims • Works all assigned accounts on worklist in order depending on balance and age • Identify and communicate trends in denials to leadership • Communicates with various departments to resolve any outstanding issues with claim to resolve denials • Possesses up to date knowledge related to CPT codes, ICD/10 codes. Primary Location: Metro Square
Posted 3 days
GEAR Information Management Analyst
Bank of America - Jacksonville, FL 32256
Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day. Being a Great Place to Work and providing a culture of caring is core to how we drive Responsible Growth. We are intentional about fostering an inclusive workplace where every teammate has the opportunity to succeed, build a career and contribute to our shared success. This includes attracting and developing exceptional talent, recognizing and rewarding performance, and supporting our teammates’ physical, emotional, and financial wellness through affordable, competitive and flexible benefits. We value the unique perspectives individuals bring from all backgrounds and career paths - whether shaped by military service, community college education, or a wide range of work and life experiences. These journeys foster resilience, leadership and innovation, strengthening our workforce and positively impact the communities we serve. Bank of America is committed to an in-office culture that supports collaboration, engagement, and career development. Our approach includes clear in-office expectations, while providing an appropriate level of flexibility based on role-specific responsibilities and business needs. At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us! Job Description: This job is responsible for moderately complex activities supporting the assignment, sourcing, gathering, furnishing and movement of financial and client information and data. Key responsibilities include fund setup, client identification data, pricing, and cost basis reporting. A Job expectations include providing quality service and effective operations support for internal business partners and external clients. Line of Business Job Description: Legal Order operations is an area with significant legal and reputational risk that processes third party civil legal matters relating to levies, garnishments, temporary restraining notices, as well as subpoenas served on the bank for civil matters directed to Merrill and BANA when there is a Private Bank relationship. Responsibilities: Processes third party subpoenas served on the bank for civil matters Act as a liaison to prepare witness for depositions Restrict client accounts due to Attachments received Review complex legal documents and log key information for bank records responsive to the subpoena. Review of documents includes ability to apply state and federal laws to maintain compliance with proper service, customer notification requirements Role requires ability to navigate dozens of systems to research and acquire responsive documents Interaction with state and government agencies, and attorneys to negotiate scope, court appearances, and reasonable due dates for delivery. Advanced organizational skills to maintain a large caseload with multiple moving parts. Accurately interprets legal documents Manages Caseload effectively Submits timely accurate responses to legal matters Communicates effectively with external third parties Makes decisions with minimal support Performs moderately complex activities supporting the assignment, sourcing, gathering, furnishing and movement of financial and client information and data according to the established guidelines and procedures Responds to moderately complex client inquiries via numerous channels to support operational efficiency and quality client service Reviews and approves required account documentation Identifies risk and opportunities for process improvement based on an understanding of how the work impacts other operational units Maintains knowledge of operational processes and assists in training less experienced team members Required Qualifications: Demonstrated ability to research, identify, and retrieve responsive documents across a variety of banking products, systems, and platforms. Excellent written and verbal communication skills, including the ability to tailor communications to diverse audiences, actively listen, and provide timely follow-up and status updates. Strong attention to detail with a proven track record of delivering accurate and complete work product within required deadlines Strong analytical, problem-solving, and decision-making skills, with the ability to leverage research, past experience, and available resources to develop effective solutions. Proven ability to adapt to changing priorities, manage multiple projects simultaneously, and embrace new processes that improve efficiency and effectiveness. Self-motivated with a demonstrated ability to work independently, exercise sound judgment, and require minimal supervision while maintaining a collaborative team mindset. Professional demeanor with a strong client-service orientation, demonstrating patience, composure, and professionalism when handling sensitive or complex matters. Skills: Account Management Attention to Detail Customer and Client Focus Written Communications Analytical Thinking Oral Communications Prioritization Problem Solving Collaboration Recording/Organizing Information Research Result Orientation Shift: 1st shift (United States of America) Hours Per Week: 40
Posted 3 days
Risk Management Specialist
First Florida Credit Union - Jacksonville, FL 32202
Do you want to be part of a dynamic institution that is one of the fastest growing credit unions in the country? Become a part of the First Florida Credit Union team where our employees create a culture that enables our organization to be among one of the 100 Best Companies to Work For in Florida as designated by Florida Trend magazine for over a decade. Our employees are the critical element in fulfilling the First Florida Credit Union mission of being a thriving credit union creating value for members by deepening relationships with current members and engaging with potential members. Also, First Florida Credit Union recognizes the importance of benefits that provide financial security for our employees and their families and is committed to providing a competitive benefits package to eligible employees. Role: The primary function of this position is to assist the Credit Union in achieving its mission to share in the financial success of our members by providing services with fairness and integrity. To achieve this goal, this position must deliver outstanding service to both internal and external members. Responsible for records/ imaging tasks, including but not limited to: document scanning, indexing, filing, retrieving and storing records in a computerized central records system. Working with member and Credit Union records, both paper and electronic ensuring order and accuracy. Responsible for assisting Risk Management Supervisor with administrative duties involving vendor management, ERM, facilities, and document retention and destruction. Essential Functions & Responsibilities: Review all Credit Union documents in the Credit Union imaging system indexed by Records/ Imaging Coordinator. Analyze the subject matter to ensure accurate indexing; inspect scanned images for legibility and alignment to ensure quality control and accuracy. Serve as back up to Records/Imaging Coordinator. Process all subpoenas served on the credit union. Determine validity of request, log subpoena, determine which documents are being specifically requested per the subpoena, and provide completed file to Risk Management Supervisor for review. Invoice requesting party and send all documents via UPS or secure email once approved. Process requests for corrections and deletions submitted to the imaging email while adhering to credit union retention schedule for each document. Assist Risk Management Supervisor with administrative duties pertaining to Vendor Management, ERM Software Management, and Facilities Software Management. Including but not limited to pulling monthly and quarterly reports and data entry. Review monthly reports, coordinate with Senior Management regarding items due, and ensure all vendor information is up to date in the vendor management system. Assist Risk Management Supervisor with administrative duties within the facilities program. Enter facilities tickets, pull monthly reports, produce BOD/Committee reports and assist facilities vendor with Facilities Software. Assist Risk Management Supervisor with maintaining relationship with facilities management vendor. Inventory and order office supplies. Oversee the storage and shredding of offsite documents, while keeping an accurate log of scanned or filed documents and adhering to the credit union retention schedule. Responsible for compliance with Credit Union policies including the Bank Secrecy Act and Customer Identification Program. Performance Measurements: Adhere to the Credit Union Service Standards in all interactions both internal and external as well as employing CML (Creating Member Loyalty) skills. Ensure that the Credit Union is aware of potential losses and compliance issues due to the failure of following operational or procedural guidelines. Ensure that all data entries are made with minimal errors. Ensure proper maintenance, cleanliness and security of work area, desks, equipment, etc... Maintain a professional work environment and businesslike appearance. Maintain a dependable record of attendance and timeliness. Knowledge and Skills: Experience One year to three years of similar or related experience. Education A high school education or GED. Interpersonal Skills Work involves much personal contact with others inside and/or outside the organization for the purpose of first-level conflict resolution, building relationships, and soliciting cooperation. Discussions involve a higher degree of confidentiality and discretion, requiring diplomacy and tact in communication. Other Skills Ten key calculator and computer keyboard by touch. Comfortable working independently as well as with a team. Physical Requirements This is sedentary work which requires the following physical activities: bending, stooping, kneeling, crouching, sitting, walking, finger dexterity, feeling, repetitive motions, talking, hearing and visual acuity. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. As required or requested, may exert up to 25 pounds of force occasionally and/or a negligible amount of force constantly to lift, carry, push, pull or otherwise move objects. Work Environment Generally inside work with occasional exposure to weather conditions. This Job Description is not a complete statement of all duties and responsibilities comprising the position.
Posted 3 days
BPO Clinical Review Senior Specialist
NTT DATA - Jacksonville, FL
Req ID: 385874 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a BPO Clinical Review Senior Specialist to join our team in Jacksonville, Florida (US-FL), United States (US). The Clinical Reviewer Quality Analyst (QA) is responsible for conducting quality audits of clinical appeal reviews and providing subject matter expertise to support the accurate and timely processing of member and provider appeals. This role evaluates clinical reviews, medical records, and appeal determinations to ensure compliance with organizational policies, regulatory requirements, Medicaid guidelines, and NCQA standards. The QA Analyst partners with operations leadership to improve quality, consistency, and operational effectiveness across the appeals review process. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and ADD insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. Position is fully remote only in the state of Florida. Must live in State of Florida and have a valid address. P.O Boxes will not be allowed. Salary for this role is $81,120 Required Qualifications • 3 years of experience in appeals processing, clinical review, or utilization management. • 1 year of experience in an advanced role as: • Quality Analyst (QA) • Team Lead • Trainer • Subject Matter Expert (SME) • Strong knowledge of utilization management and appeals processes. • Working knowledge of NCQA standards, Medicaid regulations, and medical necessity review guidelines. • Ability to review and interpret medical records and clinical documentation. • Excellent analytical, critical thinking, and problem-solving skills. • Strong written and verbal communication skills, including reading comprehension and professional documentation. • Ability to provide constructive feedback and influence quality improvement initiatives. • Strong organizational skills with the ability to manage multiple priorities independently. • Proficiency in conducting audits, identifying trends, and presenting findings. • Experience performing quality audits in a healthcare, managed care, health plan, or healthcare BPO environment. • Experience supporting Medicaid appeals and utilization management operations. • Familiarity with quality management methodologies and continuous improvement practices. • Required to work U.S. daytime business hours. • Flexibility may be required based on business and client needs. • Strong attention to detail and commitment to quality. • Ability to identify compliance risks and process improvement opportunities. • Sound clinical judgment and decision-making skills. • Effective coaching and communication capabilities. • Commitment to regulatory compliance, member advocacy, and operational excellence. Education Licensure • Active Licensed Practical Nurse (LPN) license required. (Not encumbered only) • Florida State-required LPN licensure and/or Compact State LPN License required. (Not encumbered only) Key Responsibilities • Conduct quality audits of clinical appeals reviews to ensure accuracy, consistency, and compliance with established standards. • Evaluate medical records, clinical documentation, and appeal determinations to assess adherence to medical necessity criteria and utilization management guidelines. • Identify quality trends, defects, and opportunities for improvement within the appeals process. • Provide feedback, coaching, and corrective action recommendations to team members based on audit findings. • Support quality calibration sessions and contribute to the development of quality improvement initiatives. • Serve as a subject matter expert (SME) on appeals processing, utilization management, and medical necessity review. • Provide guidance to Clinical Reviewers on preparing cases for Medical Director review, including researching appeals, reviewing applicable criteria, and analyzing supporting documentation. • Review service appeals for reconsideration and recommend approvals or denials based on established determination guidelines. • Prepare complex cases for Medical Director review when required. • May perform clinical reviews and appeal determinations as needed to support operational demands. • Ensure appeal reviews and determinations comply with State, Federal, Medicaid, and NCQA requirements. • Verify timely review, processing, and resolution of appeal requests in accordance with contractual and regulatory turnaround times. • Generate and review appeal resolution communications to members and providers for accuracy, completeness, and compliance. • Maintain thorough documentation and audit records related to appeal reviews and quality evaluations. • Communicate with providers, facilities, Medical Directors, and internal departments regarding appeal reviews and determinations. • Partner with leadership to improve the consistency, quality, efficiency, and appropriateness of appeal review decisions. • Collaborate with cross-functional teams to identify and implement process improvements based on industry best practices. • Analyze quality findings and provide recommendations to prevent recurring issues and enhance operational performance. • Maintain files and records for appeal reviews, including the collection, analysis, and reporting of verbal and written member and provider appeals. • Track quality metrics and contribute to performance reporting and quality dashboards. • Utilize sound clinical judgment in evaluating non-routine and complex appeals while ensuring compliance with service-level agreements and contractual requirements. New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process Must Pass Drug screen Must Pass a background check with Education check and employment verification check. This job posting is for active vacancies. Applications are pre-screened using artificial intelligence technology and reviewed by NTT DATA recruiters. NTT Data does not allow Job stacking Remote Working and Technology Requirements To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology. Technology • NTT DATA will provide a computer and headset for remote work. • Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols. • Failure to return equipment may result in collection actions and/or other consequences. • Individuals must provide their own high speed internet access with speeds at or above 50 Mbps. • A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one’s personal dwelling or location. Technical Performance and Issue Tracking • Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations. • Remote employees must adhere to all technical support procedures and protocols. • Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite. Remote Workspace Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service. • Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment. • The workspace must be a permanent, unencumbered location used daily for work. • Employees must work with minimal distractions that do not interfere with business operations or service delivery. • Ideally, the workspace is isolated from other household members and used exclusively for job duties. • Background noise, interruptions from people or pets, and other distractions must be kept to an absolute minimum to avoid disruptions to customer service. • Employees must work from the same location consistently unless prior approval is obtained. • If a change in work location is necessary: • The new location must meet all Remote Workspace and Technology Requirements. • Notification to NTT DATA Management is required before relocating #INDBPO #LI-MIWS About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in RD. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us. NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.
Posted 3 days
Weekend Supervisor (RN)
Vicar's Landing - Ponte Vedra Beach, FL 32082
At Vicar's Landing, our Weekend Supervisors are trusted clinical leaders who help ensure exceptional care across our entire Health Services community. In this role, you'll provide oversight and support for Skilled Nursing, Assisted Living, and Memory Care services across both our Sawgrass and Oak Bridge campuses. As a Weekend Supervisor, you'll serve as a mentor, resource, and leader for nursing staff while helping ensure residents receive the highest quality care possible. From staffing support and clinical guidance to emergency response and quality initiatives, you'll play a vital role in maintaining a safe, compassionate, and resident-centered environment. If you're an experienced RN who enjoys leadership, problem-solving, and making a meaningful impact, this is an excellent opportunity to take your nursing career to the next level. What You'll Do Clinical Leadership & Resident Care Provide leadership and clinical oversight across Skilled Nursing, Assisted Living, and Memory Care communities during weekend operations Support and supervise RNs, LPNs, and CNAs to ensure quality care and regulatory compliance Assist with staffing coordination and provide direct resident care or medication administration when needed Oversee admissions, discharges, transfers, and care transitions throughout the weekend Monitor resident conditions and assist with clinical decision-making and care coordination Respond to medical emergencies within the community and provide clinical leadership during urgent situations Montessori-Inspired Memory Care Support Support our Montessori-Inspired Memory Care philosophy by promoting person-centered care that preserves dignity, purpose, and independence Assist teams in creating positive, engaging experiences for residents living with Alzheimer's disease and other memory impairments Encourage a compassionate approach that focuses on each resident's strengths, preferences, and abilities Quality, Compliance & Risk Management Conduct audits of charting, assessments, medication storage, crash carts, and clinical documentation Ensure compliance with federal, state, and local regulations as well as Vicar's Landing policies and procedures Support infection prevention initiatives, including training on hand hygiene, PPE usage, and standard precautions Participate in quality improvement initiatives, audits, corrective action plans, and root cause analyses Help maintain survey readiness and support regulatory visits Team Development & Mentorship Serve as a mentor and resource for nursing staff throughout the weekend Assist with orientation, staff education, competency evaluations, and clinical coaching Support the Nursing Leadership Team and Staff Development Coordinator with training initiatives Foster teamwork, accountability, and professional growth among staff members Emergency & Operational Oversight Manage nursing department response during weather events, power outages, and other non-medical emergencies Coordinate communication between departments and leadership teams Provide daily shift reports and updates to nursing management and on-call leadership Help ensure continuity of care across multiple levels of service and campuses What Makes You a Great Fit You are a confident nursing leader who enjoys mentoring and supporting others You thrive in fast-paced environments where critical thinking and decision-making are essential You are passionate about resident-centered care and quality outcomes You communicate effectively with residents, families, physicians, and team members You remain calm and professional during challenging situations You enjoy balancing clinical care, leadership, and operational oversight Skills You Need Must Have Skills Active Florida Registered Nurse (RN) license Current CPR certification Strong leadership and supervisory skills Knowledge of long-term care, assisted living, and healthcare regulations Excellent communication and interpersonal skills Strong clinical assessment and critical thinking abilities Ability to manage multiple priorities and adapt to changing situations Experience with electronic health records and clinical documentation Nice to Have Skills Previous charge nurse, supervisor, unit manager, or nursing leadership experience Experience in Skilled Nursing, Assisted Living, Memory Care, or Long-Term Care Experience with infection prevention and quality assurance initiatives Experience working with residents living with dementia or Alzheimer's disease Knowledge of survey readiness and regulatory compliance How You'll Grow Here In your first 12–24 months, you'll have opportunities to: Expand your nursing leadership and management experience Develop expertise across Skilled Nursing, Assisted Living, and Memory Care services Work closely with Directors, Clinical Leaders, and interdisciplinary teams Participate in quality improvement and organizational initiatives Enhance your operational and emergency management skills Explore future growth opportunities within Health Services leadership Compensation & Benefits Competitive Salary – Based on experience and qualifications Additional Perks at Vicar's Landing Weekend leadership opportunity Holiday bonus opportunities Scholarship and career advancement programs Free daily meals Leadership development opportunities Continuing education support Employee recognition programs Benefits Snapshot Health, dental, and vision coverage Retirement savings plan Generous paid time off Employee wellness resources Supportive nursing leadership team A culture focused on compassion, excellence, and teamwork Why Vicar's Landing? At Vicar's Landing, we're committed to providing exceptional care while creating a workplace where leaders can thrive. Our Weekend Supervisors play an essential role in supporting residents, families, and staff while helping ensure seamless operations across our healthcare community. You'll be part of a mission-driven organization that values innovation, teamwork, and person-centered care. Most importantly, you'll have the opportunity to make a meaningful difference in the lives of residents and employees every weekend. Lead with confidence. Support your team. Elevate resident care. Join the Vicar's Landing Nursing Leadership Team today!
Posted 3 days
Unit Manager (RN)
Vicar's Landing - Ponte Vedra Beach, FL 32082
At Vicar's Landing, our nursing leaders help shape the quality of care that residents receive every day. As a Unit Manager (RN), you'll provide clinical leadership for a Skilled Nursing unit while supporting care operations across our Health Services community. In this role, you'll lead a team of dedicated caregivers, coordinate resident care, support quality initiatives, and serve as a trusted resource for residents, families, and staff. You'll have the opportunity to blend your clinical expertise with leadership skills while helping create an environment where residents thrive and team members grow. If you're a compassionate nurse with strong leadership abilities and a passion for excellence in senior care, we'd love to welcome you to our team. Clinical Leadership & Resident Care Lead the day-to-day clinical operations of a Skilled Nursing unit serving up to 30 residents Coordinate resident care and ensure appropriate communication among residents, families, physicians, and interdisciplinary team members Monitor changes in resident condition and ensure prompt, appropriate clinical intervention Assist with admissions, discharges, transfers, and care transitions Support development and implementation of individualized care plans Serve as a clinical resource and mentor for nursing staff Family Communication & Team Collaboration Partner with residents and families to ensure exceptional service and care experiences Foster positive relationships with physicians, therapists, pharmacy providers, and interdisciplinary teams Promote teamwork and effective communication across all departments Assist in resolving concerns and ensuring resident satisfaction Quality, Compliance & Risk Management Ensure compliance with federal, state, and local regulations as well as facility policies and procedures Review documentation, physician orders, assessments, and progress notes for accuracy and completeness Monitor reports related to infection control, medication management, quality measures, and risk reduction Participate in audits, quality improvement initiatives, and root cause analyses Identify opportunities for process improvement and collaborate with leadership on solutions Staff Development & Support Support orientation, competency evaluations, and ongoing staff education Assist with clinical training and in-service programs Reinforce infection prevention practices, hand hygiene, PPE use, and safety standards Encourage professional growth and accountability among team members What Makes You a Great Fit You are a natural leader who enjoys mentoring and supporting others You are passionate about resident-centered care and clinical excellence You excel at communication, organization, and problem-solving You thrive in a collaborative healthcare environment You remain calm and confident in challenging situations You enjoy balancing hands-on clinical involvement with leadership responsibilities Must Have Skills Active Florida Registered Nurse (RN) license Current CPR certification Strong knowledge of long-term care, skilled nursing, and healthcare regulations Excellent leadership, communication, and organizational skills Ability to manage multiple priorities in a fast-paced clinical environment Strong clinical assessment and critical thinking abilities Proficiency with clinical documentation and electronic health records Nice to Have Skills Previous leadership or supervisory experience in Skilled Nursing, Long-Term Care, or Assisted Living Experience with infection prevention, quality improvement, and regulatory compliance Experience with staff education and mentoring Knowledge of quality measures and risk management programs How You'll Grow Here In your first 12–24 months, you'll have opportunities to: Expand your leadership and management skills Participate in quality improvement and performance initiatives Collaborate closely with nursing leadership and interdisciplinary teams Gain experience in operations, compliance, and clinical oversight Contribute to resident experience and care excellence initiatives Explore future advancement opportunities within Health Services leadership ompensation & Benefits Competitive Salary – Based on experience and qualifications Additional Perks at Vicar's Landing Holiday bonus opportunities Scholarship and career advancement programs Free daily meals Leadership development and continuing education opportunities Employee recognition programs Supportive and collaborative nursing leadership team Benefits Snapshot Health, dental, and vision coverage Retirement savings plan Generous paid time off Employee wellness resources A culture focused on compassion, teamwork, and excellence Why Vicar's Landing? At Vicar's Landing, our nursing leaders play a critical role in ensuring residents receive exceptional care while helping create a positive and supportive environment for employees. As a Unit Manager, you'll have the opportunity to make a lasting impact through leadership, clinical excellence, and meaningful relationships. You'll join a team that values collaboration, innovation, and resident-centered care. Most importantly, you'll have the opportunity to help shape the future of care while supporting residents, families, and caregivers every day. If you're ready to take the next step in your nursing leadership journey, we'd love to meet you!