Top 168 Software quality analyst Jobs in Fort Lauderdale, Fl

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Associate Scientist Opportunity!!
Actalent —Boca Raton, FL
- $29 - $39 an hour
- Temporary
- Mid-level
- Master's degree
- Analysis skills
- Commuter assistance
- Health savings account
Quick Apply
8d
Quality Assurance Analysts
APPS CONSULTANTS —Hollywood, FL
- Multiple hires
- Pass drug screening
- Mid-level
- Office
- Disability insurance
- Health insurance
QUALITY ASSURANCE TESTER II
Palco —Miami, FL
- Remote
- Writing skills
- SQL
- Analysis skills
- Paid training
- AD&D insurance
Quality Assurance Analyst II
EBG —Miami, FL
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Java
- AD&D insurance
- Paid holidays
Quick Apply
ELECTRONIC HEALTH RECORDS ANALYST
The GEO Group —Boca Raton, FL
- $100,000 a year
- Full-time
- Nursing
- RN License
- HIPAA
- Paid training
- Health savings account
Junior Business Analyst
Winebow —Pompano Beach, FL
- Full-time
- Hybrid work
- Office
- Finance
- Bachelor's degree
7d
Project Manager
APPS CONSULTANTS —Hollywood, FL
- Email
- 5 years
- Writing skills
- Pass drug screening
- Disability insurance
- Health insurance
Senior Merchandising Operations Analyst
Chewy —Plantation, FL
- $78,500 - $130,000 a year
- Full-time
- Computer Science
- Merchandising
- Office
- Paid holidays
- Health insurance
10d
Electronic Data Interchange Analyst I
Jazwares, LLC —Plantation, FL
- Email
- Hybrid work
- Computer Science
- Java
- Analysis skills
- AD&D insurance
- Disability insurance
IT Desktop Support Analyst
International Medical Industries —Pompano Beach, FL
- Weekends as needed
- Office
- Windows
- Driving
16h
QA, Sr. R2R Test Engineer
Southern Glazer’s Wine and Spirits —Miramar, FL
- Full-time
- Management
- System design
- English
- Wellness program
- Disability insurance
Manager, Operational Excellence (Remote)
North American Partners in Anesthesia —Sunrise, FL
- Full-time
- Remote
- Mid-level
- 3 years
- SQL
- Health savings account
- AD&D insurance
Regulatory Compliance Analyst
RD Global Inc —Fort Lauderdale, FL
- Mid-level
- Office
- 3 years
- Disability insurance
Conflicts Analyst
Akerman LLP —Fort Lauderdale, FL
- Weekends as needed
- Customer service
- Mid-level
- Analysis skills
Quick Apply
ServiceNow Developer
Contact Government Services, LLC —Miami, FL
- $112,597.33 - $144,768.00 a year
- Full-time
- Hybrid work
- Mid-level
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Service Desk Analyst
Lennar —Miami, FL
- Full-time
- High school diploma or GED
- Bachelor's degree
- 1 year
- Paid parental leave
- Health insurance
Data Engineer
ReturnPro —Aventura, FL
- Full-time
- Computer Science
- 5 years
- System design
Quick Apply
Epic Certified Beacon Analyst 6406066
Accenture —Miami, FL
- $52 - $56 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
8d

I want to receive the latest job alert for software quality analyst in fort lauderdale, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Productivity software

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Assesses services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization / financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors and presents cases in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote Molina care model.
Adheres to utilization management (UM) policies and procedures.
May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders.
May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations, functional behavioral assessments, and progress reports.
May perform ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy.
May provide peer to peer consultation BHT in-network providers to support treatment planning and maximize member progress.
May work collaboratively with ABA providers to ensure best service practices for members.
May create and develops forms, recommendations and guidelines and training for BHT service delivery.
May collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit.

Required Qualifications

At least 2 years health care experience, including experience in behavioral health and/or hospital acute care, or equivalent combination of relevant education and experience.
Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or equivalent behavioral health licensure. License must be active and unrestricted in state of practice.
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
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.

Preferred Qualifications

Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room.

#PJHS3

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Apply Now

Refine Your Search

software quality analyst jobs in fort lauderdale, fl

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Associate Scientist Opportunity!!

Quality Assurance Analysts

QUALITY ASSURANCE TESTER II

Quality Assurance Analyst II

ELECTRONIC HEALTH RECORDS ANALYST

Junior Business Analyst

Project Manager

Senior Merchandising Operations Analyst

Electronic Data Interchange Analyst I

IT Desktop Support Analyst

QA, Sr. R2R Test Engineer

Manager, Operational Excellence (Remote)

Regulatory Compliance Analyst

Conflicts Analyst

ServiceNow Developer

Service Desk Analyst

Data Engineer

Epic Certified Beacon Analyst 6406066

I want to receive the latest job alert for software quality analyst in fort lauderdale, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected