Compensation: $80,000 – $120,000 based on experience and credentials Location Type: Remote Position Type: Full Time
The Data Scientist is responsible for core machine learning, designing data architectures, and setting strategic roadmaps to help reduce fraud at Suncoast Credit Union. This individual will partner closely with digital, front-line, and enterprise agility counterparts across model design, implementation, execution, and analysis. The key objective of this role is to provide a frictionless experience for our members while reducing our fraud exposure. An ideal candidate thrives in a fast-paced, constantly improving, start-up environment and focuses on solving problems with iterative technical solutions. Responsibilities
Employ statistical, machine learning, and econometric models on large datasets to discover patterns of fraud
Produce and prototype machine learning models and rules-based systems to prevent fraud
Consult on fraud risk mitigation for new cross-functional initiatives
Provide recommendations and action plans for mitigating risk to discover, define, cleanse, and refine the data needed for analysis
Design and maintain dashboards and rules to identify, track, and monitor fraud trends
Evaluate, recommend, and support integration work with fraud, front-line, and enterprise agility
Review fraud rules to improve efficacy
Maintain knowledge and understanding of current trends, laws, and issues
Attend educational events to increase professional knowledge
Complete annual compliance and info security training to understand employees’ role in maintaining effective compliance and security programs
Qualifications
Bachelor’s degree in math, economics, bioinformatics, statistics, engineering, computer science, or other quantitative fields (A comparable combination of work experience and training may be substituted for education requirements)
4+ years of industry experience as a Machine Learning Engineer, Applied Scientist or Data Scientist
Strong python experience (numpy, pandas, sklearn, pytorch etc.) across exploratory data analysis, predictive modeling, and applications of ML techniques
Experience deploying machine learning models to production
Strong knowledge of SQL (preferably Redshift, Snowflake, BigQuery)
Proven experience leading and delivering improvements with growth and product organizations
Databricks experience is a plus
Background in the financial industry or fraud preferred
Experience in device intelligence data is a plus
Good verbal, written, and interpersonal communication skills to effectively communicate with team members and external stakeholders
Ability to influence others through explanation of facts, policies, and practices
Ability to prioritize tasks by effectively managing competing and changing priorities to meet deadlines
Accurate, detail-oriented, and organized with task management
Strong analytical and problem-solving skills with the ability to interpret large amounts of data
Skills
AI & Machine Learning
Analytics
Cybersecurity
Data Science
Design
Project Management
Benefits
Financial Well-Being: Bonus Program up to 12%, 401K Matching up to 8%, Retirement Planning, Pay Increases based on Competency, Employee Loan Discounts, Flex Spending Accounts
Wellness: Medical Coverage, Dental and Vision Coverage, Access to 4,000+ Gyms, Mental Health Resources, PTO Wellness Days, Short Term and Long Term Disability Coverage
Work-Life Balance: 11 Paid Holidays, 3 weeks of Paid Time Off, 4 weeks of Paid Parental Leave, Birthday PTO
Community Involvement: Paid Volunteer Hours
Growth: Degree Assistance up to $5,000 per year
For more information, including additional benefits, please visit our benefits website athttps://careers.suncoastcreditunion.com/benefits
Company Overview
Suncoast Credit Union is consistently chosen as a Tampa Bay Times Top Workplace because its employees genuinely #LOVEWORK! Employees flourish in an inclusive culture celebrating growth and prioritizing the community. For more information, please visit our careers site at https://careers.suncoastcreditunion.com/
We are Olsson, a team-based, purpose-driven engineering and design firm. Our solutions improve communities and our people make it possible.
Our most meaningful asset is our people, and we are dedicated to providing an environment where they can continue to learn, grow, and thrive. Our entrepreneurial spirit is what has allowed us — and will continue to allow us — to grow. The result? Inspired people, amazing designs, and projects with purpose.
Job Description
Olsson provides multidisciplinary design services for some of the largest and most forward-thinking and desirable companies in the world to work for. The large hyperscale data center campuses we design throughout the U.S. will give you the opportunity to work on some of the largest and most complex engineering-driven projects being built today. Our clients are relationship based and truly value the work we do for them, affording us the opportunity to contribute to society’s technological and connected community through the design of the critical infrastructure that is the foundation of these projects.
As a Project Engineer on our Data Center Civil Team, you will be a part of the firm’s largest and most complex projects. You will serve as a project manager on some projects and lead design engineer on others. Prepare planning and design documents, process design calculations, and develop and maintain team and client standards. You may lead quality assurance/quality control and act as an advisor on complex projects. You will also coordinate with other Olsson teams, professional staff, technical staff, clients, and other consultants.
You may travel to job sites for observation and attend client meetings.
*Olsson currently has several opportunities for a Project Civil Engineer to support our Data Center Site Design group. This role offers flexible work options, including remote and hybrid opportunities, to accommodate diverse working preferences and promote work-life balance. Candidates can work hybrid schedules, work remotely, or work out of any Olsson office location in these regions/areas.
Qualifications
You are passionate about:
Working collaboratively with others
Having ownership in the work you do
Using your talents to positively affect communities
Solving problems
Providing excellence in client service
You bring to the team:
Strong communication skills
Ability to contribute and work well on a team
Bachelor’s Degree in civil engineering
At least 6 years of related civil engineering experience
Proficient in Civil 3D software
Must be a registered professional engineer
Additional Information
Olsson is a nationally recognized, employee-owned firm specializing in planning and design, engineering, field services, environmental, and technology. Founded in 1956 on the very mindset that drives us today, we’re here to improve communities by making them more sustainable, better connected, and more efficient. Simply put, we work to leave the world better than we found it.
As an Olsson employee, you’ll receive our traditional benefits package (health care, vision, dental, paid time off, etc.), plus you’ll:
Become an owner in the company after your first year through our Employee Stock Ownership Plan (ESOP)
Engage in work that has a positive impact in communities
Receive an excellent 401(k) match
Participate in a wellness program promoting balanced lifestyles
Benefit from a bonus system that rewards performance
Have the possibility for flexible work arrangements
Olsson is an EEO employer. We encourage qualified minority, female, veteran and disabled candidates to apply and be considered for open positions. We do not discriminate against any applicant for employment, or any employee because of race, color, religion, national origin, age, sex, sexual orientation, gender identity, gender, disability, age, or military status.
Remote position after successfully completing training.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
The Supervisor, Coding and Charge Entry is responsible for driving consistency across the region, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Contributes to the development of medical coding and documentation plans and materials. Responsible for training, coordination, and supervision of regional coding personnel. Provides support and training to office personnel and providers. Works closely with Revenue Cycle Specialists to drive in ‘front end’ work-flows and business processes. Also, works closely with EMR Specialists to ensure standardization and work-flow consistency/compliance. The Supervisor coaches, counsels and mentors Coders in an effort to develop staff and improve teamwork, morale and overall performance results.
This is a remote opportunity. Successful candidates must live in proximity to an IPM Office located in any of the following areas:
King of Prussia, PA
McAllen or Laredo, TX
Bradenton or Wellington, FL
Aiken, SC
Sparks or Reno, NV
Qualifications
Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements.
Thorough understanding of the revenue cycle and how the various components work together.
Results oriented with a proven track record of accomplishing tasks and building high-performing teams.
Service excellence, and recruiting, training, leading and performance management of staff.
Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology.
Knowledge of electronic equipment, computer hardware and software, including applications.
Education:
Associates Degree or approved equivalent combination of coursework and related experience is required.
AAPC CPC Certification required.
Work Experience:
3 – 5 years of experience in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment.
As an IPM employee you will be part of a first-class organization offering:
A Challenging and rewarding work environment.
Competitive Compensation & Generous Paid Time Off.
Excellent Medical, Dental, Vision and Prescription Drug Plans.
401(K) with company match.
Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services. No fee will be paid in the event the candidate is hired because of the referral or through other means.
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S. states, Washington, D.C., Puerto Rico, and the United Kingdom. www.uhs.com
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Applicants for this job have the flexibility to work remote from home. Candidate must live in Central or Eastern Time Zone.
Position Purpose: Accurately and promptly enter data into assigned AMISYS accounts. Responsible for data entry and entering/updating all configuration information in test and production environments in a timely fashion in order to meet team goal of 48 hour turnaround.
Enter data and maintain AMISYS accounts.
Maintain and coordinate configuration entry into test and production environments.
Review and close IS Change Requests post production.
Evaluate errors that appear on keying documents and work with Business Analysts to resolve those errors.
Act as trainer and mentor to Configuration Data Entry Specialists.
Education/Experience: High school diploma or equivalent. 4+ years of data entry experience. Experience with Microsoft Word and Excel applications. AMISYS or healthcare data entry experience preferred.Pay Range: $15.58 – $26.73 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Ready to make a difference for hospitals while working from home? Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.
Revecore Perks: We offer paid training and incentive plans Our medical, dental, vision, and life insurance benefits are available from the first day of employment We enjoy excellent work/life balance Our Employee Resource Groups build community and foster a culture of belonging and inclusion We match 401(k) contributions We offer career growth opportunities We celebrate 12 paid holidays and generous paid time off The Role: Conduct search of multiple hospital systems for payments active on individual patients. Maintain appropriate records of actions.
As an Accounts Receivable Specialist, you will: Verify payments for different regions and clients by signing into multiple hospital systems. Enters account data using 10-key. Responsible for posting payment transactions obtained from multiple sources. Understanding and applying the rules of Coordination of Benefits. Closes and returns accounts that have been invoiced to the full extent. Keeps track of checked hospitals. Updates connection passwords and other information as needed. Assists fellow employees by training on specific systems such as payment poster as needed. Resolves issues with troubled accounts. Performs special projects as assigned. You will be successful if you have: Ability to communicate effectively verbally and in writing. Working knowledge of computer functions including the internet, 10-key, and computer software such as Microsoft Office (Outlook, Excel. Word). Knowledge of or the ability to learn AcciClaim. Proven ability to produce accurate work. Must be able to prioritize responsibilities and adapt according to situational demands. Demonstrated ability to analyze and effectively solve problems. High school diploma or equivalent required. Work at Home Requirements: A quiet, distraction-free environment to work from in your home. A secure internet connection is required. Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads. The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.
Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status.
We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.
Must reside in the United States within one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia
US-Remote | US-LA-Covington Job ID 2025-3884 Category Claims Operations Posted Date 7 days ago(3/17/2025 11:23 AM) Type Full-Time Overview Now is the time to join us!
We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.
Responsibilities Who are you?
The Stop Loss Specialist is responsible for supporting the coordination and filing of specifications, advance funding, and plan year-end closeouts. The incumbent is expected to communicate professionally and respectfully with peers, supervisors, subordinates, markets, customers, and the public. Courtesy and professionalism are key components of success in this role.
In this role you will wear many hats, but your knowledge will be essential in the following:
Prepare Stop Loss claims and applicable documents to determine Stop Loss filing eligibility applicable to the Excess Loss Policy. Files submissions of spec claimants (running reports, gathering necessary documents and email correspondence), processing all submissions within established internal timeframes. Coordinate Advanced Funding Requests, with the client and the Stop Loss carrier. Maintains database of all specific reimbursement requests. Creates initial Specific File for each claimant, files all submissions in our EDOCS platform. Coordinates the release of Over Specific, System Hold “on hold” claims. Acts as the liaison between the PBM’s and internal clients, as it pertains to our Stop Loss claimants. Keeps immediate supervisor apprised of open or disputed items. Contributes to daily workflow with regular and punctual attendance. Performs related or other assigned duties as required or directed. Monitors all reinsurance requests to ensure receipt of reimbursement. Generates weekly outstanding reimbursement report and follows up with the Stop Loss carrier. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Qualifications What you bring to the Personify Health team:
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:
High school diploma or general education degree (GED) required. Knowledge of medical terminology, CPT, HCPCS and ICD-10 codes a plus. Knowledge of insurance database system a plus. Ability to read, analyze, and interpret common financial reports and legal documents. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Experience with claims/call center health insurance environment a plus. Experience in self-funded plan administrations a plus. You also take pride in offering the following Core Skills, Competencies, and Characteristics:
Must be computer literate and knowledgeable in Windows and Microsoft Office environment, including Word, Excel and Outlook. Strong written and verbal communication skills. Proficient in Word, Excel, and outlook. Ability to organize, prioritize, and multitask in a fast-paced/deadline driven environment. Demonstrate ability to work independently with excellent judgment. A detail-oriented, analytical, financially minded approach. Capacity to think creatively and strategically. Claims processing experience or medical background a plus. Ability to interact in a professional manner with coworkers, clients. No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!
Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.
In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $17.00 to $22.00 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.
We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.
Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to [email protected]. All of our legitimate openings can be found on the Personify Health Career Site.
Application Deadline: Open until position is filled.
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