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2 results for Benefits Manager in Boca Raton, FL

Risk Manager

Sunrise, FL
onsite
Temporary / Contract
43.7 - 50.6 USD / Hourly
We are looking for an experienced Risk Manager to support fraud, waste, and abuse oversight for a healthcare organization in Sunrise, Florida. This Long-term Contract position focuses on protecting program integrity through investigations, compliance monitoring, data analysis, and collaboration with regulatory and enforcement partners. The role is well suited to an individual who is detail oriented and can manage sensitive cases, interpret complex requirements, and drive recovery opportunities with accuracy and professionalism. Responsibilities: • Lead fraud, waste, and abuse oversight activities to strengthen program integrity and support healthcare risk management objectives. • Build and maintain effective working relationships with Medicaid program integrity representatives, including participation in collaborative meetings and timely responses to inquiries. • Direct investigative case management from initial referral through documentation, resolution, reporting, and recovery follow-up. • Use data mining, claims analysis, and pattern review to identify suspicious billing activity, unusual utilization trends, and new investigation opportunities. • Conduct detailed investigations involving providers, members, subcontractors, and other relevant parties while ensuring complete and well-supported case records. • Prepare clear investigative summaries, audit findings, and regulatory reports covering all stages of case development and outcomes. • Coordinate with compliance partners, public agencies, law enforcement, and oversight entities to support referrals, information requests, and enforcement actions. • Monitor adherence to state and federal fraud prevention requirements and communicate applicable obligations to internal teams and external stakeholders. • Support overpayment recovery efforts by identifying financial exposure, documenting findings, and working with appropriate parties to pursue resolution. • Perform additional risk and compliance duties as needed to meet departmental priorities and business needs.
2026-07-22T00:00:00Z

Sr Human Resources (HR) Manager

Bal Harbour, FL
onsite
Permanent / Full Time
140000 - 145000 USD / Yearly
We are looking for a Senior Human Resources Manager to lead people operations for a hospitality organization based in Miami Beach, Florida. This position plays a central role in shaping HR strategy, maintaining multiple locations, and fostering the employee culture and experience. The ideal candidate brings a hands-on leadership style, sound business judgment, and a strong understanding of HR practices within a service-driven environment. Location: Miami Beach, 33140Schedule: In office; Mon-FriSalary: around $150,000 (up to around10% bonus opportunity to be further discussed)Benefits: % Medical paid for employee; Vacation; 401k; Free parking and other industry perks and discounts Overview: Reputable brand in the Miami Beach area with Hotel Resort Ambiance and multi-locations; offers a great work culture and leadership ! Responsibilities:• Lead the human resources function across multiple locations, aligning people strategies with operational goals and organizational growth.• Partner with executive leadership and department heads to guide workforce planning, budgeting decisions, and performance-related initiatives using HR metrics and business insights.• Direct core HR operations, including employee relations, compliance, payroll coordination, onboarding, and training programs.• Develop and implement policies, procedures, and learning initiatives that strengthen employee performance, consistency, and workplace culture.• Manage compensation and benefits administration, maintain vendor relationships, and support headcount forecasting to meet business needs.• Oversee recruiting efforts for a range of departments, building talent pipelines and supporting managers in hiring candidates with relevant experience for open roles.• Advise supervisors on employee matters such as performance discussions, career development, retention planning, and workplace concerns.• Support investigations, workers’ compensation matters, separation processes, and related documentation in accordance with applicable policies and regulations.• Promote employee engagement by maintaining an approachable HR presence and creating programs that help reduce turnover and improve retention.• Review external agreements and assist with vendor and business partner evaluations tied to HR and operational needs.
2026-07-01T00:00:00Z