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Remote Recovery Audit Contractor Jobs in Florida

Embraer

IMM - Materials Program Manager

Melbourne, FL · On-site +1

$120K - $130K/yr

Manage on-site stock inventory counts, audits and replenishment metrics. Develop and monitor key ... Establish corrective actions and develop recovery plans for compromised material services processes.

LCG Advisors

Experienced ABL Field Examiner

Tampa, FL · On-site +1

  • Medical

  • Retirement

  • PTO

Perform on-site or remote engagements as contracted by a bank or lender for clients needing lines of credit ranging from under one million dollars or as much as one billion dollars * Conduct audits ...

Charlie Health

Payroll Manager

Jacksonville, FL · Remote

$106K - $149K/yr

... contractors throughout the United States. In this role, you'll be responsible for creating a ... Support regular audits of payroll controls, processes, data, and operations * Manage and develop a ...

Ag

ATR - QUALITY MANAGER ATR AMERICAS

Miami, FL · On-site +1

  • Medical

  • Retirement

  • PTO

From the world's largest cities, to our planet's most remote regions , our purpose is to deliver ... Manage Civil Aviation Authorities and Customer's certifications and audits, representing ATC

Premier Air Inc.

Account Manager

Stuart, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are currently seeking candidates for the position of Account Manager, working remote. This ... Perform and supervise the coordination of services for contracted retail trips, including ...

Davies

P&C Liability Supervisor

Jacksonville, FL · On-site +1

$82K - $92K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote, FL Reporting To: Chris Lewis Compensation: $82,500 - $92,500 / year Description Our Story ... Recovery opportunities * Subrogation and excess recovery * Reserve adequacy * Settlement authority

ARC Group

Cybersecurity Engineer

Jacksonville, FL · Remote

This position is 100% remote working eastern time zone business hours. This is starting out as a ... Support disaster recovery planning, design, and implementation for security technologies. * Perform ...

MCI Careers

Call Center Collections Manager

Tampa, FL · Remote

Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ... This role is responsible for managing collections teams, driving recovery performance, and ensuring ...

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All JobsRecovery Audit Contractor JobsRemote Recovery Audit Contractor JobsRemote Recovery Audit Contractor Jobs in Florida

Remote Recovery Audit Contractor information

What is a remote recovery audit contractor?

Remote Recovery Audit Contractors are professionals or firms hired to review financial transactions, such as medical claims or vendor payments, to identify and recover overpayments or incorrect payments. They work remotely, using specialized software and data analysis techniques to audit large volumes of records for potential errors or discrepancies. These contractors are commonly used by healthcare organizations, insurance companies, and government agencies to ensure compliance and recover lost funds. Their findings can help organizations improve their payment processes and prevent future mistakes.

What skills and qualifications are needed to thrive as a remote recovery audit contractor?

To thrive as a Remote Recovery Audit Contractor, you need expertise in healthcare claims auditing, knowledge of Medicare/Medicaid regulations, and a relevant degree such as in health information management or accounting. Familiarity with audit software, medical coding systems (like ICD-10 and CPT), and data analysis tools is typically required. Strong analytical thinking, attention to detail, and effective written communication are essential soft skills for identifying discrepancies and reporting findings. These skills are crucial for ensuring accuracy in claim reviews, detecting improper payments, and supporting compliance in remote healthcare environments.

What are the main challenges faced by a remote recovery audit contractor and how can they be overcome?

Remote Recovery Audit Contractors often face challenges such as accessing and analyzing large volumes of healthcare or financial data from diverse sources, ensuring compliance with privacy regulations, and maintaining clear communication with clients and team members. To overcome these, it's important to develop strong organizational and analytical skills, stay updated on industry regulations, and leverage secure collaboration tools. Regular virtual meetings and proactive communication also help in aligning with stakeholders and resolving discrepancies efficiently.

What is the difference between Remote Recovery Audit Contractor vs Remote Healthcare Auditor?

AspectRemote Recovery Audit ContractorRemote Healthcare Auditor
CredentialsCPAR certification often preferredCPAR, CHAP, or similar healthcare-specific certifications
Work EnvironmentRemote, contract-based, healthcare industryRemote, healthcare industry focus
Employer & Industry UsageHealthcare payers, government agencies, insurance companiesHospitals, healthcare providers, insurance companies
Primary FocusIdentifying and recovering overpaid healthcare claimsAuditing healthcare records and billing for compliance

The main difference is that a Remote Recovery Audit Contractor primarily focuses on recovering overpaid healthcare claims through audits, while a Remote Healthcare Auditor reviews healthcare records and billing for compliance and accuracy. Both roles require healthcare industry knowledge and certifications but serve different functions within healthcare finance and compliance.

How are remote recovery audit contractors paid?

Remote recovery audit contractors are typically paid on a performance-based basis, earning a percentage of the recovered funds or overpayment amounts they identify. Payments are often made after successful recovery and may be structured as commissions or fees, depending on the contract terms and organization policies.

What are popular job titles related to Remote Recovery Audit Contractor jobs in Florida?

For Remote Recovery Audit Contractor jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Recovery Audit Contractor jobs in Florida look for?

The top searched job categories for Remote Recovery Audit Contractor jobs in Florida are:

What cities in Florida are hiring for Remote Recovery Audit Contractor jobs?

Cities in Florida with the most Remote Recovery Audit Contractor job openings:

Remote Recovery Audit Contractor jobs near you
Infographic showing various Remote Recovery Audit Contractor job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 21% Part Time, and 4% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution.

Director, 340B Pharmacy Operations (Remote)

Coral Connect LLC

Boca Raton, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Coral Connect, LLC ("Coral") is a technology-enabled service provider focused on reducing healthcare costs through intelligent data management, pharmacy optimization, and value-driven sourcing. Our mission is to make specialty care more accessible, efficient, and equitable by improving operations at community care organizations, infusion centers, and specialty providers.
Job Overview:
The Director, 340B Pharmacy Operations serves as the operational and compliance lead for Coral's 340B Infusion Leakage Program. This role owns the full lifecycle of 340B program delivery, from internal quality assurance framework design and HRSA registration validation, through go-live onboarding, policy development, and ongoing compliance auditing. The incumbent acts as the primary subject matter expert for covered entity partners and infusion providers ensuring program integrity, financial accuracy, and regulatory adherence at every stage.
Responsibilities:
Your key responsibilities will include:
  • Design, implement, and maintain Coral's internal 340B quality assurance and compliance framework across all program workflows, including but not limited to:
    • 340B eligibility validation, accumulator alignment, and financial integrity oversight.
    • Lead pre- and post-bill reviews to identify and resolve discrepancies before and after claim submission.
    • Conduct monthly and quarterly compliance audits across covered entity and infusion provider sites; document findings and drive corrective action plans.
    • Perform cross-entity workflow validation, reinforcing consistency, and ongoing oversight across all partner sites.
    • Develop and maintain KPI and quality reporting dashboards for internal leadership and covered entity partners.
  • Provide HRSA registration and regulatory oversight including but not limited to:
    • Validate all covered entity HRSA OPAIS registration steps prior to 340B dispensing, including infusion provider contract pharmacy site linkage and quarterly registration window coordination.
    • Advise hospital partners on Medicaid carve-in vs. carve-out strategy for infusion provider sites.
    • Confirm AIC sites are live and active in OPAIS before any 340B dispensing commences; track registration approvals and flag delays affecting go-live timing.
    • Ensure compliance with all foundational HRSA patient eligibility requirements: established patient status, hospital-employed or contracted provider, hospital-written infusion orders, and infusion documentation incorporated into the hospital EHR.
  • Lead end-to-end program onboarding and implementation, including planning, stakeholder alignment, and execution across all workstreams, including but not limited to:
    • Facilitate joint kickoff sessions with health system and infusion provider stakeholders (both onsite and virtual), clearly outlining financial models, implementation plans, roles, and accountability.
    • Develop and maintain a comprehensive SOP library ensuring standardization across key workflows (referral/eligibility, order processing, inventory controls, billing, and audit response)
    • Direct training strategy and delivery across all stakeholder groups (clinical, pharmacy, billing, inventory, and 340B program staff), ensuring readiness and adherence to program requirements
    • Manage pre-go-live testing and implementation execution, proactively identifying risks, managing timelines, and ensuring successful program launch
  • Provide ongoing managed services, including but not limited to:
    • Oversee ongoing 340B eligibility integrity monitoring and TPA data reconciliation.
    • Maintain record-keeping systems and coordinate audit cooperation for covered entity compliance audits.
    • Lead issue resolution and corrective action processes when compliance gaps are identified.
    • Produce operational reporting for health system and infusion provider leadership on program performance.
    • Maintain and update program policies and SOPs as regulatory guidance and operational needs evolve.
  • Lead ongoing program governance across all partner entities, establishing structured forums to monitor performance, compliance, and strategic alignment including but not limited to:
    • Facilitate joint monthly performance reviews covering financial, clinical, and compliance metrics, and driving action plans where needed.
    • Lead New Medication Review Board meetings (biweekly) and Covered Entity compliance audit reviews (quarterly), ensuring appropriate oversight, documentation, and decision-making.
    • Oversee and coordinate Steering Committee meetings (quarterly) and Annual Program Reviews, aligning executive stakeholders on program performance, risks, and strategic priorities
  • Identify and drive optimization opportunities through ongoing performance reviews, expanding program impact across financial, operational, and clinical dimensions, including but not limited to:
    • Participate in monthly performance reviews to identify optimization opportunities and expand program impact.
    • Support leakage reanalysis initiatives and network expansion efforts in collaboration with Operations and Business Development teams.
    • Oversee long-term program performance and governance, driving continuous improvement and scalability across the Coral network.

Qualifications:
To excel in this role, you should possess the following qualifications:
  • Required Qualifications
    • Minimum 3-5 years of direct 340B program management experience, including covered entity operations, contract pharmacy oversight, and TPA administration.
    • Demonstrated knowledge of HRSA 340B program requirements, OPAIS registration, and Medicaid carve-in/carve-out strategies.
    • Experience with 340B TPAs (e.g., Verity Solutions, Macro Helix) and dispensing platforms (e.g., CareTend, WeInfuse).
    • Strong understanding of infusion therapy workflows, specialty drug supply chains, and payer reimbursement models.
    • Proven ability to develop SOPs, deliver staff training, and lead compliance audit programs.
    • Excellent communication and stakeholder management skills; comfortable presenting to hospital leadership and executive teams.
  • Preferred Qualifications
    • Board certification or advanced training in specialty pharmacy or managed care pharmacy.
    • Experience managing multi-site 340B programs across oncology, rheumatology, GI, or neurology service lines.
    • Familiarity with EHR integration workflows and data exchange between hospital and infusion center platforms.
    • Director-level candidates: 7+ years of 340B or specialty pharmacy operations leadership; experience managing direct reports and cross-functional teams.

Education:
Bachelor's or Master's degree in Healthcare Administration, Health Informatics, Public Health, Business Administration, or a related field required. Pharmacy degree (PharmD or RPh) strongly preferred.
License Requirement:
Active pharmacist licensure in good standing preferred.
Job Benefits:
Health, Dental, Vision, Life, 401k, Paid Time Off.
Location:
Remote with limited travel to client locations, internal business meetings, and other locations as needed.

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