Payor Contract Manager (Infusion) - Bioplus Specialty Pharmacy Elevance HealthPayor Contract Manager (Infusion) - Bioplus Specialty PharmacyMiami, FLMinimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
Biologics Account Manager (Miami, FL) Smith & Nephew PlcBiologics Account Manager (Miami, FL)Miami, FL$60,000–$100,000 / yearAll field sales professionals who are required to gain entry into healthcare facilities to perform the basic remit of their role must successfully complete the credentialing process and comply with the requirements of those facilities they support, which can include adherence to any established vaccine protocols. Using your expertise, you will convert physicians/accounts by making sales calls and providing clinical case coverage in the operating room while also training surgeons on Smith+Nephew products through education/programs in your territory.
Pharmacy Manager (Full-Time) Larkin Community Hospital IncPharmacy Manager (Full-Time)Hialeah, FLMinimum of 3 to 5 years of pharmacy experience, with retail pharmacy experience required and prior management or supervisory experience preferred. The Pharmacy Operations Manager demonstrates competency and performs consistently under non-routine conditions and complex situations.
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy Elevance Health IncPayor Contract Manager (Infusion) - BioPlus Specialty PharmacyMiami, FLMinimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
NewNursing Director - Behavioral Health - West Palm Beach, FL - Direct Hire / Full-Time Compu-Vision - SouthNursing Director - Behavioral Health - West Palm Beach, FL - Direct Hire / Full-TimePembroke Pines, FL$38.50–$57 / hourMinimum 5 years of Behavioral Health Director experience required (or a seasoned Behavioral Health Manager with 5+ years of leadership in a current acute care setting will be considered). Manage operational budgets, resource allocation, and nurse staffing models to optimize clinical productivity and control departmental costs.
Medical Case Manager Care Resource Community Health CenterMedical Case ManagerFt. Lauderdale, FLPart timeS/he assists with signing up individuals for insurances under the Affordable Care Act’s Insurance Exchanges for the State of Florida, provides education to potentially insured clients and utilizes tools specifically designed to select the best coverage based upon individual’s current medical profile including preferred providers, medications, co-pays, deductibles and premiums. Maintain organized systems of tracking client labs, medication, diagnostic testing, medical, therapy and hospital visits to help clients remain compliant with treatment and service plans; all with the goal of seeing clients progress toward improvements in their lives.
Senior Clinical Trial Manager - Oncology - U.S. Worldwide Clinical Trials Holdings IncSenior Clinical Trial Manager - Oncology - U.S.FL$112,000–$222,000 / yearClinical Trial Managers (CTMs) and Clinical Research Associates (CRAs) play a vital role in ensuring our clinical research programs are executed with the quality and excellence our sponsors expect and the care and passion patients deserve. We are Worldwide Clinical Trials, and we are a global team of over 3,500+ experts, bright thinkers, dreamers and doers and, together, we are changing the way the world experiences CROs - in the best possible way.
Manager, Accounts Payable Chapters Health System IncManager, Accounts PayableFL$95,502.22–$149,222.21 / yearThe Accounts Payable Manager assists with the oversight of the day-to-day accounts payable functions for the Organization's entities including mentoring Accounts Payable team, responding to vendor/other department accounts payable needs and ensuring the accurate/timely processing of invoices. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility.
Regional Coding Operations Manager WFH HCA HealthcareRegional Coding Operations Manager WFHFort Lauderdale, FLMust be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential or Certified Professional Coder - Hospital (CPC-H®) or Certified Risk Adjustment Coder (CRC). Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).
Medical Case Manager Care Resource Community Health Centers, Inc.Medical Case ManagerFt. Lauderdale, FLS/he assists with signing up individuals for insurances under the Affordable Care Act's Insurance Exchanges for the State of Florida, provides education to potentially insured clients and utilizes tools specifically designed to select the best coverage based upon individual's current medical profile including preferred providers, medications, co-pays, deductibles and premiums. Maintain organized systems of tracking client labs, medication, diagnostic testing, medical, therapy and hospital visits to help clients remain compliant with treatment and service plans; all with the goal of seeing clients progress toward improvements in their lives.
General Manager See Job DesciptionGeneral ManagerPlantation, FloridaSince 1971, weve helped clients improve their health and quality of life through a holistic approach combining nutrition, fitness, and lifestyle counseling . This role focuses on driving sales, managing daily operations, coaching the team, and delivering an exceptional client experience .
Practice Manager, Full-Time, Days, M-F, 8:00am-5:00pm Jackson Health SystemPractice Manager, Full-Time, Days, M-F, 8:00am-5:00pmMiami, FLThe overall operational responsibility for the routing business and clinical functions through administrative and clinical staff including from desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or her assigned practice. The incumbent may attend management meetings and may be involved directly or indirectly in the decision making process around confidential management decisions.
Territory Manager, CC (Central / N. Florida) Getinge ABTerritory Manager, CC (Central / N. Florida)Miami, FL$240,000–$247,500 / yearWith a firm belief that every person and community should have access to the best possible care, Getinge provides hospitals and life science institutions with products and solutions aiming to improve clinical results and optimize workflows. Develop relationships with hospital personnel through casual conversation, meetings, participation in conferences, make new contacts within hospital and to identify key purchasing decision makers to facilitate future sales.
Targeted Case Manager Advance Health and Community ServicesTargeted Case ManagerPembroke Pines, FL$19–$25 / hourEducation & Experience: Bachelor’s degree from an accredited university or college with a major in counseling, social work, psychology, criminal justice, nursing, rehabilitation, special education, health education or a related human services (a related human services field is one in which major course work includes the study of human behavior and development) and have a minimum of one year of full time or equivalent experience working with children with serious emotional disturbances (S.E.D.). Utilizes experience and knowledge to assess needs of the clients and their families in order to link clients and their families with appropriate resources (such as housing, legal, academic, cash assistance, clothing, SSI, etc.).
OR Manager Ambulatory Surgical HOLLYWOOD ASCOR Manager Ambulatory SurgicalHollywood, FLFull timeThe RN will perform moderate to complex assessments, interventions, decision-making, and level of monitoring and execute written and verbal orders received from physicians and licensed independent practitioners. Administer treatments and medications as ordered by the physicians or licensed independent practitioners and according to establish protocols (policies and procedures).
Care Manager Independent Living Systems LLCCare ManagerMiami, FLThe Care Manager collaborates closely with multidisciplinary teams, including healthcare providers, social workers, and community resources, to facilitate access to Medicaid and other support services. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
Manager, Utilization Management Independent Living Systems LLCManager, Utilization ManagementMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Manager, Utilization Management plays a vital role in overseeing the evaluation and authorization of healthcare services to ensure appropriate, cost-effective care delivery.
Account Manager, AWM (Southeast Region) - Future Opportunities Smith & Nephew PlcAccount Manager, AWM (Southeast Region) - Future OpportunitiesMiami, FL$75,000–$110,000 / yearAs an Account Manager within our Advanced Wound Management (AWM) team, you will play a critical role in improving patient outcomes by partnering with healthcare providers to deliver a comprehensive portfolio of wound care solutions. The AWM business brings together a broad portfolio of solutions used across hospitals, wound care centers, and post-acute settings, supporting clinicians in delivering high-quality care across the continuum.
Field Reimbursement Manager Rare Blood Disorders Florida SanofiField Reimbursement Manager Rare Blood Disorders FloridaMiami, FLRemote$122,250–$176,583.33 / yearMain Responsibilities: FRMs will be subject matter experts on Sanofi's rare blood disorder and Hemophilia patient support program, payer claim processes, billing and coding education, access issue resolution, financial assistance and alternative funding options provided by our patient support program. FRMs support the company and divisional reimbursement strategy, and this position also requires the ability to successfully navigate working across multiple internal and external stakeholders, and program vendors to deliver an exceptional customer experience.
Client Relations Manager NOVO Heath Services LLCClient Relations ManagerMiami Gardens, FLNOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by department to eliminate excess internal costs. The successful candidate: The Client Relations Manager (CRM) will be the first point of customer contact and will build and maintain business relationships with clients by providing prompt and accurate service to promote customer loyalty and protect company assets.