Project Manager Independent Living Systems LLCProject ManagerMiami, 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. The Project Manager will develop comprehensive project plans and schedules, utilizing project management software to monitor progress and mitigate risks effectively.
Assistant General Manager -Integrative Medicine and Wellness Royalty Medical SolutionsAssistant General Manager -Integrative Medicine and WellnessMiami, FloridaExcellent communication and interpersonal skills with the ability to build strong relationships with patients, healthcare providers, staff, and community stakeholders. This role works closely with Director of Operations to maintain operational excellence, financial accountability, and a positive work environment.
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.
Office Coordinator Manager Maxim Healthcare Services IncOffice Coordinator ManagerFort Lauderdale, FLOur commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
Account Executive/Client Success Manager - Behavioral Health MedusindAccount Executive/Client Success Manager - Behavioral HealthMiami, FloridaRemote$60,000–$90,000In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country. Technical skills: Advanced proficiency in RCM software and Microsoft Office Suite, including strong Excel skills (pivot tables, formulas, data analysis, and reporting).
Sr. Account Executive/Client Success Mgr. – Anesthesia-Ophthalmology MedusindSr. Account Executive/Client Success Mgr. – Anesthesia-OphthalmologyMiami, FloridaRemote$80,000–$100,000In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country. Revenue Cycle Management: Oversee the entire revenue cycle process, including charge capture, coding, claims submission, payment posting, denial management, and accounts receivable follow-up.
Senior Manager, Revenue Cycle Operations Health Business Solutions LLCSenior Manager, Revenue Cycle OperationsCooper City, FLJob Description: As a Senior Manager in Healthcare Revenue Cycle Management, you will be responsible for leading a team of specialists in analyzing, resolving, and preventing claim denials. Support business development initiatives by identifying and pursuing opportunities to expand our denials management services for existing clients.
Program Manager, Preventive Cardiology Houston Methodist HospitalProgram Manager, Preventive CardiologyFLHouston Methodist Research Institute supports research programs and infrastructure that enable faculty across the system to bring new scientific discoveries to patients as rapidly as possible through the full cycle of a cure from conceptual bench research, to prototyping and development, to clinical trials and FDA approval. Assists in leading the development of outreach and communications strategies and plans, including assessing needs and opportunities and developing strategies and implementation plans relating to all external outreach, marketing, and communications within the scope of the role.
Operations Manager Clinical Trials CAREERXCHANGE, Inc.Operations Manager Clinical TrialsMiami, FL$41–$56 / hourThis role is responsible for overseeing the operational execution of clinical trials, ensuring compliance with regulatory requirements, optimizing research processes, and supporting cross-functional teams to deliver high-quality clinical research. The ideal candidate has strong leadership skills, experience managing clinical trial operations, and a thorough understanding of FDA regulations, Good Clinical Practice (GCP), and clinical research workflows.
Patient Access & Pre-Access Manager Ensemble Health PartnersPatient Access & Pre-Access ManagerMiami, FL$56,800–$78,875 / yearAdditionally, managing Financial Service Representatives and ensuring that proper accounting processes are followed, cash drawer is balanced, money is deposited timely and posted accurately to patient accounts, and proper logs are completed and submitted as requested by financial oversight departments. Admitting staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and providing excellent customer service.
Manager of Quality / Infection Control / Full-time (Exempt) Coral Gables HospitalManager of Quality / Infection Control / Full-time (Exempt)Coral Gables, FLFull timeParticipates in quality/performance improvement and patient safety activities related to infection prevention and control (e.g., mini root cause analysis for HAIs (healthcare associated infections), failure mode and effects analysis, plan-do-study-act).Performs surveillance activities using Centers for Disease Control and Prevention (CDC) definitions. The designated person will be given the opportunity to implement and enforce the surveillance, Prevention and control program policies, coordinate all infection prevention and control within the hospital and facilitate ongoing monitoring of the effectiveness of prevention and/or control activities and interventions.
Manager Behavioral Health Strategy & Operations OMH HealthEdge Holdings IncManager Behavioral Health Strategy & OperationsFlorida, FLFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support.
NewLTSS Service Coordinator - Case Manager (Region A: Okaloosa/Walton/Santa Rosa) Elevance Health IncLTSS Service Coordinator - Case Manager (Region A: Okaloosa/Walton/Santa Rosa)Miami, FLIn collaboration with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements. Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
LTSS Service Coordinator - Case Manager (Region H: Broward County) Elevance Health IncLTSS Service Coordinator - Case Manager (Region H: Broward County)Ft. Lauderdale, FLIn collaboration with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements. Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
LTSS Service Coordinator - Case Manager (Region G: Palm Beach County) Elevance Health IncLTSS Service Coordinator - Case Manager (Region G: Palm Beach County)Miami, FLIn collaboration with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements. Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
MMA Care Manager Independent Living Systems LLCMMA Care ManagerMiami, 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 MMA Care Manager plays a critical role in coordinating and managing comprehensive care plans for members enrolled in Managed Medical Assistance (MMA) programs.
Director, Provider Relations Independent Living Systems LLCDirector, Provider RelationsMiami, 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. Ultimately, the Director, Provider Relations drives the alignment of provider networks with the company's mission to deliver high-quality, accessible healthcare services.
IT Portfolio Manager, Health Applications University of MiamiIT Portfolio Manager, Health ApplicationsMiami, FLThe IT Portfolio Manager, Health Applications oversees and administers one or more programs and corresponding projects within the project portfolio and works closely with IT PMO Leadership - meeting regularly with the Executive Director of the PMO and assisting with the IT department's governance. The IT Portfolio Manager, Health Applications assesses, documents, and budgets potential projects; perform project resource planning; conducts continuous monitoring and reports on portfolio health and participates in the department's change management process and staff training.
LTSS Service Coordinator - Case Manager (Region H: Broward County) Elevance HealthLTSS Service Coordinator - Case Manager (Region H: Broward County)Miami, FloridaIn collaboration with the person supported, facilitates the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member’s circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements. Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member’s cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
LTSS Service Coordinator - Case Manager (Region G: Palm Beach County) Elevance HealthLTSS Service Coordinator - Case Manager (Region G: Palm Beach County)Miami, FloridaIn collaboration with the person supported, facilitates the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member’s circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements. Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member’s cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.