88 Healthcare jobs in Cutler Bay
Healthcare Quality Analyst

Posted today
Job Viewed
Job Description
Work You'll Do
+ Conduct reviews of medical exam documentation in accordance with established medical and legal requirements
+ Interact with healthcare professionals to provide report-specific feedback and assist in resolving discrepancies
+ Follow all processes and procedures related to program operations and safeguarding of personally identifiable information / personal health information
+ Consistently meet individual productivity and quality goals
The Team
Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Our Operations Transformation offering provides NextGen core operational solutions and operating models, business-led technology support, and process optimization services, maximizing value to our government clients' missions.
Qualifications:
Required:
+ 1 year DBQ Review experience
+ Bachelors degree OR Associates degree plus 2 years of experience Or high school diploma plus 4 years of experience
+ Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Preferred Qualifications
+ MDEO (medical disability examination office) vendor experience
+ Experience conducting reviews of medical exam documentation in accordance with established medical and legal requirements
+ Understanding of Medical Terminology
+ Medical Benefit experience
+ Medical License (LVN, RN, etc.)
Information for applicants with a need for accommodation: qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
Healthcare Quality Analyst

Posted today
Job Viewed
Job Description
Work You'll Do
+ Conduct reviews of medical exam documentation in accordance with established medical and legal requirements
+ Interact with healthcare professionals to provide report-specific feedback and assist in resolving discrepancies
+ Follow all processes and procedures related to program operations and safeguarding of personally identifiable information / personal health information
+ Consistently meet individual productivity and quality goals
The Team
Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Our Operations Transformation offering provides NextGen core operational solutions and operating models, business-led technology support, and process optimization services, maximizing value to our government clients' missions.
Qualifications:
Required:
+ 1 year DBQ Review experience
+ Bachelors degree OR Associates degree plus 2 years of experience Or high school diploma plus 4 years of experience
+ Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Preferred Qualifications
+ MDEO (medical disability examination office) vendor experience
+ Experience conducting reviews of medical exam documentation in accordance with established medical and legal requirements
+ Understanding of Medical Terminology
+ Medical Benefit experience
+ Medical License (LVN, RN, etc.)
Information for applicants with a need for accommodation: qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
Healthcare Quality Analyst

Posted today
Job Viewed
Job Description
Work You'll Do
+ Conduct reviews of medical exam documentation in accordance with established medical and legal requirements
+ Interact with healthcare professionals to provide report-specific feedback and assist in resolving discrepancies
+ Follow all processes and procedures related to program operations and safeguarding of personally identifiable information / personal health information
+ Consistently meet individual productivity and quality goals
The Team
Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Our Operations Transformation offering provides NextGen core operational solutions and operating models, business-led technology support, and process optimization services, maximizing value to our government clients' missions.
Qualifications:
Required:
+ 1 year DBQ Review experience
+ Bachelors degree OR Associates degree plus 2 years of experience Or high school diploma plus 4 years of experience
+ Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Preferred Qualifications
+ MDEO (medical disability examination office) vendor experience
+ Experience conducting reviews of medical exam documentation in accordance with established medical and legal requirements
+ Understanding of Medical Terminology
+ Medical Benefit experience
+ Medical License (LVN, RN, etc.)
#DeloitteNDO
Information for applicants with a need for accommodation: qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
Healthcare Quality Analyst

Posted today
Job Viewed
Job Description
Work You'll Do
+ Conduct reviews of medical exam documentation in accordance with established medical and legal requirements
+ Interact with healthcare professionals to provide report-specific feedback and assist in resolving discrepancies
+ Follow all processes and procedures related to program operations and safeguarding of personally identifiable information / personal health information
+ Consistently meet individual productivity and quality goals
The Team
Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Our Operations Transformation offering provides NextGen core operational solutions and operating models, business-led technology support, and process optimization services, maximizing value to our government clients' missions.
Qualifications:
Required:
+ 1 year DBQ Review experience
+ Bachelors degree OR Associates degree plus 2 years of experience Or high school diploma plus 4 years of experience
+ Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Preferred Qualifications
+ MDEO (medical disability examination office) vendor experience
+ Experience conducting reviews of medical exam documentation in accordance with established medical and legal requirements
+ Understanding of Medical Terminology
+ Medical Benefit experience
+ Medical License (LVN, RN, etc.)
Information for applicants with a need for accommodation: qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
Healthcare Host/Hostess

Posted today
Job Viewed
Job Description
**Location:** JACKSON NORTH MEDICAL CENTER -
**Workdays/shifts** **_:_** Varying shifts, days/hours (open availability preferred). More details will be provided during the interview process.
**Employment Type:** Full-time
**Pay Range:** $16.51 per hour - $16.51 per hour
Working with SodexoMagic is more than a job; it's a chance to be part of something greater because we believe our everyday actions have a big impact. You belong in a company that allows you to act with purpose and thrive in your own way.
**What You'll Do:** As a Healthcare Host/Hostess at SodexoMagic, you are a warm-welcomer and experience ambassador. Your dedication to customer service brings a smile and makes a meaningful impact on others.
**Responsibilities include:**
+ Effectively communicate with patients, staff and guests of the hospital to ensure accuracy and timelines of patient meal trays and floor stock.
+ Record the amount and type of special food
+ Delivering meal carts to patient units
+ Aid in the meal set-up at bedside with direct patient contact Discard soiled trays
+ Take inventory of nourishment areas, stock when necessary and accurately operate technical equipment.
+ Attends work and shows for scheduled shift on time with satisfactory regularity
+ Other duties may be assigned and can differ among accounts, depending on business necessities and client requirements.
**What You Bring:**
+ Successful candidates will be team-oriented, adaptable, reliable, and nurturers of a healthy/safe working environment for all.
+ 0 - 1 year of related experience is beneficial
Link to full Job description ( We Offer:**
+ Flexible and supportive work environment, so you can be home for life's important moments.
+ Access to ongoing training/development and advancement opportunities to turn your job into a career
+ Full array of benefits that support you and your family's wellbeing, including paid time off, holidays, medical, dental, vision, tuition reimbursement, 401k, discount programs, and more.
+ In addition to SodexoMagic's standard, some locations may offer additional site-specific benefits, including free "shift" meals (and/or allowances/per diems), uniforms, safety shoes, public transportation support and/or parking.
Link to benefits summary ( SodexoMagic strives to offer comprehensive summaries of our benefits packages and detailed descriptions of the positions candidates are applying for. However, due to the contractual nature of our business, some job duties and employee benefits may vary based on the unit/work location. We encourage you to discuss any questions about SodexoMagic's benefit offerings during the interview process._
**Who we are:**
SodexoMagic is the joint venture partnership between NBA Hall of Famer, Earvin "Magic" Johnson, and SodexoMagic. As a certified minority company, we deliver food, facilities management and integrated services to corporations, healthcare facilities, K-12 schools, colleges and universities and aviation lounges. This strategic alliance between Magic Johnson Enterprises and SodexoMagic, Inc., enables us to deliver creative solutions to our clients along with our local partners throughout the communities we serve.
Our company values you for you; you will be treated fairly and with respect, and you can be yourself. You will have your ideas count and your opinions heard because we can be a stronger team when you're happy at work. This is why we embrace culture and belonging as core values, fostering an environment where all employees are valued and respected. We are committed to providing equal employment opportunities to individuals regardless of race, color, religion, national origin, age, sex, gender identity, pregnancy, disability, sexual orientation, military status, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. Should you need assistance with the online application process, please complete this form ( .
Healthcare Quality Analyst

Posted today
Job Viewed
Job Description
Work You'll Do
+ Conduct reviews of medical exam documentation in accordance with established medical and legal requirements
+ Interact with healthcare professionals to provide report-specific feedback and assist in resolving discrepancies
+ Follow all processes and procedures related to program operations and safeguarding of personally identifiable information / personal health information
+ Consistently meet individual productivity and quality goals
The Team
Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Our Operations Transformation offering provides NextGen core operational solutions and operating models, business-led technology support, and process optimization services, maximizing value to our government clients' missions.
Qualifications:
Required:
+ 1 year DBQ Review experience
+ Bachelors degree OR Associates degree plus 2 years of experience Or high school diploma plus 4 years of experience
+ Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Preferred Qualifications
+ MDEO (medical disability examination office) vendor experience
+ Experience conducting reviews of medical exam documentation in accordance with established medical and legal requirements
+ Understanding of Medical Terminology
+ Medical Benefit experience
+ Medical License (LVN, RN, etc.)
Information for applicants with a need for accommodation: qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
Healthcare Consultant I

Posted today
Job Viewed
Job Description
+ Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
+ Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities .
+ May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**Duties:**
+ Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
+ Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
+ Conducts comprehensive evaluation of Members using care management tools and information/data review
+ Coordinates and implements assigned care plan activities and monitors care plan progress
+ Conducts multidisciplinary review to achieve optimal outcomes
+ Identifies and escalates quality of care issues through established channels
+ Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
+ Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
+ Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
+ Helps member actively and knowledgeably participate with their provider in healthcare decision-making
+ Monitoring, Evaluation and Documentation of Care:
+ Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
**Experience:**
+ Case management experience required
+ Long term care experience preferred
+ Microsoft Office including Excel competent
+ Position Summary
+ Location: Work from Home. Candidates must reside in Miami Dade County, FL.
+ Training will be conducted remotely via WebEx for approximately 1-2 weeks.
+ Candidate will travel approximately 75% of the time within the region seeing
+ Members at home, in assisted living facilities and nursing homes.
**Preferred Qualifications:**
**Bilingual Spanish/English**
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
**Education**
Bachelor's degree required - No Nurses. Social work degree or related field.
**Experience**
Minimum 1 year of relevant experience in case management.
**Skills:**
Social work, Case management, Spanish
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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Healthcare Case Manager

Posted today
Job Viewed
Job Description
+ Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
+ Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**Responsibilities:**
+ Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
+ Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
+ Conducts comprehensive evaluation of Members using care management tools and information/data review
+ Coordinates and implements assigned care plan activities and monitors care plan progress
+ Conducts multidisciplinary review to achieve optimal outcomes
+ Identifies and escalates quality of care issues through established channels
+ Helps member actively and knowledgeably participate with their provider in healthcare decision-making
+ Monitoring, Evaluation and Documentation of Care:
+ Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
**Experience:**
+ Case management experience required
+ Long term care experience preferred
+ Microsoft Office including Excel competent
**Education:**
+ Location: Work from Home. Candidates must reside in Miami-Dade County, FL.
+ Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks.
+ Candidate will travel approximately 75% of the time within the region seeing
+ Members at home, in assisted living facilities and nursing homes.
+ Preferred Qualifications:
+ Bilingual Spanish/English
+ Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
+ Effective communication skills, both verbal and written
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Project Architect (Licensed) - Healthcare Market
Posted 13 days ago
Job Viewed
Job Description
Gresham Smith is seeking an Architect to join our Healthcare Studio. In this role, you will collaborate with multi-disciplinary teams to deliver exceptional human experiences in healthcare settings. You should have strong technical skills, the ability to coordinate across multi-disciplines, and strong communication and organization skills. Experience directly with Healthcare projects is a plus.
Responsibilities:
- Lead the delivery of small to medium size healthcare projects.
- Support project teams on large projects.
- Direct consultant and technical teams to ensure successful execution of project design and deliverables.
- Work alongside the Project Executive and Project Manager to create and oversee production timelines, clearly defining and meeting deadlines.
- Prepare, review, and coordinate deliverables, by managing the work of production staff and consultants, in accordance with our standards and in adherence to our QA/QC processes.
- Supervise code analysis and verify zoning requirements.
- Facilitate design discussions, internally and externally, and lead collaborative work sessions with consultants.
- Develop and present client presentations.
- Conduct product research and assist the team in selecting appropriate materials and systems.
- Attend site visits, field reviews, and project meetings and document relevant information.
- Review submittals, support, and/or lead field observations and agency reviews.
- Focus on the professional development of staff through mentorship.
- Promote a positive team atmosphere.
- Advocate for the firm's principles of design excellence by integrating sustainable practices.
Minimum Qualifications:
- 5-year Bachelor's or Master's degree in Architecture from an NAAB accredited University program.
- Minimum of 8 years of job-related experience; Healthcare experience is preferred.
- Architecture License required.
- Demonstrated proficiency using Revit and AutoCAD is required.
- Proficiency in Rhino, Photoshop, SketchUp, Lumion, Enscape, and/or other 3D rendering software programs is a plus.
- Proficient in Microsoft Office applications, particularly in Outlook, Word, and Excel.
- Excellent knowledge of architectural building systems, accessibility guidelines, building codes, and Quality Control skills.
- Ability to interact professionally and comfortably with various personalities and communication styles and build and maintain excellent interpersonal relationships.
- Strong presentation, time management, and organizational skills.
* Please include a portfolio of work samples along with a resume/CV in your online application.
Gresham Smith is an equal opportunity employer and does not discriminate. Everyone is invited to apply!
Gresham Smith will not accept unsolicited resumes from recruiters, headhunters, contract recruiters, search firms, or employment agencies. An executed GRESHAM PLACEMENT SERVICES AGREEMENT (PSA) is required prior to any payment obligation for either a referral or recruiter fee. In the event a recruiter or agency submits a resume or candidate without a previously executed PSA, GRESHAM SMITH explicitly reserves the right to recruit and hire those candidate(s) at its discretion, and without any financial obligation whatsoever to the recruiter or agency. Any such unsolicited resume or candidate contact information, including those submitted directly to GRESHAM SMITH'S hiring managers or any other employee, shall become the property of GRESHAM SMITH upon receipt.
Program Manager-Healthcare Enrollment Data (Remote)

Posted today
Job Viewed
Job Description
**Job Summary**
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.
**Job Duties**
+ Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
+ Plans and directs schedules as well as project budgets.
+ Monitors the project from inception through delivery.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Leads and manages team in planning and executing business programs.
+ Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
+ Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
+ Generate and distribute standard reports on schedule
+ SQL Experience
+ Root Cause Analysis
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION** :
Bachelor's Degree or equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 3-5 years of Program and/or Project management experience.
+ Operational Process Improvement experience.
+ Healthcare experience.
+ Experience with Microsoft Project and Visio.
+ Excellent presentation and communication skills.
+ Experience partnering with different levels of leadership across the organization.
**PREFERRED EDUCATION** :
Graduate Degree or equivalent combination of education and experience.
**PREFERRED EXPERIENCE** :
- 5-7 years of Program and/or Project management experience.
- Managed Care experience.
- Experience working in a cross functional highly matrixed organization.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
- PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.