Medical Director - Post-Acute Care Management - Care Transitions - Remote anywhere in US

Miami, Florida Optum

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Job Description

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere. 

As a team member of our Care Transitions (naviHealth) product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together .

Why Care Transitions?

At Care Transitions, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. Care Transitions is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company’s technical vision and strategy.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US.

Primary Responsibilities:

  • Provide daily utilization oversight and external communication with network physicians and hospitals
  • Daily UM reviews - authorizations and denial reviews
  • Conduct peer to peer conversations for the clinical case reviews, as needed
  • Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
  • Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions’ services
  • Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers
  • Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders
  • Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers
  • Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals
  • Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees
  • Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting
  • Regularly meet with Care Transitions’ leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues
  • Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions’ products and services
  • Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME
  • Participate on the Medical Advisory Board
  • Providing intermittent, scheduled weekend and evening coverage
  • Perform other duties and responsibilities as required, assigned, or requested

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Board certification as an MD, DO, MBBS with a current unrestricted license to practice and willing to maintain necessary credentials to retain the position
  • Current, unrestricted medical license and the ability to obtain licensure in multiple states
  • 3+ years of post-residency patient care, preferably in inpatient or post-acute setting

Preferred Qualifications:   

  • Licensure in multiple states
  • Willing to obtain additional state licenses, with Optum’s support
  • Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care
  • Demonstrated ability to work within a team environment while completing multiple tasks simultaneously
  • Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision
  • Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals
  • Demonstrated competence in use of electronic health records as well as associated technology and applications
  • Proven excellent organizational, analytical, verbal and written communication skills
  • Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues
  • Proven highest level of ethics and integrity
  • Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment

 *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $238,000 to $357,000 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.  

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Medical Management Specialist I

33126 Flagami, Florida Elevance Health

Posted today

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**Medical Management Specialist I**
The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical Management and/or Operations areas.
**Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. This position will be based in Miami 11430 NW 20th street 33172.
**Schedule:** This position will work an 8-hour from shift 8:00 am - 5:00 pm (EST) Monday to Friday. Additional hours may be necessary based on company needs.
**How you will make an impact.**
Primary duties may include, but are not limited to:
+ Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).
+ Provides information regarding network providers or general program information when requested.
+ May assist with complex cases.
+ May act as liaison between Medical Management and/or Operations and internal departments.
+ Maintains and updates tracking databases.
+ Prepares reports and documents all actions.
+ Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.
**Minimum Requirements:**
+ Requires a H.S. diploma or equivalent and a minimum of 1 year experience or any combination of education and experience which would provide an equivalent background.
**Preferred Qualifications:**
+ Understanding of managed care or Medicaid/Medicare strongly preferred.
+ Fully Bilingual (English/Spanish) strongly preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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Manager, Supply Chain Asset Management (Medical Equipment Planner)

33014 Miami Lakes, Florida The University of Miami

Posted today

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Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

Manager, Asset Management

The University of Miami/UHealth Department of Asset Management- Supply Chain has an exciting opportunity for a Full Time Manager, Supply Chain Asset Management to work in the UHealth Medical Campus.

Core Job Summary

The Asset Management Manager is responsible for managing strategic capital equipment deployment and fleet management across the health system with the goal of supporting a cross-functional and collaborative high-performing, efficient, and cost-effective process. The Manager will oversee and actively participate in the Capital Committee and associated aspects of the respective Committee. This position will actively work with their team as well as members of the Health System's health care team and University teams to facilitate and lead the capital equipment process from strategic market intelligence assessment, strategic partnership alignment, supplier/vendor se

lection, capital equipment procurement and implementation, and fleet management.

Core Responsibilities
  • Serves as the medical equipment liaison to all UHealth facility department directors, C-Suite, and physicians.
  • Assists in implementing UHealth Standards of business practices, market standardization, and consumption minimization while supporting the Supply Chain Vision and Mission.
  • Aligns efforts with the Finance Department in conjunction with the annual capital equipment budget to identify opportunities for standardization and sourcing initiatives.
  • Utilizing market intelligence from various sources, continuously assesses the overall impact of capital equipment deployment to meet the diverse communities served by UHealth.
  • Supports the development of facility-level annual capital budgets and monitors compliance with those budgets throughout the fiscal year.
  • Actively participates in negotiation and management of capital equipment purchase, lease, and rental agreements.
  • Participates and advises on capital equipment through value analysis committees to select and implement strategies for cost reduction, supplier consolidation, quality improvements, and process efficiencies.
  • Implement fleet management strategies, solutions, and technology.
  • Interfaces with various levels of management and require external contacts with important end-users, hospital executives, internal customers, and suppliers to develop solutions.
Department Specific Functions
  • Works with Clinical Engineering to identify equipment fleet opportunities for optimization.
  • Works with Strategic Sourcing to Identify, develop and manage capital equipment group buy programs based on approved annual capital budgets.
  • Partners with the Value Analysis and Sourcing Teams to develop initiative strategy, clinical requirements, and category-specific terms and conditions for Request for Proposal (RFP) submissions.
  • Works with the Construction teams and Medical Equipment Planners to identify, standardize, select, and deploy capital equipment to support growth strategies.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Minimum Qualifications
  • Bachelor's degree required
  • 2+ years of Healthcare experience in a health system. Preferred experience leading virtual teams and in an academic health system experience
Knowledge, Skills, and Attitudes:
  • Knowledge of medical equipment, business, and management principles.
  • Knowledge of healthcare products and equipment, inventory sources, and alternative sources of Equipment tracking systems.
  • Ability to analyze equipment fleets for optimization, utilization, and recommended enhancements.
  • Possess excellent interpersonal skills, including conflict resolution, presentation, and facilitation skills, able to present complex information to a diverse stakeholder group.
  • Strong project planning and project management skills (preferred ability to manage Smartsheet).
  • Strong PowerPoint skills with the ability to create and deliver presentations at a high or detailed level.
  • Strong Excel and Business Intelligence skills (e.g. ability to create and analyze Pivot tables), with the ability to analyze complex information and formulate logical and objective conclusions.
  • Ability to structure and prioritize work to achieve specific deliverables in an environment characterized by tight deadlines and competing priorities.

Any relevant education, certifications and/or work experience may be considered.

#LI-EB1

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:
Full time

Employee Type:
Staff

Pay Grade:
H13
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Project Management & Commercial Leader - Transportation Practice

33126 Flagami, Florida CDM Smith

Posted today

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**41908BR**
**Requisition ID:**
41908BR
**Business Unit:**
NAU
**Job Description:**
The Transportation PMCL within the TNG is a key role in managing and building a high-performing Project Management Team through effective leadership and teamwork to successfully deliver projects and client service, while maximizing the long-term profitability of the firm.
**We are open to filling this position with a candidate being tied to any of our offices within Transportation North Group region in the states: MN, IA, WI, IL, MI, IN, OH, WV, VA, PA, MD, DE, NJ, NY, CT, MA, RI, VT, NH, ME.**
Primary responsibilities for this role include:
- Supervising a team of Senior Project Managers in the day-to-day operation of transportation projects including: project delivery performance, pricing strategies, risk management, forecasting and budgeting, and performance reporting. This PMCL's portfolio of projects would potentially include work with various DOTs, municipal agencies, turnpikes and transit organizations.
- Providing interpretation of monthly performance figures to support the overall business unit management and to the project managers to resolve project issues and improve project performance.
- Directing and supervising project management staff to provide coaching on timely, effective, and efficient performance of project managers' responsibilities.
- Driving consistent project management practices and procedures in alignment with CDM Smith PM requirements and those of the group.
- Managing transportation design projects to potentially include DOT, turnpike, large municipality, county, and transit agency clients.
- Supporting, inspiring, elevating and rewarding team members.
**Job Title:**
Project Management & Commercial Leader - Transportation Practice
**Group:**
TNG
**Employment Type:**
Regular
**Minimum Qualifications:**
- Bachelor's degree in Civil, transportation, or Structural Engineering or related discipline.
- Professional engineering (PE) license.
- 12 years of related experience.
- Domestic and/or international travel may be required. The frequency of travel is contingent on specific duties, responsibilities, and the essential functions of the position, which may vary depending on workload and project demands.
- Equivalent additional directly related experience will be considered in lieu of a degree.
**Preferred Qualifications:**
- Recent experience managing transportation road, highway, bridge and/or transit design projects, ideally for various clients within our current TNG portfolio.
- Strong Project Management experience including: the development of scope, schedule, and budget, and the subsequent monitoring of cost and schedule.
- Previous experience managing a team of Project Managers.
- Business development skills and experience such as client service and proposal preparation.
- Leadership skills to drive a culture that emphasizes profitability, quality deliverables, and legendary client service.
- Current PM certification (either PMP, CCM or DBIA), or the ability to acquire said certification within 12 months of hire.
- Strong verbal and written communication skills.
**EEO Statement:**
We attract the best people in the industry, supporting their efforts to learn and grow. We strive to create a challenging and progressive work environment. We provide career opportunities that span a variety of disciplines and geographic locations, with projects that our employees plan, design, build and operate as diverse as the needs of our clients. CDM Smith is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression), national origin, age, marital status, disability, veteran status, citizenship status, genetic information or any other characteristic protected by applicable law.
**Why CDM Smith?:**
Check out this video and find out why our team loves to work here! ( Us! CDM Smith - where amazing career journeys unfold.**
Imagine a place committed to offering an unmatched employee experience. Where you work on projects that are meaningful to you. Where you play an active part in shaping your career journey. Where your co-workers are invested in you and your success. Where you are encouraged and supported to do your very best and given the tools and resources to do so. Where it's a priority that the company takes good care of you and your family.
Our employees are the heart of our company. As an employer of choice, our goal is to provide a challenging, progressive and inclusive work environment which fosters personal leadership, career growth and development for every employee. We value passionate individuals who challenge the norm, deliver world-class solutions and bring diverse perspectives. Join our team, and together we will make a difference and change the world.
**Job Site Location:**
United States - Nationwide
**Agency Disclaimer:**
All vendors must have a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any other member of the CDM Smith staff will not be considered binding terms. All unsolicited resumes sent to CDM Smith and any resume submitted to any employee outside of CDM Smith Recruiting Center Team (RCT) will be considered property of CDM Smith. CDM Smith will not be held liable to pay a placement fee.
**Amount of Travel Required:**
10%
**Assignment Category:**
Fulltime-Regular
**Visa Sponsorship Available:**
No - We will not support sponsorship, i.e. H-1B or TN Visas for this position
**Background Check and Drug Testing Information:**
CDM Smith Inc. and its divisions and subsidiaries (hereafter collectively referred to as "CDM Smith") reserves the right to require background checks including criminal, employment, education, licensure, etc. as well as credit and motor vehicle when applicable for certain positions. In addition, CDM Smith may conduct drug testing for designated positions. Background checks are conducted after an offer of employment has been made in the United States. The timing of when background checks will be conducted on candidates for positions outside the United States will vary based on country statutory law but in no case, will the background check precede an interview. CDM Smith will conduct interviews of qualified individuals prior to requesting a criminal background check, and no job application submitted prior to such interview shall inquire into an applicant's criminal history. If this position is subject to a background check for any convictions related to its responsibilities and requirements, employment will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically disqualify a candidate. In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing.
**Pay Range Minimum:**
$133,016
**Pay Range Maximum:**
$246,043
**Additional Compensation:**
All bonuses at CDM Smith are discretionary and may or may not apply to this position.
**Work Location Options:**
Hybrid Work Options may be considered for successful candidate.
**Massachusetts Applicants:**
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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Supervisor Physician Practice Collection/Denial, Hybrid, BHMG Revenue Management, FT,08A-4:30P

33222 Miami, Florida Baptist Health South Florida

Posted today

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Job Description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.
What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in.

Description

Supervises the Account receivable collection team and provides day-to-day supervision, training, evaluation, and direction. Responsible for monitoring the account receivable by deployment and implementation of necessary changes to personnel and or process to maximize cash and AR goals. Identifies and reports process improvement opportunities impacting reimbursement. Provides support relating to both front-end and billing matters and back-end issues. Provides analytical and revenue cycle support to RCM teams and others. Leads collection and denial prevention initiatives . Participate in special projects related to and impacting the revenue cycle. The position requires a high level of professionalism, confidentiality, and integrity. Estimated salary range for this position is $57630.42 - $4919.55 / year depending on experience.

Qualifications:
Supervises the Account receivable collection team and provides day-to-day supervision, training, evaluation, and direction. Responsible for monitoring the account receivable by deployment and implementation of necessary changes to personnel and or process to maximize cash and AR goals. Identifies and reports process improvement opportunities impacting reimbursement. Provides support relating to both front-end and billing matters and back-end issues. Provides analytical and revenue cycle support to RCM teams and others. Leads collection and denial prevention initiatives . Participate in special projects related to and impacting the revenue cycle. The position requires a high level of professionalism, confidentiality, and integrity. Estimated salary range for this position is 57630.42 - 74919.55 / year depending on experience.Degrees:

  • Associates.
Licenses & Certifications:
  • AAPC Certified Professional Coder.
  • AHIMA Certified Coding Specialist-Physician-based.
  • AHIMA Certified Coding Specialist.
  • AHIMA Certified Coding Associate.
  • NCCT National Certified Insurance and Coding Specialist.
Additional Qualifications:
  • Associates degree in healthcare administration, business, accounting, or related area required with proven leadership experience.
  • Experience of years and other certifications may suffice.
  • Bachelor's degree preferred.
  • One of the following certifications is required: CPC-A, CCA, CCS, CCS-P,NCIS, Other recognized coding and billing certifications may also be considered.
  • Preferred Certifications: HFMA (Healthcare Financial Management Association) certification in Revenue Cycle MGMA (Medical Group Management Association) Revenue Cycle certificationMinimum ten years experience or 5 years supervisory level in billing, claims, and denial management focused on physician practices.
  • Strong experience, understanding, and working knowledge of ICD-10, LCDs, E&M guidelines, modifiers, EOBs, ERAs, HIPPA, account receivable management, medical terminology, revenue cycle management, contract management, managed care plans, Medicare and Medicaid reimbursement and billing requirements.
  • Extensive experience in working with a multi specialty phyisician group, including complex areas of Surgery, Orthopedics, Oncology and others.
  • Excellent communication and problem-solving skills.
  • Advanced level Microsoft tools, including Word, Excel, Powerpoint, and reporting tools.
  • Extensive analytical and critical thinking skills.
Minimum Required Experience:Degrees:
  • Associates.
Licenses & Certifications:
  • AAPC Certified Professional Coder.
  • AHIMA Certified Coding Specialist-Physician-based.
  • AHIMA Certified Coding Specialist.
  • AHIMA Certified Coding Associate.
  • NCCT National Certified Insurance and Coding Specialist.
Additional Qualifications:
  • Associates degree in healthcare administration, business, accounting, or related area required with proven leadership experience.
  • Experience of years and other certifications may suffice.
  • Bachelor's degree preferred.
  • One of the following certifications is required: CPC-A, CCA, CCS, CCS-P,NCIS, Other recognized coding and billing certifications may also be considered.
  • Preferred Certifications: HFMA (Healthcare Financial Management Association) certification in Revenue Cycle MGMA (Medical Group Management Association) Revenue Cycle certificationMinimum ten years experience or 5 years supervisory level in billing, claims, and denial management focused on physician practices.
  • Strong experience, understanding, and working knowledge of ICD-10, LCDs, E&M guidelines, modifiers, EOBs, ERAs, HIPPA, account receivable management, medical terminology, revenue cycle management, contract management, managed care plans, Medicare and Medicaid reimbursement and billing requirements.
  • Extensive experience in working with a multi specialty phyisician group, including complex areas of Surgery, Orthopedics, Oncology and others.
  • Excellent communication and problem-solving skills.
  • Advanced level Microsoft tools, including Word, Excel, Powerpoint, and reporting tools.
  • Extensive analytical and critical thinking skills.
Minimum Required Experience:
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Associate Director Category Management - Healthcare

33336 Fort Lauderdale, Florida Chewy

Posted 3 days ago

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Associate Director of Category Management

Chewy is changing the way our pets experience healthcare. We are looking to hire an Associate Director of Category Management who will roll up their sleeves, dive into the weeds and remove roadblocks to grow the flea and tick category at Chewy. You will be a self-starter who is data driven around the P&L ownership, vendor management, keep a pulse on the analytical trends and stay focused on building. Your reputation for excellent verbal and written communication, strong negotiations and vendor manager will make you a great fit. As you analyze and communicate sophisticated terms, margin structure and work well across other teams including Finance, Inventory Management, and Site Experience. In addition, our teams are small but growing and you will be comfortable as an individual contributor or people leader of 1-3 team members. This AD role will require strong ownership values, a passion for innovation, and work hard. The location can be based out of Seattle or Florida or Boston.

What You'll Do:

  • Lead and develop a high growth business.
  • Help to launch new initiatives and engagements
  • Own the P&L, vendor relationships, weekly/monthly/quarterly business reviews.
  • Work in conjunction with the Business Vertical VPs to develop goals for the Category Management team
  • Ensure Merchandising is planning and delivering on all key P/L metrics
  • Negotiate highly sophisticated deal structures across vendor partners with a focus on long term growth and scale
  • Collaborate with cross-functional partners across businesses to complete the strategy efficiently, both Delivery Experience, Marketing, Supply Chain and Finance
  • Interject new insights and ideas for improving customer experience and improving financials while holding true to Chewy fundamentals
  • Travel up to 25%

What You'll Need:

  • 10+ years of related Category Management or similar shown experience; Merchandising, Buying, analyst, Product, or other.
  • Minimum of 8+ years negotiation experience
  • Examples of leadership where a measurable impact was made.
  • Ecommerce experience preferred
  • Strong in Excel; SQL and Tableau experience would be a bonus.
  • BA/BS (MBA preferred)

Bonus:

  • An accomplished range of skill from high-level critical thinking to working with external partners.
  • Validated excellent business judgment with strong written and oral communication skills.
  • Strong analytical abilities and problem-solving skills
  • The ability to use both formal and informal influencing skills across Chewy's cross-matrix organization is essential to success in this role.

Chewy is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, gender, citizenship, marital status, religion, age, disability, gender identity, results of genetic testing, veteran status, as well as any other legally-protected characteristic. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, or if you need a religious accommodation, please contact

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Associate Director Category Management - Healthcare

Plantation, Florida Chewy

Posted 5 days ago

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Job Description

Our Opportunity: Chewy is chasnging the ay our pets experience healthcare. We are looking to hire an Associate Director of Category Management who will roll up their sleeves, dive into the weeds and remove roadblocks to grow the flea and tick category at Chewy. You will a self-starter who is data driven around the P&L ownership, vendor management, keep a pulse on the analytical trends and stay focused on building. Your reputation for excellent verbal and written communication, strong negotiations and vendor manager will make you a great fit. As you analyze and communicate sophisticated terms, margin structure and work well across other teams including Finance, Inventory Management, and Site Experience. In addition, Our teams are small but growing and you will be comfortable as an individual contributor or people leader of 1-3 Team Members. This AD role will require strong ownership values, a passion for innovation, and hustle. The location can be based out of Seattle or Florida or Boston . What You’ll Do: lead and develope a high growth business. Help to launch new initiatives and engagements Own the P&L, vendor relationships, weekly/monthly/quarterly business reviews. Work in conjunction with the Business Vertical VPs to develop goals for the Category Management team Ensure Merchandising is planning and delivering on all key P/L Metrics Negotiate highly sophisticated deal structures across vendor partners with a focus on long term growth and scale Collaborate with cross-functional partners across businesses to complete the strategy optimally, both Delivery Experience, Marketing, Supply chain and Finance Interject new insights and ideas for improving customer experience and improving financials while holding true to Chewy fundamentals Travel up to 25% What You'll Need: 10+ years of related Category Management or similar proven experience; Merchandising, Buying, analyst, Product, or other. Minimum of 8+ years negotiation experience Examples of leadership where a measurable impact was made. Ecommerce experience preferred Strong in Excel; SQL and Tableau experience would be a bonus. BA/BS (MBA preferred) Bonus: An accomplished range of skill from high-level critical thinking to working with external partners. Proven excellent business judgment with strong written and oral communication skills. Strong analytical abilities and problem-solving skills The ability to use both formal and informal influencing skills across Chewy’s cross-matrix organization is critical to success in this role. #LI-BB2 Chewy is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, gender, citizenship, marital status, religion, age, disability, gender identity, results of genetic testing, veteran status, as well as any other legally-protected characteristic. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, or if you need a religious accommodation, please contact . To access Chewy's Customer Privacy Policy, please click here . To access Chewy's California CPRA Job Applicant Privacy Policy, please click here . #J-18808-Ljbffr

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Associate Director Category Management - Healthcare

33336 Fort Lauderdale, Florida Chewy

Posted 6 days ago

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Job Description

Our Opportunity:

Chewy is changing the way our pets experience healthcare. We are looking to hire an Associate Director of Category Management who will roll up their sleeves, dive into the weeds and remove roadblocks to grow the flea and tick category at Chewy. You will a self-starter who is data driven around the P&L ownership, vendor management, keep a pulse on the analytical trends and stay focused on building. Your reputation for excellent verbal and written communication, strong negotiations and vendor manager will make you a great fit. As you analyze and communicate sophisticated terms, margin structure and work well across other teams including Finance, Inventory Management, and Site Experience. In addition, Our teams are small but growing and you will be comfortable as an individual contributor or people leader of 1-3 Team Members. This AD role will require strong ownership values, a passion for innovation, and work hard. The location can be based out of Seattle or Florida or Boston .

What You'll Do:

  • lead and develope a high growth business.

  • Help to launch new initiatives and engagements

  • Own the P&L, vendor relationships, weekly/monthly/quarterly business reviews.

  • Work in conjunction with the Business Vertical VPs to develop goals for the Category Management team

  • Ensure Merchandising is planning and delivering on all key P/L Metrics

  • Negotiate highly sophisticated deal structures across vendor partners with a focus on long term growth and scale

  • Collaborate with cross-functional partners across businesses to complete the strategy efficiently, both Delivery Experience, Marketing, Supply chain and Finance

  • Interject new insights and ideas for improving customer experience and improving financials while holding true to Chewy fundamentals

  • Travel up to 25%

What You'll Need:

  • 10+ years of related Category Management or similar shown experience; Merchandising, Buying, analyst, Product, or other.

  • Minimum of 8+ years negotiation experience

  • Examples of leadership where a measurable impact was made.

  • Ecommerce experience preferred

  • Strong in Excel; SQL and Tableau experience would be a bonus.

  • BA/BS (MBA preferred)

Bonus:

  • An accomplished range of skill from high-level critical thinking to working with external partners.

  • Validated excellent business judgment with strong written and oral communication skills.

  • Strong analytical abilities and problem-solving skills

  • The ability to use both formal and informal influencing skills across Chewy's cross-matrix organization is essential to success in this role.

#LI-BB2

Chewy is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, gender, citizenship, marital status, religion, age, disability, gender identity, results of genetic testing, veteran status, as well as any other legally-protected characteristic. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, or if you need a religious accommodation, please contact .

To access Chewy's Customer Privacy Policy, please click here ( .

To access Chewy's California CPRA Job Applicant Privacy Policy, please click here ( .

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Associate Director Category Management - Healthcare

33388 Plantation, Florida Chewy

Posted today

Job Viewed

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Job Description

**Our Opportunity:**
Chewy is changing the way our pets experience healthcare. We are looking to hire an Associate Director of Category Management who will roll up their sleeves, dive into the weeds and remove roadblocks to grow the flea and tick category at Chewy. You will a self-starter who is data driven around the P&L ownership, vendor management, keep a pulse on the analytical trends and stay focused on building. Your reputation for excellent verbal and written communication, strong negotiations and vendor manager will make you a great fit. As you analyze and communicate sophisticated terms, margin structure and work well across other teams including Finance, Inventory Management, and Site Experience. In addition, Our teams are small but growing and you will be comfortable as an individual contributor or people leader of 1-3 Team Members. This AD role will require strong ownership values, a passion for innovation, and work hard. The location can be based out of **Seattle or Florida or Boston** .
**What You'll Do:**
+ lead and develope a high growth business.
+ Help to launch new initiatives and engagements
+ Own the P&L, vendor relationships, weekly/monthly/quarterly business reviews.
+ Work in conjunction with the Business Vertical VPs to develop goals for the Category Management team
+ Ensure Merchandising is planning and delivering on all key P/L Metrics
+ Negotiate highly sophisticated deal structures across vendor partners with a focus on long term growth and scale
+ Collaborate with cross-functional partners across businesses to complete the strategy efficiently, both Delivery Experience, Marketing, Supply chain and Finance
+ Interject new insights and ideas for improving customer experience and improving financials while holding true to Chewy fundamentals
+ Travel up to 25%
**What You'll Need:**
+ 10+ years of related Category Management or similar shown experience; Merchandising, Buying, analyst, Product, or other.
+ Minimum of 8+ years negotiation experience
+ Examples of leadership where a measurable impact was made.
+ Ecommerce experience preferred
+ Strong in Excel; SQL and Tableau experience would be a bonus.
+ BA/BS (MBA preferred)
**Bonus:**
+ An accomplished range of skill from high-level critical thinking to working with external partners.
+ Validated excellent business judgment with strong written and oral communication skills.
+ Strong analytical abilities and problem-solving skills
+ The ability to use both formal and informal influencing skills across Chewy's cross-matrix organization is essential to success in this role.
#LI-BB2
**Chewy is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, gender, citizenship, marital status, religion, age, disability, gender identity, results of genetic testing, veteran status, as well as any other legally-protected characteristic. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, or if you need a religious accommodation, please contact** ** ** **.**
**To access Chewy's Customer Privacy Policy, please click here ( .**
**To access Chewy's California CPRA Job Applicant Privacy Policy, please click here ( .**
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Manager, Medical Technologist

33222 Miami, Florida The University of Miami

Posted 7 days ago

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Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.The Pathology Department at the University of Miami has an exciting opportunity for a Manager, Medical Technologists.CORE JOB SUMMARYThe Manager, Medical Technologists provides leadership and management for clinical laboratory procedures, quality assurance, and instrument maintenance. The Manager, Medical Technologists plans and implements the overall laboratory policies, procedures, and services for the assigned unit. Additionally, an employee in this position ensures efficient and effective departmental operations, including department quality control and compliance adherence. The Manager, Medical Technologists also manages and oversees personnel, coordinates services with reference laboratories and vendors, and collaborates with other laboratories and departments to provide high quality integrated patient care. Further, the incumbent oversees the development of various monthly and quarterly reports and actively improves the functions of the laboratory services.CORE JOB FUNCTIONS1. Manages teams of medical technologists responsible for performing basic tests and laboratory procedures. Communicates and disseminates general information and policy or procedure changes to personnel.2. Ensures that the proper laboratory equipment is in place. Monitors equipment performance, diagnoses instrument problems and malfunctions, and makes repairs or initiates service requests.3. Plans, prioritizes, and directs work activities to ensure smooth and efficient operations.4. Investigates and resolves problems concerning patient testing and procedures.5. Assists with interviewing and selecting new staff. Participates in the formal progressive disciplinary process. Conducts, monitors, and evaluates the effectiveness of employee performance improvement plans.6. Participates in the design and implementation of new procedures and instrumentation.7. Monitors quality control and assurance, proficiency testing, and implements corrective actions.8. Coordinates and participates in continuing education activities and events.9. Monitors employee compliance with approved regulatory and departmental guidelines.10. Assists in developing the strategic goals and objectives for the section.11. Develops, implements, and evaluates training programs.12. Assists with the development of competency assessment tools.13. Participates in the review, revision, and implementation of standard operating procedures.14. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained in controls within the function and on University policy and procedures.This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.CORE QUALIFICATIONSEducation:Bachelor's degree in relevant field requiredExperience:Minimum 3 years of relevant experience requiredCertification and Licensing:Clinical Laboratory SupervisorKnowledge, Skills and Abilities:Operational Management: Optimizes day-to-day operations and processes for efficiency and effectiveness.Organizational Development: Ability to implement strategies to improve organizational effectiveness, engagement, and manage change.Financial Oversight: Knowledge of financial operations and management.Team Leadership: Ability to create and maintain a cohesive and productive team environment, build positive working relationships and work collaboratively with others.Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.Communication: Strong verbal and written communication skills to convey ideas clearly and persuasively.This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.Department Specific FunctionsCore job function will also include ensuring SOPs are in compliance with relevant rules and regulations such as the FDA, CLIA, state testing requirements, Joint Commission, etc., managing FDA reportable events, errors and deviations, performing self-inspection, and auditing, educating clinical team, reviewing and investigating safety events.Analyzes data, generates graphs of quality indicators, conducts investigations, and prepares corrective action plans.Assures supervisors plan staffing requirements, hire to meet needs and schedules to ensure efficient management of resources and workflow.Test Method Validation: ensures testing systems provide quality laboratory services for all aspects of test performance: preanalytical, analytical, and post-analytical.Works with the laboratory director/supervisor and QA team to incorporate a comprehensive quality and training program that includes SOPs, training records and oversight, and implementation of quality testing programs. Analytical Performance: Ensure testing systems in use for each test performed in the lab provide quality lab services for all aspects of test performance, provide day-to-day supervision of high complexity test performance, and ensure test system performance levels are acceptable.Helps maintain Licensing and accreditation, activity menu and proficiency testing up to date.Helps prepare responses to citations and/ or accreditation inquiries. Participates actively on ongoing and new performance improvement projects. Assist on investigations, root cause analyses and complaint resolutions. Adheres to all Administration, Environmental of Care, CHP, Safety, Infection Control and Laboratory policies and procedures. Other duties assigned.The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.Job Status:Full timeEmployee Type:StaffPay Grade:H15

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Program Manager (Medical Device, NPD)

33222 Miami, Florida Beckman Coulter Diagnostics

Posted today

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Join to apply for the Program Manager (Medical Device, NPD) role at Beckman Coulter Diagnostics 3 days ago Be among the first 25 applicants Join to apply for the Program Manager (Medical Device, NPD) role at Beckman Coulter Diagnostics Get AI-powered advice on this job and more exclusive features. Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? At Beckman Coulter Diagnostics, one of Danaher’s 15+ operating companies, our work saves lives—and we’re all united by a shared commitment to innovate for tangible impact. You’ll thrive in a culture of belonging where you and your unique viewpoint matter. And by harnessing Danaher’s system of continuous improvement, you help turn ideas into impact – innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic laboratory’s role in improving patient health for more than 90 years. Our diagnostic solutions are used in routine and complex clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one million tests are run on Beckman Coulter Diagnostics systems, impacting 1.2 billion patients and more than three million clinicians per year. From uncovering the next clinical breakthrough, to rapid and reliable sample analysis, to more rigorous decision making—we are enabling clinicians to deliver the best possible care to their patients with improved efficiency, clinical confidence, adaptive collaboration, and accelerated intelligence. Learn about the Danaher Business System which makes everything possible. The Program Manager is responsible for leading fast-paced cross-functional teams to deliver new products aligned with strategic business priorities. This position reports to the Director of Program Management and is part of the Hematology and Urinalysis Business Unit located in Miami, FL and will be an on-site role. In this role, you will have the opportunity to: Plan and lead complex, high-visibility programs utilizing your experience and the Danaher Business System (DBS) tools to maximize efficiency and quality for critical-to-the-business product launches, communicate budget, schedule, resources, and performance to QCD (Quality, Cost, Delivery) metrics for the programs you lead. Maintain continuous alignment of program scope with strategic business objectives and utilize advanced skills in leadership, communication, influence, cross-cultural awareness, negotiation, and conflict resolution. Lead new ventures within the hematology team by building and adapting new processes to meet evolving business needs, requiring an appetite and aptitude for leading through ambiguity. Work cross-functionally and collaborate frequently with Research and Development, Clinical Affairs, Operations, Quality, Regulatory, Product Management, and other functional groups to ensure on-time project delivery and to work to continually optimize processes for more efficient product development. Make or facilitate project trade-off decisions within the boundaries of the approved project contract. Strategize with Business Unit management to define, support, and implement functional infrastructure to support the needs of the business globally. The essential requirements of the job include: Bachelor's degree in Life Science, business management or related field, with preference for 9+ years of relevant experience, or a Master’s degree with preference for 7+ years’ experience, or a Doctoral degree with preference for 4+ years' experience. Strong motivational leadership and executive communication skills with the ability to influence others without direct authority and manage project risks to ensure project execution to cost, schedule, and performance targets. Experience delivering product in regulated markets (RUO, IVD, IVDR). It would be a plus if you also possess previous experience in: Prefer 5 years of related work experience in scientific or engineering field; prefer a minimum of 3 years in program or project management. Technical knowledge of hematology or urinalysis diagnostic systems. Experience with product commercialization efforts. Beckman Coulter Diagnostics, a Danaher operating company, offers a broad array of comprehensive, competitive benefit programs that add value to our lives. Whether it’s a health care program or paid time off, our programs contribute to life beyond the job. Check out our benefits at Danaher Benefits Info. This job is also eligible for bonus/incentive pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance and 401(k) to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. #thisisbelonging #thebestteamisdiverse Join our winning team today. Together, we’ll accelerate the real-life impact of tomorrow’s science and technology. We partner with customers across the globe to help them solve their most complex challenges, architecting solutions that bring the power of science to life. For more information, visit Danaher Corporation and all Danaher Companies are committed to equal opportunity regardless of race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. We value diversity and the existence of similarities and differences, both visible and not, found in our workforce, workplace and throughout the markets we serve. Our associates, customers and shareholders contribute unique and different perspectives as a result of these diverse attributes. The EEO posters are available here. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform crucial job functions, and to receive other benefits and privileges of employment. Please contact us at to request accommodation. Seniority level Seniority level Not Applicable Employment type Employment type Full-time Job function Job function Project Management and Information Technology Industries Medical Equipment Manufacturing Referrals increase your chances of interviewing at Beckman Coulter Diagnostics by 2x Get notified about new Program Manager jobs in Miami, FL . People Planning & Initiatives Program Manager Manager, Volunteer Operations, FIFA World Cup 2026 Miami-Dade County, FL $60,000.00-$2,000.00 4 weeks ago Miami, FL 100,000.00- 150,000.00 1 week ago Director of Program Management & Operations, Demo Strategy Miami, FL 177,600.00- 257,600.00 1 week ago Transportation Capital Improvement Program Manager Miami, FL 104,100.00- 185,000.00 2 days ago Program Manager- Healthy Relationships Program We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr

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