Top 340 Claims team lead Jobs in Miami, Fl

Manager Social Work & Care Management, Case Management, FT,9A-5:30P
Baptist Health South Florida —Miami, FL
- $91,132.84 - $118,472.69 a year
- Full-time
- Hospital
- 5 years
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
Medical Collector/radiology
Radiologic PL —Miami, FL
- $25 - $35 an hour
- Full-time
- Spanish
- English
- Supervising experience
Quick Apply
3d
Billing Team Lead
PARADIGM SENIOR SERVICES INC —North Miami, FL
- $60,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- Supervising experience
- Health insurance
- Dental insurance
4d
Claims Adjuster-Worker's Compensation
Broward County Board of County Commissioners —Fort Lauderdale, FL
- $56,594.10 - $90,324.62 a year
- Full-time
- Customer service
- Mid-level
- Bachelor's degree
- Paid training
- Health savings account
Claims Team Lead
Stellar Human Resource Services LLC —Miami, FL
- Full-time
- Mid-level
- Office
- Leadership
Quick Apply
Member Team Lead
Sam's Club —Miami, FL
- $22 - $30 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
Financial Analyst - Fraud, Waste and Abuse (FWA) (Onsite)
DOCTORS HEALTHCARE PLANS, INC. —Coral Gables, FL
- Full-time
- Mid-level
- Office
- Microsoft Office
Quick Apply
Compliance Manager
Alivi Health —Miami, FL
- $120,000 a year
- Full-time
- OSHA
- 3 years
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
9d
Senior Director, Compliance Officer
Health System One —Miami, FL
- $165,000 - $180,000 a year
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
10d
Program Manager/Training Lead
Contact Government Services, LLC —Miami, FL
- $180,000 - $200,000 a year
- Full-time
- 5 years
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Claims Associate I
Stellar Human Resource Services LLC —Miami, FL
- Full-time
- Office
- Entry level
Quick Apply
Supervisory Medical Supply Technician (Sterile Processing)
US Veterans Health Administration —Miami, FL
- $84,487 - $109,828 a year
- Part-time
- Background check
- Surgery
- Pass drug screening
- Paid parental leave
- Paid holidays
8d
Fraud Investigator I (Hybrid)
BankUnited, N. A. —Miami Lakes, FL
- Research
- Mid-level
- Communication skills
7d
Director of Risk, Insurance & Claims
King Ocean —Sweetwater, FL
- Full-time
- Office
- Bachelor's degree
- Business Administration
Quick Apply
Risk Adjustment Data Analyst
Centrum Health —Doral, FL
- Mid-level
- Office
- Bachelor's degree
Quick Apply
Loss Prevention Manager
Marriott International, Inc —Bal Harbour, FL
- $59,000 - $78,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Team management
Manager Social Work & Care Management, Case Management
West Kendall Baptist Hospital —Miami, FL
- $91,132.84 - $118,472.69 a year
- Hospital
- 5 years
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
Director of Human Resources
Gale Hotels —Miami, FL
- Full-time
- 5 years
- Senior level
- Leadership
Quick Apply
Lead, Core Operations (Must reside in Florida)
Molina Healthcare —Miami, FL
- $16.40 - $31.97 an hour
- Full-time
- Mid-level
- Team management
- Mentoring
- Health insurance
Assistant Manager
Affinity Management Services —Kendall, FL
- $60,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Disability insurance
- Health insurance
Quick Apply

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Manager Social Work & Care Management, Case Management, FT,9A-5:30P

Baptist Health South Florida -
Miami, FL

Apply Now

Job Details

Full-time
$91,132.84 - $118,472.69 a year

Benefits

Wellness program
Health insurance
Tuition reimbursement

Qualifications

Master's degree in social work
Case assessment
Individual crisis management
Licensed Clinical Social Worker
Master's degree
Utilization management
Quality improvement
Resource utilization in healthcare
Health services social work
Hospital experience

Full Job Description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 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 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 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 our 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.

At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

Career growth and development opportunities, with clear pathways and ongoing support
Comprehensive health and wellness resources that go beyond traditional benefits
A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
Tuition reimbursement to support continued learning and advancement
And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description:

The Manager of the Social Work & Case Management Services Department is responsible, under the general supervision of the Department Director, for the daily planning, development and implementation of the utilization review, case management and social work functions in accordance with Baptist health and departmental policies, legal and regulatory agencies guidelines. This includes but is not limited to staffing issues and activities related to referral and prior insurance authorizations, concurrent reviews, discharge planning issues, retrospective claims reviews, report generation and state and federal regulatory and accreditation program compliance. Assumes overall responsibility of assuring cost effective utilization of hospital resources and ancillary services, including the appropriateness of IP/OP admissions, continued stay and discharge. Provides support and problem solving interventions to department staff and is available for consultation to the health care team. The Manager will support the Director in the development of long range strategic initiatives for the Department and will support interventions dedicated to team development, cross training and the continuous development of caring and compassionate professionals.

Estimated salary range for this position is $91132.84 - $118472.69 / year depending on experience.

For seasoned case management leaders ready to make a measurable impact, West Kendall Baptist Hospital offers a leadership opportunity at the forefront of complex care coordination within an innovative, high-performing health system.

Take your career to the next level as you lead complex discharge strategy, influence hospital throughput, and shape patient outcomes across the continuum of care.

Join a mission-driven organization where case management plays a central role in operational performance—driving length of stay, reducing avoidable days, and ensuring efficient, high-quality transitions of care in a fast-paced, collaborative environment.

Why West Kendall Baptist Hospital:

Strong leadership support and career growth within one of Florida’s largest and most respected healthcare systems
Highly engaged interdisciplinary collaboration in a culture that values teamwork, professional development, and mutual respect
A true voice at the leadership table, where case management directly influences hospital performance and patient flow
Robust post-acute partnerships across South Florida, enabling smoother, faster transitions for even the most complex patients
An integrated, patient-focused operating model that supports proactive discharge planning and real-time escalation of barriers

Qualifications:

Degrees:

Masters.

Licenses & Certifications:

Licensed Clinical Social Worker.

Additional Qualifications:

Masters degree in Social Work from a program accredited by the Council on Social Work Education.
Must have five years or more of previous experience in a hospital or health care setting; knowledge of crisis intervention and treatment skills, clinical assessment skills, utilization review criteria and utilization management.
Must be familiar with performance improvement and quality initiatives.
Must demonstrate ability to communicate effectively both verbally and in written work.
Certified in Case Management or Interqual criteria.

Minimum Required Experience: 5 Years

EOE, including disability/vets

Apply Now

Refine Your Search

claims team lead jobs in miami, fl

Manager Social Work & Care Management, Case Management, FT,9A-5:30P

Medical Collector/radiology

Billing Team Lead

Claims Adjuster-Worker's Compensation

Claims Team Lead

Member Team Lead

Financial Analyst - Fraud, Waste and Abuse (FWA) (Onsite)

Compliance Manager

Senior Director, Compliance Officer

Program Manager/Training Lead

Claims Associate I

Supervisory Medical Supply Technician (Sterile Processing)

Fraud Investigator I (Hybrid)

Director of Risk, Insurance & Claims

Risk Adjustment Data Analyst

Loss Prevention Manager

Manager Social Work & Care Management, Case Management

Director of Human Resources

Lead, Core Operations (Must reside in Florida)

Assistant Manager

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