Manager of Medical Administration

Publix Super Markets; Lakeland (FL); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Employee stock ownership plan

401(k) retirement savings

Group health, dental and vision plans

Paid Time Off

Paid Parental Leave

Job summary

Publix Super Markets is seeking a Manager, Medical Administration in Lakeland, FL to lead Workers’ Compensation Medical Case Management and Medical Bill Processing. You will influence medical outcomes, regulatory compliance, and associate experience across states.

The role offers strategic impact and opportunities to improve cost efficiency. You will oversee in-house case management, vocational rehab, and healthcare vendor relationships while mentoring teams to achieve operational excellence and

Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, Business Administration, or related field.
• Five years of workers' compensation medical management or related healthcare experience.
• RN licensure or relevant credential, as applicable.
• Experience leading teams or programs.
• Knowledge of medical billing, CPT/ICD-10 coding, and utilization management.

Responsibilities

• Lead workers’ compensation medical case management and return-to-work strategies.
• Oversee medical bill review and payment processing across multi-state operations.
• Develop initiatives to improve medical outcomes while controlling costs.
• Manage vendor relationships and performance optimization.
• Ensure regulatory compliance and medico-legal alignment.

Skills

People leadership

Data analytics

Healthcare operations

Regulatory compliance

Education

Bachelor's degree in Nursing, Healthcare Admin, or related field

Master's degree (preferred)

Tools

Microsoft Word

Excel

PowerPoint

Job description

Description

* This position is located in Lakeland, FL and is an on-site position; remote work opportunities are not available for this role.*

Why Publix?

Are you a healthcare or workers’ compensation leader who thrives on improving outcomes, managing complex healthcare operations, and influencing meaningful business decisions? At Publix, you'll have the opportunity to shape the medical strategy that supports associates across one of the largest and most respected employee-owned companies in the country. Serving customers throughout the Southeast, Publix is known for exceptional service, strong community involvement, and a culture that prioritizes people. As an employee-owner, you'll contribute to an organization that combines stability, growth, and a genuine commitment to associate well-being.

About The Team

The Workers’ Compensation team plays a vital role in supporting Publix associates when workplace injuries occur. This team is responsible for ensuring injured associates receive timely, high-quality medical care while balancing cost effectiveness, regulatory compliance, and positive return-to-work outcomes. Working closely with healthcare providers, vendors, business partners, and risk management professionals, the team helps create a supportive experience that promotes recovery and minimizes disruption for associates and operations alike.

About The Opportunity

As Manager, Medical Administration, you will lead Publix's Workers’ Compensation Medical Case Management and Medical Bill Processing functions, overseeing approximately $30 million in annual medical spend. This highly visible leadership role offers the opportunity to influence medical outcomes, cost management strategies, regulatory compliance, and associate experience across multiple states. You'll serve as a key subject matter expert, partnering with leaders throughout the organization to drive innovative healthcare solutions, improve operational effectiveness, and support healthier outcomes for Publix associates.

What You'll Do

• Lead the medical case management strategy for workers’ compensation claims, driving quality care and successful return-to-work outcomes.
• Manage the in-house case management and vocational rehabilitation functions.
• Direct medical bill review and payment operations across all states where Publix operates.
• Develop and execute initiatives that improve medical outcomes while controlling healthcare costs.
• Serve as the department's lead resource on workers’ compensation medical regulations, legislative developments, and medico-legal matters.
• Oversee healthcare vendor relationships, performance management, and service optimization efforts.
• Monitor medical utilization, provider performance, and claim trends using data-driven insights.
• Lead the Needle Stick Safety Program, ensuring effective clinical follow-up and a positive associate experience.
• Build, develop, and mentor teams while fostering operational excellence and continuous improvement.

Required Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, Business Administration, or a related healthcare, business, or analytical field, or an equivalent combination of education and experience.
• Five years of experience in workers' compensation medical management, nurse case management, or a related healthcare function.
• Current RN licensure or other relevant healthcare administration or workers' compensation credential, as applicable.
• Experience leading people, programs, or operational teams.
• Experience supporting medical care delivery, utilization management, return-to-work programs, or medical case management.
• Knowledge of workers' compensation regulations, medical billing practices, fee schedules, and industry standards.
• Knowledge of CPT and ICD-10 coding and medical bill review processes.
• Experience using data and analytics to evaluate performance, utilization, and outcomes.
• Intermediate proficiency with Microsoft Word, Excel, and PowerPoint.

Preferred Qualifications

• Master's degree in Nursing, Healthcare Administration, Business Administration, or a related field.
• Certified Case Manager (CCM), Occupational Health Certification, or multi-state RN licensure.
• Experience managing multi-state workers' compensation programs, including regulatory compliance and fee schedules.
• Experience overseeing clinical operations, medical bill review, and large-scale medical spend.
• Experience leading multidisciplinary teams, including supervisors and indirect reports.
• Experience managing external healthcare vendors, contract negotiations, and performance optimization.
• Experience using analytics to evaluate provider performance, utilization trends, and medical outcomes.
• Advanced Microsoft Excel skills and experience with business intelligence or analytics tools.

Benefits Information

• Employee stock ownership plan that contributes Publix stock to associates each year at no cost
• An opportunity to purchase additional shares of our privately-held stock
• 401(k) retirement savings plan
• Group health, dental and vision plans plan
Paid Time Off
• Paid Parental Leave
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