Pediatric Referral Operations Manager | LeadingReach Lead

Pediatrica Health Group; Miami (FL); On-site; USD 85,000 - 125,000; Full time

Job summary

Pediatrica Health Group is seeking a Referral Manager to oversee Florida referral operations, implement and optimize the LeadingReach platform, and manage pediatric prior authorizations. The role is full-time and based at the corporate office with in-person collaboration across regional offices.

Candidates should have strong leadership, communication, and healthcare operations experience, with knowledge of referral processes and managed care.

Qualifications

• Experience in referral management and healthcare operations.
• Experience with LeadingReach preferred; strong knowledge of payer guidelines.

Responsibilities

• Oversee Florida referral operations across regional offices.
• Lead implementation and optimization of LeadingReach platform.
• Manage pediatric prior authorizations and ensure payer compliance.
• Supervise Regional Referral Coordinators and provide training.
• Track referral metrics and report performance.

Skills

Leadership

Team management

Communication

Problem solving

Time management

Attention to detail

Insurance referrals

Managed care

Microsoft Office

EHR systems

Education

Bachelor’s degree in Healthcare Admin/Business

Associate degree acceptable

Tools

LeadingReach

EHR systems

Microsoft Office Suite

Job description

Pediatrica Health Group is seeking a Referral Manager to oversee Florida referral operations, implement and optimize the LeadingReach platform, and manage pediatric prior authorizations. The role is full-time and based at the corporate office with in-person collaboration across regional offices.

Candidates should have strong leadership, communication, and healthcare operations experience, with knowledge of referral processes and managed care.