- Kaiser Permanente (Oakland, CA)
- Overview: The Prospective Risk Adjustment Operations team is seeking a Program Manager to lead the planning, execution, and oversight of strategic initiatives ... that support prospective Medicare risk adjustment efforts. This pivotal role will be...deliverables, and ensuring alignment with organizational goals. The Program Manager will play a key role in developing and… more
- SCAN (Long Beach, CA)
- … Advantage health plan environment. 5+ years of experience in health plan operations , with expertise in Medicare Advantage readiness. Leadership: Lead and ... member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada,… more
- Pair Team (Merced, CA)
- …Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, ... health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.… more
- AdventHealth (Altamonte Springs, FL)
- …and world-class resource The role you'll contribute : The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- Essen Medical Associates (Bronx, NY)
- … Medicare , Medicaid, and HIPAA compliance. Preferred Certifications: Case Manager Certification (CCM). Certification in Population Health Management or Behavioral ... develop and commercialize our technology innovations. Job Summary Position Title: General Manager - Care Management Programs, Essen House Calls Job Summary The… more
- The University of Kansas Health System (Lenexa, KS)
- Position Title Transplant Financial Manager Southlake Campus Position Summary / Career Interest: The Patient Financial Advisor Manager is responsible for the ... educated and trained in securing patient accounts. The Patient Financial Advising Manager assures staff productivity, quality and customer service are monitored and… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... right processes and maintain IT application that supports daily operations of the integrated care delivery team in alignment...equivalent work experience required. 6+ years Sr Tech product manager , Product Owner or Tech Product Manager … more
- Southern Glazer's Beverage Company (Norton, MA)
- Sales Manager , Coastal Division Company Overview: Southern Glazer's Beverage Company of Massachusetts and Rhode Island is part of Southern Glazer's Wine & Spirits, ... of beverage alcohol, proudly a multi-generational, family-owned company with operations in 47 states plus the District of Columbia,...path you've been looking for. Position Summary: The Sales Manager of our Coastal Division oversees a division of… more
- AdventHealth (Hinsdale, IL)
- …Street, Hinsdale, IL The role you'll contribute: The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... nurses, and other members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager nurses, nurses, physicians… more
- OneLegacy (Mission Hills, CA)
- …other locations within our service area. Summary of Functions: The Program Manager , Hospital Partnerships (PMHP) is a primarily field-based position designed to ... the success of the donation process and the efficiency of OneLegacy operations . Relationships: Implement and manage customized hospital organ, eye and tissue… more
- Bluestone Physician Services (Minneapolis, MN)
- …communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate ... the country as measured by the overall savings per Medicare beneficiary. Position Overview : As a GUIDE Model...Position Overview : As a GUIDE Model Dementia Case Manager , you will assist in delivering the 9… more
- MedStar Health (Washington, DC)
- …and in collaboration with Section Chairs and Nursing leadership, the Practice Manager manages and coordinates the daily operational activities of one or more ... Oversees all administrative staff responsible for ensuring successful clinical operations . Responsible for fiscal and budget management, including billing processes… more
- Athari (New York, NY)
- …the Senior Director of Integrated Care Management (ICM), the Director of ICM ( Medicare ) provides clinical and administrative oversight for the Medicare Advantage ... and Integrated Benefits for Dually Eligible ("IB-Dual") populations, also known as the Medicare dual eligible special needs plan (D-SNP) line of business. This role… more
- Valley Presbyterian (Los Angeles, CA)
- Job Summary: As a Registered Nurse/Case Manager , Case Management Unit, you will play a pivotal in a variety of tasks that lead to a high level of customer ... and provider contracts governing coverage of inpatient services, ie, Medicare , Medi-Cal, California Children Services, Genetically and Handicapped People Program.… more
- NYC Health Hospitals (New York, NY)
- …Reporting to the Director of Patient Accounts, the Patient Accounts Manager works independently and collaboratively to oversee resident billing, insurance claims, ... long-term care and nursing home settings. The role requires expertise in Medicare and Medicaid billing, private insurance processing, and financial counseling for… more
- Pear Suites (Los Angeles, CA)
- …organizations close care gaps and improve outcomes. Title: Strategic Accounts Manager Type: Full-time Base Salary: 115-130K + Performance Bonus Location: Remote ... We're looking for an experienced, entrepreneurial, and mission-aligned Strategic Accounts Manager to lead our go-to-market efforts with health plans. This individual… more
- BLACKBURN'S PHYSICIANS PHARMACY (Tarentum, PA)
- …key partner for both healthcare providers and the communities we serve. The Claims Manager leads the daily operations of the claims department, ensuring timely, ... and denial management across all payers. Manage daily Claims operations , ensuring productivity, efficiency, and compliance with industry regulations. Serve… more
- Western Municipal Water District (March Air Reserve Base, CA)
- …with budgetary analysis. The accountant will report to the Budget and Rates Manager . Incumbents work under close supervision while being trained and gradually work ... and occupied, or leased and occupied, by the District, including, Headquarters, the Operations Center, and any remote facilities owned, leased and/or operated by the… more
- Alternate Solutions Health Network (Detroit, MI)
- …Charter Township, Detroit HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference in the lives of our patients. Our ... Policies: Complete all clinical documentation following agency protocol and Medicare /Federal guidelines. Collaborate with the interdisciplinary team and physicians… more
- Human Touch Home Health (Silver Spring, MD)
- …real impact in your community. Key Responsibilities: Lead and manage all clinical operations for the Silver Spring location Supervise and mentor nursing and support ... in a leadership or supervisory role Deep understanding of Medicare /Medicaid regulations and home health clinical standards Strong leadership, communication,… more
