- CAI (Erie, PA)
- …welcoming environment within the centers + Work closely with Medicare Center manager to ensure smooth operations and provide daily reports back to corporate ... be responsible for ensuring a welcoming and efficient environment at the Medicare Center, assisting customers, and supporting daily operations . **Job… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director ... and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and..., financing and revenue generating programs + Knowledge of Medicare Part D program, operations and industry… more
- Centene Corporation (Tallahassee, FL)
- …of the Medicare Supplemental dental, vision and hearing benefits. Program Manager will own a complex portfolio of designs, and directly responsible for ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the development, planning and… more
- Molina Healthcare (Layton, UT)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... stakeholders, functional counterparts, and Core Operations leadership and exhibiting a strong understanding of ...Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and… more
- Mount Sinai Health System (New York, NY)
- …Patient Accounting-Patient Financial Services ( Medicare /Medicaid) Corporate-Full-Time Days** The Manager is responsible for overseeing staff, operations and ... to ensure optimal result and high employee engagement. The Manager ensures that the department is run according to...- BI, Mount Sinai Beth Israel **Responsibilities** 1. Oversees operations within assigned department or division; uses data and… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and ... with engineering teams to ensure streamlined execution. + Partner with call center operations , support teams, and external partners and vendors to align on KPIs,… more
- Molina Healthcare (St. Petersburg, FL)
- …Sales, Enrollment, UM, Case Management, Claims, and other departments within Molina Medicare and Medicaid regarding A&G operations and dependencies. * ... appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations,...in a manager role. * Experience with Medicare Regulations, Medicare Duals, Appeals & Grievances,… more
- Good Samaritan (Kissimmee, FL)
- …Full time **Weekly Hours:** 40.00 **Department Details** **MUST HAVE 1year Medicare & Medicaid billing experience. **Job Summary** Manage the day-to-day business ... delivery, operational efficiency, the meeting of financial goals and that operations run smoothly. Supervise the implementation of policies and procedures within… more
- Elevance Health (Louisville, KY)
- ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... unless an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Consultant** is responsible for employing advanced… more
- Molina Healthcare (ID)
- …of investigations. **Knowledge/Skills/Abilities** * Assists with implementation and day-to-day operations of the Compliance Program, Compliance Plan, Code of ... experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If… more
- Elevance Health (Woodbridge, NJ)
- ** Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... employment, unless an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for employing advanced… more
- Elevance Health (Costa Mesa, CA)
- **Medical Director- Medicare and Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... The **Medical Director** will be responsible for utilization review case management for Medicare and Medicaid in the California market while also assisting in the… more
- Amazon (San Francisco, CA)
- …patients during in-person visits, managing telehealth connections, organizing program operations and leadership within our Medicare Population Health ... and program initiatives in partnership with our care teams. Reporting to the Manager of Network Development, you may rotate across clinics and contribute to core… more
- CVS Health (Scottsdale, AZ)
- …**Position Summary** The Senior Coordinator is a member of the Pharmacy Benefit Manager (PBM) Finance Operations Department. The Senior Coordinator will play a ... pivotal role in overseeing and executing vital financial operations in support of the Medicare Prescription...vital financial operations in support of the Medicare Prescription Payment Program (M3P). This position encompasses a… more
- Amazon (CO)
- …patients during in-person visits, managing telehealth connections, organizing program operations and leadership within our Medicare Population Health ... and program initiatives in partnership with our care teams. Reporting to the Manager of Network Development, you may rotate across clinics and contribute to core… more
- Molina Healthcare (Boise, ID)
- …The Operational/Regulatory Oversight Analyst works with health plans and operations departments to assess, oversee, and recommend business practices to ... Analyst develops and performs audits and oversight functions involving business-critical operations and vendor outsourcing arrangements for the company. The Analyst… more
- Molina Healthcare (Iowa City, IA)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... Degree **Preferred Experience** + 4 years' experience in healthcare and/or health plan operations + Project management To all current Molina employees: If you are… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to internal partners including but not limited to Member Service, Medicare Operations , Compliance, Legal, Medical Directors, Sales/Marketing/Product and external ... to help us transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply ... MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL...quality and safety standards consistent with the Centers for Medicare and Medicaid Services requirements. Assisting in the management… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER III, FACILITIES OPERATIONS AND CRAFTS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4855820) Apply MANAGER III, FACILITIES ... programs. Essential Job Functions Plans, assigns, coordinates, and manages, through subordinate Manager , Facilities Operations and Crafts staff, a variety of… more