- Daiichi Sankyo, Inc. (Bernards, NJ)
- …disorders. Summary:The Associate Director, Oncology Value & Market Dynamics Training Manager is responsible for developing & deploying a strategic training plan ... The individual will be required to have in-depth knowledge of payer policy, Medicare , Medicaid and the Oncology Care Model. This individual is ad subject knowledge… more
- CVS Health (St. Louis Park, MN)
- …more than $387M in annual revenue. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for Individual Medicare ... more valuable health insurance solution for Minnesotans. Our Allina Health/Aetna Medicare health plan currently serves approximately 27,000 Medicare … more
- Molina Healthcare (Cleveland, OH)
- …benefits, operations , communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support ... for all Medicare lines of business the annual Medicare ...responsible for the planning, support, and oversight of all operations of the business unit. Sees all annually recurring… more
- Aston Carter (Honolulu, HI)
- Description The Senior Enrollment Manager is responsible for the operations of the companies Enrollment Department which includes enrollment/disenrollment ... of enrollment information and demographic changes (including coordination of benefit, Medicare Secondary Payer and Medicare Late Enrollment Penalty information),… more
- CVS Health (Harrisburg, PA)
- …home opportunity available for highly motivated individual to lead a core team as a Field Medicare Manager . The position will be a part of a specialized team who ... will focus on educating existing Medicare members on available plan offerings to help meet...Advantage & DSNP products within the assigned market. The manager will support their team with a proven ability… more
- Centene Corporation (Cheyenne, WY)
- …compliance. + Serve as the primary liaison between Provider Engagement, Internal Medicare Operations /Value Based team, and Shared Services, ensuring alignment ... including a fresh perspective on workplace flexibility. **Position Purpose: This Program Manager II will support AZ Complete Health** as they will plan, organize,… more
- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, ... Develop, plan, lead, monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits utilizing cross functional teams to deliver defined… 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
- Centene Corporation (Austin, TX)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the planning and delivery ... to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level… 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
- CareOregon (Portland, OR)
- …Primary Care/ Medicare Exemption Status Exempt Department Technical Assistance Manager Title Network Innovation Supervisor Direct Reports n/a Requisition # 24968 ... home or Medicare + Thorough and applied knowledge of clinic operations and charting systems + Applied knowledge and experience with quality improvement tools… more
- Centene Corporation (Jefferson City, MO)
- …standards including design documents, test plans, training materials, and operations documentation. + Create and communicate project milestone documents, dashboards, ... ROI tables, and departmental success metrics. **Education/Experience:** + Bachelor's degree in related area or equivalent experience. + 3+ years of project management experience. + Experience working with and leading diverse groups and matrix managed… more
- Elevance Health (Walnut Creek, 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
- Kelsey-Seybold Clinic (Pearland, TX)
- …and completing projects related to Member Experience initiatives and plan vendor operations . Uses project management skills to support new vendor implementations and ... deficiencies and member grievances related to the vendor experience. Assists the Manager , Member Experience with workflows, job aids, and data collection. Supports… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Clinical Operations Manager Department Clinical Operations Exemption Status Exempt ... Requisition # 24994 Direct Reports Team Supervisors and Support Staff Manager Title Director, Clinical Operations Pay & Benefits Estimated hiring range $ 135,420… 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
- Tufts Medicine (Burlington, MA)
- …and oversight to Utilization Review departments and UM vendor management. The UM Operations Manager is responsible for compliance with CMS Conditions of ... the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization Program that integrates… more
- Abbott (Alameda, CA)
- …patients and professionals measure, track and analyze glucose levels. As a Senior Manager Contracts Operations , you will be responsible for managing contract ... operations across multiple customer channels, including Managed Care, Medicare , Medicaid, DME, and Government. The position will work cross-functionally with… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Manager , Payment Operations is responsible for ensuring high quality processing related to credit card payment transactions and ... enforcing policies in adherence to Payment Facilitator requirements. The Manager , Payment Operations is the first point...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
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