- Elevance Health (Tampa, FL)
- ** Business Change Manager ** **Location:** Grand Prairie, TX; Indianapolis, IN; Mason, OH; Tampa, FL; Norfolk, VA (preferred). This role requires associates ... and adaptable workplace. Alternate locations may be considered. The ** Business Change Manager ** is responsible...and resources + Leading various projects that support the Medicare Risk & Recovery Revenue Management - Data Ops… more
- Molina Healthcare (Columbus, OH)
- …data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support for all Medicare lines of business the ... and MMP Welcome Kits, National Coverage Determinations, Mid-year change notices, and legal documents (ie Notice of Privacy...of Availability, etc.), in various formats and languages. Supports Medicare and MMP lines of business for… more
- Molina Healthcare (NM)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and ... education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of… more
- TEKsystems (Honolulu, HI)
- Medicare Claims Manager Must live on Oahu, Honolulu | Hybrid, 1-2 days onsite Monday to Friday | 6 months contract to hire, FTE Description The Claims Manager ... vendor relationships and ensure seamless operations across all lines of business , including Medicare , Medicaid, and commercial insurance. Key Responsibilities:… more
- RVO Health (Charlotte, NC)
- **AT A GLANCE** RVO Health is looking for an Associate Director, Medicare Product Manager to improve how seniors find and select their Medicare plans. 88% of ... seniors report that they find enrolling in a Medicare plan to be confusing and overwhelming. Our mission...of RVO Health is Healthline Media and Distribution, a business that attracts nearly 90MM unique visitors per month… more
- CVS Health (Columbus, OH)
- …manner. Group Retiree Solutions (GRS) is a core component of the Aetna Medicare Organization. Our vision is to develop an industry-leading group retiree health care ... business by delivering unrivaled value to our plan sponsors...to deliver unparalleled results. We are seeking a Senior Manager , Project Management to join our Strategy, Product and… more
- CVS Health (Hartford, CT)
- …+ Adept at execution and delivery (planning, delivering, and supporting) skills + Knowledge of Medicare lines of business + Ability to work in a hybrid work ... every day. **Position Summary** At Aetna, our health benefits business , we are committed to helping our members achieve...ways every day. Aetna is currently seeking a **Senior Manager for the Test Center of Excellence** team. This… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …TPL (Third Party Liability) claims and conditional billing + Current knowledge of Medicare Transmittal, Change Requests and the ability to understand and ... The Medicare Billing and Follow-up Representative are responsible for...with systems , payers , and processes to the manager in a timely manner . Education and Experience… more
- CareOregon (Portland, OR)
- …Primary Care/ Medicare Exemption Status Exempt Department Technical Assistance Manager Title Network Innovation Supervisor Direct Reports n/a Requisition # 24968 ... to primary care medical home improvement and practice transformation or to the Medicare Advantage performance measures such as Stars, CAHPS, HCC coding and Risk… more
- Molina Healthcare (Columbus, OH)
- …and support change requests for existing reports with line-of-sight into business processes * Creates reports using Microsoft SQL Reporting Services and PowerBI. ... and plans for closing gaps. * Performs other duties as assigned by the Analytics Manager . * Completes training courses set forth by Analytics team manager . * May… more
- Abbott (Austin, TX)
- …**Austin, TX (or Alpharetta, GA)** is looking for a **Contract Strategy & Business Engagement Manager ** **.** This person will spearhead the development, ... long-term business growth. + Ensure strict compliance with Medicaid, Medicare , and other relevant regulatory programs, and provide guidance on legislative… more
- Signature Healthcare (Terre Haute, IN)
- …and ability to maintain confidentiality. MUST have experience in prior business office in healthcare, knowledge of Medicare /Medicaid/ Cash collections. ... real quality of life initiatives. The vision, to radically change the landscape of healthcare, forever. Through education and...4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded… more
- Skyline Nursing Center (Dallas, TX)
- …+ Dental + Vision + PTO + 401K Objective Direct the overall Business Office activities in accordance with current applicable federal, state, and local standards, ... and as directed by the Administrator, to assure that Business Office tasks are done correctly and on schedule,...ensures that the Centralized Statement process is followed. Manages Medicare ADRs and appeals per established procedure. Ensures that… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Manager of Business Transformation will drive strategic, cross-functional transformative initiatives that are key to achieving our ... strategy with hands-on execution, offering a unique opportunity to make a meaningful business impact. The Manager of Business Transformation will work… more
- Signature Healthcare (Prestonsburg, KY)
- …Healthcare's "Best Places to Work!" Overview Together We Can Do More! While assisting the Business Office Manager in the overall functioning of the Business ... to long-term skilled nursing services. The vision, to radically change the landscape of healthcare, forever. Through education and...duties in the Business Office. + Assist Business Office Manager is day-to-day operation of… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …our business partners, the State Medicaid Office and/or the Centers for Medicare and Medicaid Services (CMS). The Compliance Manager will work closely with ... + Experience with D-SNP SMAC, regulatory requirements and/or operations required + Medicare managed health experience required + Business analytical skills:… more
- MetroLink (Los Angeles, CA)
- Manager II - Project Controls Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4934751) Apply Manager II - Project Controls Salary $99,799.00 ... Pacific + Description + Benefits + Questions SUMMARY PURPOSE OF POSITION The Manager will oversee certain functions associated with the department and will maintain… more
- Medical Mutual of Ohio (OH)
- …We are looking for applicants that have a strong clinical case management background. Medicare experience is a plus. Founded in 1934, Medical Mutual is the oldest ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision,… more
- CVS Health (New York, NY)
- …Enterprise Strategy team, you will be helping shape the strategy for our Aetna business , specifically the Medicare and Medicaid businesses. This position has a ... industry is evolving and the opportunities to drive real change and improve the health of millions are endless....company. In Strategy, you will work hand-in-hand with senior business leaders to identify and analyze exciting new opportunities… more