- Point32Health (Canton, MA)
- …information and meet applicable regulatory requirements and timelines. The Senior Manager works closely with claims, membership operations , clinical services, ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main… more
- Lowe's (Charlotte, NC)
- …a Fortune 100 company with a high volume of claims per year for its US operations . The Care Manager will be responsible for medically managing a minimum caseload ... **Your Impact** The Care Manager is a telephonic medical case management position...of 65 including review of claims identified for Medicare Set-Aside. **What you will do** + Manage an… more
- Medical Mutual of Ohio (OH)
- …I** Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and ... II** Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and… more
- CVS Health (Carson City, NV)
- …**Qualified Candidates will sit in the Las Vegas Nevada area** Aetna is looking for a Medicare Sales Broker Manager to join the Nevada sales team that drives and ... Experience with Medicare Advantage, SSI or Medicaid product sales or operations . - Microsoft experience, specifically Excel and PowerPoint - Health & Life… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Insurance Product Manager manages the end-to-end process of product design for a portfolio of clients ... filings, new product implementation, and product change management. The Insurance Product Manager manages the end-to-end process of product design for a portfolio of… more
- CareOregon (Portland, OR)
- … Medicare Administration Exemption Status Exempt Requisition # 24745 Direct Reports Medicare Leadership Team Manager Title Chief Financial Officer Pay & ... the development and deployment of reporting and analytics utilized to oversee Medicare 's operations and support strategic efforts. + Ensures internal systems,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...deemed necessary by management , to ensure efficient department operations + Report potential or identified problems with systems… more
- CVS Health (Columbus, OH)
- …Employee Program (FEP) is one of the largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr. Manager provides technical, analytical and ... new programs, benefits, processes, and technology are deployed, the Medicare Business Analytics - FEP - Sr. Manager...The role is engaged across all functions of FEP operations , with particular emphasis on solving complex problems, leading… more
- US Tech Solutions (Canton, MA)
- **JOB SUMMARY:** The Lead Corporate Project Manager is responsible, on behalf of the Executive Sponsor or Business Sponsor, for the successful delivery of new ... Corporate Program Management Office (CPMO). The Lead Corporate Program Manager supports and advocates project management principles and methodologies within… more
- Elevance Health (Columbus, OH)
- ** Medicare Medical Director** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one of our ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director** is responsible for the administration of physical and/or behavioral… more
- Banner Health (AZ)
- …Arizona, Arizona **Department Name:** Sales **Work Shift:** Day **Job Category:** General Operations Your pay and benefits are important components of your journey ... optimal health, while reducing costs. POSITION SUMMARY This position directs the operations of Banner Plans and Networks government owned health plans including… more
- Molina Healthcare (Columbus, OH)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... + 4 years' experience in healthcare and/or health plan operations . + 2 years of healthcare related process improvement...+ Project management. + Process design & engineering. + Medicare . + Proven track record with results. + Process… more
- Guidehouse (Lewisville, TX)
- …from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Account Review ... + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing.../ GED. + 0-2+ year's experience in office, business, operations , customer service or healthcare field. **What Would Be… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Planning and Operations Manager - Behavioral Health Exemption Status Exempt Management Level ... the listed 9 states. Job Summary The Planning and Operations Manager - Behavioral Health is responsible...a minimum of: o 2 years' experience in a Medicare and/or Medicaid health plan setting o 2 years'… more
- AdventHealth (Orlando, FL)
- **Clinical Research Operations Manager - Surgery & Orthopedics Research** **- AdventHealth Orlando** **All the benefits and perks you need for you and your ... and 125,000 outpatients each year **The role you'll contribute:** The Clinical Research Operations Manager , Surgery and Orthopedics Research (Ops Manager )… more
- City of Henderson (Henderson, KY)
- Fleet Operations and Maintenance Manager Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/4779376) Apply Fleet Operations and ... fill one (1) vacancy for the classification of Fleet Operations and Maintenance Manager in the Department...the Household, and Access to Work/Life Wellness Resources + Medicare - Employee and City each pay 1.45% RETIREMENT… more
- LA Care Health Plan (Los Angeles, CA)
- Regulatory Operations Project Manager II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Regulatory Operations Project Manager II manages a portfolio of complex regulatory change… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Lab Operations Manager - Transfusion and Special Chemistry **Cost Center:** 201641051 ... am - 5:00 pm (United States of America) **Job Description:** The Lab Operations Manager is responsible for managing laboratory services within Marshfield Clinic… more
- Marshfield Clinic (Weston, WI)
- …support the most exciting missions in the world!** **Job Title:** Lab Operations Manager - East **Cost Center:** 301691161 WesHos-Laboratory **Scheduled Weekly ... Shift:** 40 Normal (United States of America) **Job Description:** The Lab Operations Manager is responsible for managing laboratory services within Marshfield… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager Patient Services Hub Operations Date: Dec 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... to make a difference with. **The opportunity** The Senior Manager , Patient Services Hub Operations seeks to...among Insurers, PBMs, and Specialty Pharmacies including Medicaid and Medicare . + Ability to work with senior leadership to… more
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