- Rotech Healthcare Inc. (Denton, TX)
- …and Responsibilities SummaryWe are seeking a dedicated Customer Service Representative Market Operations to join the Rotech team. This position is responsible for ... it relates to patient services and third party reimbursement. The CSR Market Operations is also responsible for directing and managing new patient set ups, existing… more
- Cosumnes Community Services District (Pine Bluff, CA)
- …program, including tracking existing assets, the addition of new assets, performance tracking for operations and maintenance (O&M) activities, implementation ... Cosumnes Community Services District Physical Asset Manager SALARY $6,611.00 - $9,466.00 Monthly $79,332.00 - $113,592.00 Annually LOCATION CA 95624, CA JOB TYPE… more
- Weisman Children's Rehabilitation Hospital (Marlton, NJ)
- …with recruitment and interviewing as requested.* In collaboration with RMD, complete performance reviews as required.* Participate as backup on call.* Assist in ... license in the state of desired employment* Experience leading clinical practice operations * Demonstrate a high level of skill with interpersonal relationships and… more
- Centene Corporation (IN)
- …perspective on workplace flexibility. **Position Purpose:** Oversee and monitor shared services Medicare performance (dashboard, KPIs, action plans to meet goal, ... or more areas of Claims Configuration, Claims Processing, Product Development, Medicare Operations , Clinical, Pharmacy, Call Center, Provider Data, Utilization… more
- Centene Corporation (Tallahassee, FL)
- …Bachelor's degree or equivalent experience. 4+ years' experience years in Medicare Operations , and/or experience in a functional role such ... functional areas by focusing on timely deliverables, validation, and adherence of key performance metrics. + Manage multiple full Medicare Readiness project life… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare ... **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides oversight… more
- The Cigna Group (Houston, TX)
- **Job Summary:** The Medicare Coding Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance ... operations for the Cigna Medicare segment. This...Medicare 's QA of coding projects. + Monitors key performance indicators and works collaboratively with leadership to report… more
- The Cigna Group (Baltimore, MD)
- …physician leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on ... The Provider Performance External Representative is a key member of...group improvement plans autonomously, with expert-level technical support from manager . + Knowledge of quality and affordability metrics and… more
- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… more
- The Cigna Group (Tampa, FL)
- …and translating changes into implementation plans (DFSS and DMAIC preferred) + Medicare Operations experience preferred. + Bachelors Degree strongly preferred, ... A member of the Cigna Medicare Business Operational Excellence Process Engineering team. This...business design + Facilitate forecasting the future state business performance with the business design and contrast it to… more
- Martin's Point Health Care (Portland, ME)
- …with PBM on-line data entry, pharmacy locator and reporting systems + Knowledge of Medicare Part D regulations, health plan operations , PBM operations , and ... as a "Great Place to Work" since 2015. Position Summary Job Description Medicare Part D Specialist is responsible for coordinating and performing Medicare … more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …leadership, direction, and coordination for CMS' national policy on the Medicare fee-for-service program, policies, and operations . Responsibilities Shares ... direction for CMS's relationship with healthcare providers, beneficiaries, and Medicare Administrative Contractors about fee-for-service policies and operations .… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in ... assessing product performance , forecast sales and membership in line with growth...and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization… more
- State of Indiana (Indianapolis, IN)
- …is fully engaged with this mission. Role Overview: In this role, Medicaid/ Medicare Coordination Manager , you will establish priorities, targets, and deadlines ... commensurate with education or work experience. Short Description The Medicare and Medicaid Coordination Manager serves as...strategies, KPIs, and actions to achieve them. + Analyze operations to evaluate performance of the specific… more
- Guidehouse (Lewisville, TX)
- …Lead - Medicare Specialist** will assist in overseeing the daily operations of assigned project(s). This position is responsible for providing support in ... days from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** + **Strong Medicare emphasis** +… more
- EssilorLuxottica (Mason, OH)
- …in accordance with Tribal Law. **Nearest Major Market:** Cincinnati **Job Segment:** Operations Manager , Medicaid, Medicare , Manager , Operations ... Manager - Operations (Business Configuration Quality)...in audit tools and processes to improve production team performance . + Oversee and monitor established Performance … more
- Aveanna (Worcester, MA)
- Operations Manager ApplyRefer a FriendBack Job Details Requisition #: 196299 Location: Worcester, MA 01604 Category: Business Operations Position Details The ... all operations of an Aveanna branch. Additionally, Operations Manager is responsible for initiating and...functions. + Thorough review of activity reports and other performance data to measure compliance and goal achievement. +… more
- The Cigna Group (Westerville, OH)
- …Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region serving as a liaison between Markets and ... Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program Solutions & Performance...role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall… more
- Kepro (Springfield, IL)
- …a vital partner for health solutions in the public sector. Acentra is looking for an Operations Manager to join our growing team. *This is a hybrid role that ... up to 50% of the time Job Summary: The Operations Manager is responsible for managing the...the development of a significant knowledge base in the operations teams. . Conducts performance evaluations and… more
- St. Luke's University Health Network (Bethlehem, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Senior Manager , Practice Operations leads and manages the operations of assigned ... patient experience consistent with SLPG standards, and a highly engaged practice operations team. JOB DUTIES AND RESPONSIBILITIES: + Performs all leadership and… more
