- The Cigna Group (Bloomington, MN)
- …and Problem Management practices and operational implementation of said practices. As a Service Management Advisor in this role, you will be expected to balance ... all problem resolution groups to ensure swift resolution of problems within service level targets + Arrange, run, document, and coordinate all follow-up activities… more
- The Cigna Group (Bloomfield, CT)
- The Medicare Technology Operations organization is looking for experienced, innovative and motivated leaders with strong technology engineering and cloud ... cost accountability across applications and project teams. + Build partnerships with Medicare programs and operations , and collaborate to prioritize, design, and… more
- The Cigna Group (Nashville, TN)
- **Job Description** Medicare Technology Operations - Data Measurement and Reporting Lead Analyst **Overview** Guides the team to deliver tasks in the Data ... development and support of key data-related deliverables within the Medicare Technology Operations team, including...that interfaces with various systems, like ServiceNow, and IT service operations insights and reporting, mostly driven… more
- The Cigna Group (Nashville, TN)
- The Disaster Recovery Coordinator will be one of the faces of the Medicare Tech Ops (MTO) BCP/DR team and oversee the MTO datacenter recovery effort using a BCP ... Minimum of Five (5) years working in IT or technology department in a technical capacity. + Minimum of...obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps… more
- R1 RCM (Salt Lake City, UT)
- R1 RCM Inc. is a leading provider of technology -enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and ... operating costs and enhancing the patient experience. As a Medicare Advantage Associate on our Revenue Recovery team, you...role, you must have a healthcare background, enjoy customer service , be comfortable being on the phone 75% of… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Facilitates and supports ... to work hybrid; Greater Cleveland, Ohio residents preferred._** **Responsibilities** ** Medicare Advantage Customer Experience Strategist** + **Facilitates projects to… more
- The Cigna Group (Nashville, TN)
- …the difference in our success. First things first. We're a global health service company dedicated to helping people improve their health, well-being and sense of ... about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- The Cigna Group (Sunrise, FL)
- …conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + ... members contribute to the growth and profitability of the Medicare Advantage business in their market in the following...Cigna', and may lead initiatives within his/her that improve service delivery within the business or assist in other… more
- Vanderbilt University Medical Center (Nashville, TN)
- …of Compliance; + Identification of best practices and control procedures over operations and/or patient care to promote regulatory compliance; + Assistance in ... specific to revenue cycle processes as needed. Interfaces and maintains appropriate service with customers including Office of Compliance, Health IT, Revenue Cycle,… more
- The Cigna Group (Atlanta, GA)
- …collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations , Stars & Risk Adjustment, Finance , Cross-Segment Contracting, ... Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager or Director, this individual ensures the effective performance… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by ... and/or providers regarding a variety of issues. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support… more
- CVS Health (Woonsocket, RI)
- …70K providers in 41 states. We currently service commercial and various Medicare programs.** **The VP of Accountable Care Operations will be responsible for ... make health care more personal, convenient and affordable. **VP, Operations - Accountable Care** **In 2021, CVS Health launched...directly with CMS on full risk model for the Medicare Fee For Service Population. CVS Accountable… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Consumer Service Operations Representative 2 is responsible for the daily activities across ... multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more
- CVS Health (Pittsburgh, PA)
- …The Clinical Operations Advisor designs the clinical setups using Caremark technology solutions and supports the coding teams in the loading of clinical data ... health care more personal, convenient and affordable. **Position Summary** The Clinical Operations Advisor is a client facing role that collaborates with Health Plan… more
- Humana (Columbus, OH)
- …skills to make an impact** **Required Qualifications** + Solid understanding of operations , technology , communications, and processes + Solid understanding of ... community and help us put health first** The Lead, Technology Solutions devises an effective strategy for executing and...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more
- Healthfirst (FL)
- …that impact Contact Center Operations , Enrollment and Billing and Claims operations for Medicaid, Medicare , and Commercial lines of business (ie contract ... **Duties/Responsibilities:** + Design and execute the operations internal audit strategy to assess financial, operational, and compliance risks + Lead a team… more
- Marshfield Clinic (Marshfield, WI)
- …Commission on Accreditation of Allied Health Education Programs (CAAHEP). Transfusion Service , Clinical Services, and Supportive Services: Medical Technology ... support the most exciting missions in the world!** **Job Title:** Lab Operations Manager - Transfusion and Special Chemistry **Cost Center:** 201641051 Lab-Clinical… more
- Marshfield Clinic (Weston, WI)
- …on Accreditation of Allied Health Education Programs (CAAHEP). + Transfusion Service , Clinical Services, and Supportive Services: Medical Technology (MT), ... the most exciting missions in the world!** **Job Title:** Lab Operations Manager - East **Cost Center:** 301691161 WesHos-Laboratory **Scheduled Weekly Hours:**… more
- The MITRE Corporation (Mclean, VA)
- …to the long-term well-being of our employees. MITRE is different from most technology companies. We are a not-for-profit corporation chartered to work for the public ... MITRE-and make a difference with us. The Health Strategy, Operations and Systems Department (L222) is seeking motivated and...one of many Federal agencies including the Centers for Medicare & Medicaid Services (CMS), the National Institutes of… more
- Humana (Frankfort, KY)
- …through data integrity management and gathering of provider claims data needed for service operations . The Network Operations Coordinator 3 manages provider ... community and help us put health first** The Network Operations Coordinator 3 maintains provider relations to support customer...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more