- The Cigna Group (Nashville, TN)
- …an advocate of Change Management + Minimum of Five (5) years working in IT or technology department in a technical capacity. + Minimum of three (3) years working ... Coordinator will be one of the faces of the Medicare Tech Ops (MTO) BCP/DR team and oversee the...disaster is declared. The ideal candidate will have a technical and Project Management background combination, excellent and open… 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 ... team practices, skills, and partnerships needed to achieve business and technology objectives. **Responsibilities** Technical Leadership: + Provides engineering… 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 ... important role in the development and support of key data-related deliverables within the Medicare Technology Operations team, including but not limited to,… more
- The Cigna Group (Bloomington, MN)
- …+ Ability to thrive in a fast-paced environment + Ability to exhibit technical ability and agility + Continuous improvement mindset + Ability to exhibit ... verbal communications experience + Experience using or knowledge in general technical knowledge, Midrange, Network, Application, Database, Mainframe + High School… 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 (Sunrise, FL)
- …conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + ... Develops and executes provider group improvement plans autonomously, with expert-level technical support from manager. + Knowledge of quality and affordability… 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 ... audit results. Monitors new regulatory and/or billing requirement changes from Medicare Administrative Carriers and CMS websites and published guidance. Performs… more
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running ... leader with: * Bachelor's degree in computer science, information technology , business, or a related field, and five years...more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5… more
- The MITRE Corporation (New Windsor, MD)
- …committed to providing innovative and impactful approaches at the intersection of policy, operations , and technology that address the Centers' priorities . The ... key components of MITRE's portfolio with the Centers for Medicare & Medicaid Services (CMS), including the Center for...Health Care Technology and Operations Department Manager will primarily… more
- The MITRE Corporation (New Windsor, MD)
- …committed to providing innovative and impactful approaches at the intersection of policy, operations , and technology that address the Centers' priorities . Job ... core member of the Division management team assisting in execution of division operations . Roles and responsibilities Technical Quality and Delivery Excellence +… more
- Waystar (Louisville, KY)
- …+ Additional duties as assigned. **WHAT YOU'LL NEED** + Strong understanding of Technology support operations . + Clear and concise written and verbal ... **ABOUT THIS POSITION** The Specialist, Technical Services Engineer oversees end-user hardware and software lifecycle, providing support via the call center and… more
- Marshfield Clinic (Marshfield, WI)
- …high quality lab information within the area of responsibility. The Lab Operations Manager collaborates with Administration, technical specialists, and medical ... 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)
- …high quality lab information within the area of responsibility. The Lab Operations Manager collaborates with Administration, technical specialists, and medical ... the most exciting missions in the world!** **Job Title:** Lab Operations Manager - East **Cost Center:** 301691161 WesHos-Laboratory **Scheduled Weekly Hours:**… more
- American Institutes for Research (Chapel Hill, NC)
- …and technology tools. The selected candidate will collaborate in research, technical assistance, and operations projects funded by Federal Agencies (such as ... save lives by leading rigorousresearch and evaluation; results-driven technical assistance and training; and leading-edge data science...Centers for Medicare and Medicaid Services (CMS) and the Centers for… more
- The Cigna Group (Miramar, FL)
- …progress and blockers + Provides linkage and continuity to business units, development, operations and technical support groups in the testing and implementation ... that the Team produces. This individual will work with business, compliance, technology , and solution teams to define/refine Features and User Stories, and… more
- LA Care Health Plan (Los Angeles, CA)
- …management for product line initiatives. This position is focused on applying technical healthcare contract expertise in performing in the development and management ... Monitoring of the tactics for compliance/contractual requirements. Develop the technical product requirements according to contractual obligations to ensure… more
- LA Care Health Plan (Los Angeles, CA)
- …of life and evaluate impact. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve ... and guiding projects relating to quality excellence in Centers for Medicare and Medicaid Services (CMS) Five-Star Rating System and Marketplace Exchange… more
- Humana (Oklahoma City, OK)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards ... analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/ Medicare . You will be part of a caring community at Humana. When you meet… more
- TEKsystems (Minneapolis, MN)
- …Enterprise Risk Adjustment Submissions Analyst Sr is responsible to perform technical , analytical, and operational work in support of Encounter Data Submissions ... for creating and managing data extracts and performing Encounter Data submissions for Medicare , Medicaid, and ACA Commercial programs on an agreed upon schedule. +… more
- Morehouse School Of Medicine (Atlanta, GA)
- …& Risk, Manager Position Type Non-Faculty Number of vacancies 1 Salary Department Operations and Business Affairs Position Summary The Office of Operations and ... overseeing the implementation of risk solutions that help optimize operations . + Serve as primary point of contact with...objectives. + Plan, coordinate and perform mandatory Center for Medicare & Medicaid ( CMS ) claim reporting. +… more