- Atrium Health (Charlotte, NC)
- Atrium Health is seeking a Registered Nurse (RN) Manager , Clinic for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty: ... on priorities for Enterprise Population Health within the Southeast region. The Manager of Clinical Documentation Integrity is responsible for the clinical and… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …experience!Under the direction of department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of ... and/or service improvement projects and programs, the Quality Improvement Program Manager acts as a lead for evidence-based practice integration, provider… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …Summary:*Under the direction of department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of ... and/or service improvement projects and programs, the Quality Improvement Program Manager acts as a lead for evidence-based practice integration, provider… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …from a "job" opportunity to an authentic experience!Under the direction of the Manager , Health Access Operations, the Analyst II - Health Access position is fully ... deliverables for use in management decision-making.9. Monitor Health Access compliance with regulatory and/or quality projects and deliverables, including but… more
- Humana (Memphis, TN)
- …product verification, maintaining physical stock in automation systems, and ensuring compliance with Standard Operating Procedures.This is a Per Diem (VSP) ... Drive Memphis, TN 38133Summary:Checks and verifies prescription for accuracy, standard compliance , dosing or dosage form errors, and adjusts documentation and… more
- Marion County (Salem, OR)
- …discharge planning with NorthWest Seniors and Disability Services (NWSDS) Case Manager (CM) and Providence Benedictine Nursing Care staff. Identify MH needs ... ECOS.Coordinate discharge planning with NorthWest Seniors and Disability Services (NWSDS) Case Manager (CM) and program. Identify MH needs to be addressed at future… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Under direction of the Director of Medicare Compliance , the primary focus areas of this position include development and ... + 5 or more years direct work experience in regulatory affairs and/or compliance in Medicare or Medicaid required + 5 or more years of managerial experience… more
- Sharp HealthCare (San Diego, CA)
- …support functions for the Director, the Manager Commercial Compliance , the Manager Medicare Compliance , the Lead Oversight & Monitoring, and other ... Under minimal supervision, exercises responsibility as administrative coordinator for the Compliance and Regulatory Affairs Department. Reporting to the Director … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …manage people + This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer + Necessary Contacts: In order to ... manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of… more
- CTG (CA)
- …and a thorough understanding of customer service best practices in the healthcare Medicare Advantage industry. As the Customer Service Manager , you will be ... protected classes. Submit a referral to this job (https://usjobs-ctg.icims.com/jobs/10669/ medicare -advantage-plan-call-center- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834384795) **ID** _2024-10669_ **Title** _Medicare Advantage… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager III ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for assisting the product leadership team within the… more
- CVS Health (Santa Ana, CA)
- …business. CVS Health/Aetna is working to transform the way California Medicare beneficiaries experience health care - improving quality, emphasizing whole-person ... driving down costs. Aetna is hiring a local Broker Manager to support the growth of our industry leading... to support the growth of our industry leading Medicare business. This is a highly collaborative role in… more
- Healthfirst (NY)
- …healthcare agency Knowledgeable of Department of Health (DOH) and Center for Medicare & Medicaid Services (CMS) regulations Compliance & Regulatory ... all the enabling tools and technology (software and hardware) that support the Medicare Sales and Retention team Works with internal and external constituents as… more
- The Cigna Group (Phoenix, AZ)
- …about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker ... initiatives + Carry out appropriate sales activity standards as directed by their manager + Responsible for reporting their daily activities to ensure alignment with… more
- CVS Health (Lansing, MI)
- …convenient and affordable. Position Summary CVS Health/Aetna is hiring a Broker Manager to support our growing Sales Organization. CVS Health/Aetna is working to ... driving down costs. Aetna is hiring a local Broker Manager to support the growth of our industry leading... to support the growth of our industry leading Medicare business. This is a highly collaborative role that… more
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As a key leader within our Medicare Advantage team, you will develop and execute of strategies, programs, and projects while ... related to accuracy, efficiency, and adherence to all regulatory and CMS compliance requirements. You will manage the coding consultants who provide audit, coding… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- Healthfirst (NY)
- …date on Medicaid and other entitlement program issues and on changes in Medicaid/ Medicare /HMO laws and shares information with Care Team Social Work and other Care ... year of healthcare experience in Managed Long-Term Care (MLTCP), Medicaid or Medicare . + Supervisory experience with 5 or more direct reports conducting performance… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager ... is available to candidates residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process for the end-to-end Encounter Data… more
- BlueCross BlueShield of North Carolina (NC)
- …Leads and manages the day-to-day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and ... implementation of policies and procedures as well as development of compliance measurements. + Controls and monitors project effectiveness; updates project plans,… more
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