Operations Manager
Ellicott City, MD · On-site
Visit our website at: www.dcca.com Operations Manager Candidate must have or be willing to obtain a ... Must have Previous (Center for Medicare and Medicaid) CMS experience. 10 years of Information ...
Operations Manager
Ellicott City, MD · On-site
Visit our website at: www.dcca.com Operations Manager Candidate must have or be willing to obtain a ... Must have Previous (Center for Medicare and Medicaid) CMS experience. 10 years of Information ...
Visit our website at: www.dcca.com Operations Manager Candidate must have or be willing to obtain a ... Must have Previous (Center for Medicare and Medicaid) CMS experience. 10 years of Information ...
Visit our website at: www.dcca.com Operations Manager Candidate must have or be willing to obtain a ... Must have Previous (Center for Medicare and Medicaid) CMS experience. 10 years of Information ...
... Medicare Advantage reimbursement models-all while raising the bar on the member financial ... operations across our health business lines. We manage the full claims lifecycle-from charge ...
... Medicare Advantage reimbursement models-all while raising the bar on the member financial ... operations across our health business lines. We manage the full claims lifecycle-from charge ...
... Manager to lead growth marketing initiatives for our Medicare Advantage business. This leader will ... Partner with IT, Digital, and Operations teams to improve system capabilities and marketing ...
... Manager to lead growth marketing initiatives for our Medicare Advantage business. This leader will ... Partner with IT, Digital, and Operations teams to improve system capabilities and marketing ...
... Medicare Advantage reimbursement models-all while raising the bar on the member financial ... operations across our health business lines. We manage the full claims lifecycle-from charge ...
... Medicare Advantage reimbursement models-all while raising the bar on the member financial ... operations across our health business lines. We manage the full claims lifecycle-from charge ...
... Manager to lead growth marketing initiatives for our Medicare Advantage business. This leader will ... Partner with IT, Digital, and Operations teams to improve system capabilities and marketing ...
... Manager to lead growth marketing initiatives for our Medicare Advantage business. This leader will ... Partner with IT, Digital, and Operations teams to improve system capabilities and marketing ...
Revenue Cycle Manager - Medicare Value Based Care, Healthcare Financial Operations
Arlington, VA · On-site
... Medicare Advantage reimbursement models-all while raising the bar on the member financial ... operations across our health business lines. We manage the full claims lifecycle-from charge ...
Revenue Cycle Manager - Medicare Value Based Care, Healthcare Financial Operations
Arlington, VA · On-site
... Medicare Advantage reimbursement models-all while raising the bar on the member financial ... operations across our health business lines. We manage the full claims lifecycle-from charge ...
You will be understanding the strategic direction set by senior management as it relates to team ... Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is ...
You will be understanding the strategic direction set by senior management as it relates to team ... Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is ...
You will be understanding the strategic direction set by senior management as it relates to team ... Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is ...
You will be understanding the strategic direction set by senior management as it relates to team ... Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is ...
The Business Analyst - Medicare Advantage Product Development serves as a key liaison between business stakeholders, product management, operations, compliance, IT, and vendor partners to support the ...
The Business Analyst - Medicare Advantage Product Development serves as a key liaison between business stakeholders, product management, operations, compliance, IT, and vendor partners to support the ...
The Business Analyst - Medicare Advantage Product Development serves as a key liaison between business stakeholders, product management, operations, compliance, IT, and vendor partners to support the ...
The Business Analyst - Medicare Advantage Product Development serves as a key liaison between business stakeholders, product management, operations, compliance, IT, and vendor partners to support the ...
This role oversees daily program operations, guides compliance strategy and structure, manages ... Knowledge of CMS Medicare Advantage and Part D contractual and regulatory requirements * Expert ...
This role oversees daily program operations, guides compliance strategy and structure, manages ... Knowledge of CMS Medicare Advantage and Part D contractual and regulatory requirements * Expert ...
Head of Medicare Performance Hub
Washington, DC · On-site
$198 - $278/hr
## Head of Medicare Performance HubApplylocations: Chicago or Washington, D.C.time type: Full ... build management and operational dashboards providing national, regional, and Plan-specific ...
New
Head of Medicare Performance Hub
Washington, DC · On-site
$198 - $278/hr
## Head of Medicare Performance HubApplylocations: Chicago or Washington, D.C.time type: Full ... build management and operational dashboards providing national, regional, and Plan-specific ...
New
This role oversees daily program operations, guides compliance strategy and structure, manages ... Knowledge of CMS Medicare Advantage and Part D contractual and regulatory requirements * Expert ...
This role oversees daily program operations, guides compliance strategy and structure, manages ... Knowledge of CMS Medicare Advantage and Part D contractual and regulatory requirements * Expert ...
Head of Medicare Performance Hub
Washington, DC · On-site
$198 - $278/hr
Senior Director, Medicare Performance Hub (MPH) is a leadership role within the Blue Cross Blue ... Partner with the analytics vendor to build management and operational dashboards providing national ...
New
Head of Medicare Performance Hub
Washington, DC · On-site
$198 - $278/hr
Senior Director, Medicare Performance Hub (MPH) is a leadership role within the Blue Cross Blue ... Partner with the analytics vendor to build management and operational dashboards providing national ...
New
Follow Medicare and Medicaid regulations. This position reports to the DON and Operations manager. Qualifications 1. Be a registered nurse (R.N.) with a current license. 3. Work positively and ...
Follow Medicare and Medicaid regulations. This position reports to the DON and Operations manager. Qualifications 1. Be a registered nurse (R.N.) with a current license. 3. Work positively and ...
Follow Medicare and Medicaid regulations. This position reports to the DON and Operations manager. Qualifications 1. Be a registered nurse (R.N.) with a current license. 3. Work positively and ...
Follow Medicare and Medicaid regulations. This position reports to the DON and Operations manager. Qualifications 1. Be a registered nurse (R.N.) with a current license. 3. Work positively and ...
Regional Director of Home Health Operations
Silver Spring, MD · On-site
$58.45 - $93.51/hr
... health operations/management/leadership is preferred. * Home Care EMR Experience * Working and current knowledge of various State and Federal regulations including Medicare Conditions of ...
Regional Director of Home Health Operations
Silver Spring, MD · On-site
$58.45 - $93.51/hr
... health operations/management/leadership is preferred. * Home Care EMR Experience * Working and current knowledge of various State and Federal regulations including Medicare Conditions of ...
Private Duty RN for Assessment
Rockville, MD · On-site
$80 - $100/hr
Follow Medicare and Medicaid regulations. This position reports to the DON and Operations manager. Qualifications 1. Be a registered nurse (R.N.) with a current license. 3. Work positively and ...
Quick apply
Private Duty RN for Assessment
Rockville, MD · On-site
$80 - $100/hr
Follow Medicare and Medicaid regulations. This position reports to the DON and Operations manager. Qualifications 1. Be a registered nurse (R.N.) with a current license. 3. Work positively and ...
Particularly, this role will include providing operationalsupport to the Centers for Medicare and ... Supporting project management and operations activities, such as monitoring designing and ...
Particularly, this role will include providing operationalsupport to the Centers for Medicare and ... Supporting project management and operations activities, such as monitoring designing and ...
Medicare Operations Manager information
What is the difference between Medicare Operations Manager vs Medicare Claims Supervisor?
| Aspect | Medicare Operations Manager | Medicare Claims Supervisor |
|---|---|---|
| Required Credentials | Bachelor's degree in healthcare administration or related field; certifications like CPC or CMS certifications | High school diploma or associate's; certifications like CPC or claims-specific training |
| Work Environment | Oversees multiple departments, manages staff, and ensures compliance in healthcare organizations | Supervises claims processing teams, reviews claims, and ensures accuracy in claims submission |
| Employer & Industry Usage | Health insurance companies, Medicare administrative contractors, healthcare providers | Health insurance companies, Medicare contractors, claims processing centers |
The Medicare Operations Manager focuses on overseeing overall Medicare operations, including compliance and staff management, while the Medicare Claims Supervisor concentrates on managing claims processing and accuracy. Both roles require knowledge of Medicare policies and certifications like CPC, but differ in scope and responsibilities.
What are the key skills and qualifications needed to thrive as a Medicare Operations Manager?
To thrive as a Medicare Operations Manager, you need expertise in healthcare administration, Medicare regulations, and process optimization, typically supported by a bachelor's degree in healthcare or business administration. Familiarity with CMS guidelines, claims processing systems, and compliance management tools is essential. Strong leadership, analytical thinking, and effective communication distinguish top performers in this role. These skills are crucial for ensuring regulatory compliance, operational efficiency, and high-quality service in the management of Medicare programs.
What are some of the main challenges faced by a Medicare Operations Manager, and how can they be addressed?
A Medicare Operations Manager often encounters challenges such as staying current with frequently changing CMS regulations, ensuring data accuracy, and coordinating across multiple departments to maintain compliance and operational efficiency. Addressing these challenges involves maintaining robust communication channels, investing in ongoing staff training, and leveraging technology to automate reporting and auditing processes. Building strong relationships with compliance, IT, and customer service teams also helps streamline workflows and foster a proactive approach to problem-solving.
What is a Medicare Operations Manager?
Medicare Operations Managers are professionals responsible for overseeing the daily operations of Medicare-related services within healthcare organizations or insurance companies. They ensure compliance with federal regulations, manage teams that process Medicare claims, and work to optimize workflows and efficiency. Their role also involves monitoring performance, implementing policy changes, and coordinating with other departments to ensure high-quality service for Medicare beneficiaries. These managers play a critical role in maintaining regulatory standards and improving overall operational effectiveness.
What are popular job titles related to Medicare Operations Manager jobs in Washington? For Medicare Operations Manager jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Medicare Operations Manager jobs in Washington look for? The top searched job categories for Medicare Operations Manager jobs in Washington are:
What cities in Washington are hiring for Medicare Operations Manager jobs? Cities in Washington with the most Medicare Operations Manager job openings:
Full-time
Medical, Life, Retirement, PTO
Posted 19 days ago
Job description
DCCA is a veteran-owned IT business specializing in providing innovative solutions to a variety of government agencies and commercial enterprises since 1982. DCCA is proud to offer career growth opportunities and a competitive compensation and benefits package. Visit our website at: www.dcca.com
Operations Manager
Candidate must have or be willing to obtain a Public Trust Clearance
For over 40 years, DCCA has provided a broad range of IT services to government agencies and commercial enterprises, helping them to feel confident in their IT infrastructure. With DCCA, these organizations can be confident in the flexibility and skill of their IT partners, allowing them to upgrade their technology quickly and efficiently. Better yet, thanks to DCCA's successful track record, clients can rest assured knowing DCCA can tackle any problem with ease, allowing them to focus on the work that matters.
Internally, DCCA prides itself on a culture built on integrity and inclusivity, allowing its employees to build lasting skills and relationships. As a veteran owned business, DCCA knows the importance of recruiting employees with a wide range of backgrounds, allowing for every problem to be approached by a diverse array of perspectives. Join us and be part of a team that has a people first mentality and a dedication to excellence.
Job Requirements:
Responsible for the performance of projects or a definable portion of a larger program in accordance with contract requirements and company policies, procedures and guidelines. Also responsible for acquiring follow-on business associated with assigned projects and for supporting new business development/capture efforts by leading relatively small proposals or assisting with major proposals.
Critical Knowledge & Skills:
Demonstrated ability of managing large business application software development efforts.
Demonstrated ability to build and maintain long-term strategic relationships with clients.
Demonstrated ability to identify and capture new business opportunities within the Healthcare IT market.
Demonstrated ability of supporting proposal/bid/negotiation strategies for new business opportunities.
Must have Previous (Center for Medicare and Medicaid) CMS experience.
10 years of Information Technology experience.
Must have excellent written and communication skills.
Must have hands-on working knowledge of MS Office Suite (Word, Excel, & PowerPoint).
Must have hands-on working knowledge of MS Project.
Education and Pluses
A Bachelor degree or equivalent experience and a minimum of ten to twelve years of related experience in a related technical environment are required.
PMI PMP Preferred
The proposed salary range for this position in Maryland is 110,000 to130,000. Final salary will be determined based on various factors. Our comprehensive benefit offerings include healthcare, retirement plan, paid disability and life insurance programs, employee assistance program, paid and unpaid leave programs, education assistance, and wellness initiatives.
At DCCA, we believe the key to providing our clients with unrivaled services starts with retaining top talent, something we're able to do through our consistent commitment to building culture and comprehensive benefits.
Competitive Compensation: While salary at DCCA is determined by various factors, we are committed to making sure our salaries reflect the skill and expertise of our employees. In addition, each year we perform an annual salary review ensuring pay is equitable across both the company and industry at large.
Growth Opportunities: DCCA makes it a priority to help you grow and support your career advancement. From upskilling programs to recertification support, to professional development opportunities, we're here to help you grow your career and create lasting relationships.
Emphasis on Inclusivity: DCCA's culture emphasizes respect, equity, and opportunity and is supported by an array of business resource groups and other opportunities for connection.
Empowering Health: DCCA's benefits which encompass healthcare, paid time off, and flexible 401(k) options encourage you to live a healthy and fulfilling life, both in and outside of work. Learn more about our total benefits package on our Benefits page.
Mission Focused Work: From the defense industry to health IT management, DCCA allows you to work on innovative projects whose outcomes improve people's lives and solve today's IT problems.
Equal Opportunity Employer including Disability/Vets
Operations Manager
Candidate must have or be willing to obtain a Public Trust Clearance
For over 40 years, DCCA has provided a broad range of IT services to government agencies and commercial enterprises, helping them to feel confident in their IT infrastructure. With DCCA, these organizations can be confident in the flexibility and skill of their IT partners, allowing them to upgrade their technology quickly and efficiently. Better yet, thanks to DCCA's successful track record, clients can rest assured knowing DCCA can tackle any problem with ease, allowing them to focus on the work that matters.
Internally, DCCA prides itself on a culture built on integrity and inclusivity, allowing its employees to build lasting skills and relationships. As a veteran owned business, DCCA knows the importance of recruiting employees with a wide range of backgrounds, allowing for every problem to be approached by a diverse array of perspectives. Join us and be part of a team that has a people first mentality and a dedication to excellence.
Job Requirements:
Responsible for the performance of projects or a definable portion of a larger program in accordance with contract requirements and company policies, procedures and guidelines. Also responsible for acquiring follow-on business associated with assigned projects and for supporting new business development/capture efforts by leading relatively small proposals or assisting with major proposals.
Critical Knowledge & Skills:
Demonstrated ability of managing large business application software development efforts.
Demonstrated ability to build and maintain long-term strategic relationships with clients.
Demonstrated ability to identify and capture new business opportunities within the Healthcare IT market.
Demonstrated ability of supporting proposal/bid/negotiation strategies for new business opportunities.
Must have Previous (Center for Medicare and Medicaid) CMS experience.
10 years of Information Technology experience.
Must have excellent written and communication skills.
Must have hands-on working knowledge of MS Office Suite (Word, Excel, & PowerPoint).
Must have hands-on working knowledge of MS Project.
Education and Pluses
A Bachelor degree or equivalent experience and a minimum of ten to twelve years of related experience in a related technical environment are required.
PMI PMP Preferred
The proposed salary range for this position in Maryland is 110,000 to130,000. Final salary will be determined based on various factors. Our comprehensive benefit offerings include healthcare, retirement plan, paid disability and life insurance programs, employee assistance program, paid and unpaid leave programs, education assistance, and wellness initiatives.
At DCCA, we believe the key to providing our clients with unrivaled services starts with retaining top talent, something we're able to do through our consistent commitment to building culture and comprehensive benefits.
Competitive Compensation: While salary at DCCA is determined by various factors, we are committed to making sure our salaries reflect the skill and expertise of our employees. In addition, each year we perform an annual salary review ensuring pay is equitable across both the company and industry at large.
Growth Opportunities: DCCA makes it a priority to help you grow and support your career advancement. From upskilling programs to recertification support, to professional development opportunities, we're here to help you grow your career and create lasting relationships.
Emphasis on Inclusivity: DCCA's culture emphasizes respect, equity, and opportunity and is supported by an array of business resource groups and other opportunities for connection.
Empowering Health: DCCA's benefits which encompass healthcare, paid time off, and flexible 401(k) options encourage you to live a healthy and fulfilling life, both in and outside of work. Learn more about our total benefits package on our Benefits page.
Mission Focused Work: From the defense industry to health IT management, DCCA allows you to work on innovative projects whose outcomes improve people's lives and solve today's IT problems.
Equal Opportunity Employer including Disability/Vets