Medicare Operations Manager Jobs in Raleigh, NC (NOW HIRING)

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 ...

Stakeholder Management: Coordinate closely with Well's internal and external partners to align strategy, training, and operations with specialized Medicare/senior care expertise. Requirements

... Medicare and Medicaid certification and licensure. Collaborates with Leadership to plan and implement System projects until operational; revenue management which includes supervision of the ...

JOB DETAILS Are you a detail-oriented professional with a passion for financial operations and ... Oversee the processing of insurance claims, Medicaid, and Medicare billing, ensuring compliance ...

Are you a detail-oriented professional with a passion for financial operations and resident care ... Oversee the processing of insurance claims, Medicaid, and Medicare billing, ensuring compliance ...

... management consulting or professional services - Familiarity with Blues plan operations and Medicaid/Medicare analytics - Background in defining clinical quality metrics and care gaps - Experience in ...

... Centers for Medicare and Medicaid Services CMS Conditions of Participation (CoPs). * Works ... Participate in the identification of clinical or operational performance improvement opportunities ...

... Medicare Advantage, and Medicaid. With advanced analytics and realtime intelligence, we give ... Follow standard operational procedures for case management * Continuously improve troubleshooting ...

... Centers for Medicare and Medicaid Services CMS Conditions of Participation (CoPs). * Works ... Participate in the identification of clinical or operational performance improvement opportunities ...

... Medicare Advantage, and Medicaid. With advanced analytics and real-time intelligence, we give ... Follow standard operational procedures for case management * Continuously improve troubleshooting ...

... Centers for Medicare and Medicaid Services CMS Conditions of Participation (CoPs). * Works ... Participate in the identification of clinical or operational performance improvement opportunities ...

Oversee daily clinical operations across the GUIDE dementia care program. * Ensure plans of care ... Deliver care and services in accordance with ACHC Standards and Medicare Conditions of ...

Oversee daily clinical operations across the GUIDE dementia care program. * Ensure plans of care ... Deliver care and services in accordance with ACHC Standards and Medicare Conditions of ...

Quality: Medicare Advantage Stars, HEDIS and quality performance across value-basedpopulation ... Support clinic operations through provider collaboration, care coordination, and community ...

Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population ... Support clinic operations through provider collaboration, care coordination, and community ...

Quality: Medicare Advantage Stars, HEDIS and quality performance across value-basedpopulation ... Support clinic operations through provider collaboration, care coordination, and community ...

Quality: Medicare Advantage Stars, HEDIS and quality performance across value-basedpopulation ... Support clinic operations through provider collaboration, care coordination, and community ...

Quality: Medicare Advantage Stars, HEDIS and quality performance across value-basedpopulation ... Support clinic operations through provider collaboration, care coordination, and community ...

Keep us in check with state, federal, Medicaid/Medicare, and accreditation standards. * Ensure we ... Mastery of budget and operational management. * Conflict resolution and negotiation skills to ...

Position Summary The Director of Finance and Operations will oversee and serve as the manager of ... Two years related experience in a health care setting where Federal Medicare cost reporting is used ...