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 ...

As an operations consulting generalist at PwC, you will possess a broad understanding of various ... Medicare Stars and related quality initiatives through advanced clinical data strategies. As a ...

Infusion Operations Associate Compensation $70,000-$80,000 base + bonus potential Final offer based on experience, skills, and impact. About the Role We're scaling fast--and need builders. As an ...

... while driving operational effectiveness across eligibility verification, coding, billing, and ... Ensure compliance with Medicare, Medicaid, commercial insurance, and hospice‑specific regulatory ...

... while driving operational effectiveness across eligibility verification, coding, billing, and ... Adhere to organizational policies, ACHC Standards, and Medicare Conditions of Participation.

... while driving operational effectiveness across eligibility verification, coding, billing, and ... Adhere to organizational policies, ACHC Standards, and Medicare Conditions of Participation.

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 ...

Wellness program, Employee Assistance Program (EAP), and Medicare support * Employee Perks ... Bachelor's degree in operations management, business administration, or a related field, preferred.

Wellness program, Employee Assistance Program (EAP), and Medicare support * Employee Perks ... Bachelor's degree in operations management, business administration, or a related field, preferred.

... 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 ...

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

... 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 ...

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

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 ...

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

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 ...

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 ...