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

The Payor Contract Manager, Infusion manages the operational management, analysis, and ... Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D ...

The Payor Contract Manager, Infusion manages the operational management, analysis, and ... Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D ...

... 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 Function: Customer Management Job Sub Function: Customer Service Operations Job Category ... Experience with Commercial, Medicare, and Medicaid insurance design and patient out-of-pocket ...

Lead and support hospice patient care operations to ensure quality and compliance * Supervise ... Manage clinical and administrative workflows, including referrals, DME pickups, Medicare ...

Demonstrated claims operations experience in a regulated claims environment (Medicare, government programs, or similar). * Experience leading claims teams and performance management. * Proven ...

Lead and support hospice patient care operations to ensure quality and compliance * Supervise ... Manage clinical and administrative workflows, including referrals, DME pickups, Medicare ...

Knowledge of Medicare regulations, hospice reimbursement, accreditation standards, and regulatory requirements Why This Role Matters Hospice nurses have the privilege of caring for patients and ...

... 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 ...

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

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

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

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 ...

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 ...

Experience operationalizing Medicare Advantage and Commercial VBC programs. * Experience supporting ... management or reporting role. #LI-Hybrid Salary Range At Blue Cross NC, we take great pride in a ...

... operations and practices for ongoing quality improvement. * Case manage patients, as needed ... Deliver care and services in accordance with ACHC Standards and Medicare Conditions of ...

... operations and practices for ongoing quality improvement. * Case manage patients, as needed ... Deliver care and services in accordance with ACHC Standards and Medicare Conditions of ...