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Remote Healthcare Operations Manager Jobs in Wisconsin

Bcbsa

Required BS in Healthcare, Business Administration, Public Health, or related field; or equivalent ... Extra Posting Information: #LI-Remote The posted salary range is the lowest to highest salary we ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Harris

$10/hr

Compensation Structure Esrun Health utilizes a productivity-based pay structure : $10.00 per ... Streamline designed technology for your Chronic Care operations * Established and secure company ...

Ra

Health Care Analyst (Medicare)

Milwaukee, WI · Remote

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 ...

First American

$64K - $85K/yr

What We Do The Title Operations Supervisor is responsible for supervising the day-to-day ... With management consultation, interview candidates, provide hiring recommendations, write and ...

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All JobsHealthcare Operations JobsRemote Healthcare Operations Manager JobsRemote Healthcare Operations Manager Jobs in Wisconsin

Remote Healthcare Operations Manager information

What is a remote healthcare operations manager?

A Remote Healthcare Operations Manager oversees the administrative and operational aspects of healthcare organizations, such as clinics or hospitals, while working remotely. Their responsibilities typically include managing staff, ensuring compliance with healthcare regulations, optimizing workflow processes, and coordinating between departments to improve patient care. By leveraging digital tools and communication platforms, they ensure that healthcare services run smoothly even when not physically present on site. This role is essential in adapting healthcare delivery models to the increasing demand for remote and hybrid work environments.

How does a remote healthcare operations manager coordinate with onsite teams and ensure smooth workflow?

Remote Healthcare Operations Managers typically leverage digital collaboration tools, regular virtual meetings, and clear communication protocols to stay aligned with onsite teams. They often establish structured check-ins, set measurable goals, and use dashboards or project management platforms to monitor progress and address issues promptly. Building strong working relationships remotely requires proactive communication and fostering a culture of trust, which helps ensure workflows remain efficient despite physical distance. Being adaptable and responsive to the unique needs of both remote and onsite staff is key to success in this role.

What are the key skills and qualifications needed to thrive as a remote healthcare operations manager?

To thrive as a Remote Healthcare Operations Manager, you need expertise in healthcare administration, process optimization, and a bachelor's or master's degree in health administration or a related field. Familiarity with healthcare management software, data analytics tools, and compliance systems like HIPAA is typically required. Strong leadership, problem-solving, and communication skills are crucial for managing remote teams and ensuring smooth operations. These skills and qualifications are vital to maintain regulatory compliance, improve efficiency, and deliver quality patient care in a remote environment.

What is the difference between Remote Healthcare Operations Manager vs Remote Healthcare Coordinator?

AspectRemote Healthcare Operations ManagerRemote Healthcare Coordinator
CredentialsBachelor's degree in healthcare administration, management, or related field; certifications like CHCO or PMP often preferredHigh school diploma or associate degree; healthcare-related certifications beneficial but not mandatory
Work EnvironmentOversees multiple departments, manages staff, and develops policies remotely within healthcare organizationsCoordinates patient care, schedules, and communication between providers and patients remotely
Employer & Industry UsageHospitals, clinics, healthcare networks, and telehealth companiesClinics, hospitals, telehealth services, and healthcare providers

The Remote Healthcare Operations Manager focuses on overseeing healthcare operations, managing staff, and ensuring compliance remotely. In contrast, the Remote Healthcare Coordinator handles patient interactions, scheduling, and communication tasks. Both roles are essential in healthcare settings but differ in scope and responsibilities.

What are popular job titles related to Remote Healthcare Operations Manager jobs in Wisconsin?

For Remote Healthcare Operations Manager jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Healthcare Operations Manager jobs in Wisconsin look for?

The top searched job categories for Remote Healthcare Operations Manager jobs in Wisconsin are:

What cities in Wisconsin are hiring for Remote Healthcare Operations Manager jobs?

Cities in Wisconsin with the most Remote Healthcare Operations Manager job openings:

Remote Healthcare Operations Manager jobs near you
Infographic showing various Remote Healthcare Operations Manager job openings in Wisconsin as of September 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Medicare Operations Senior Program Manager

On-site, Remote

Bcbsa
See more jobs at Bcbsaexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Job description

This role will be responsible for operations management of the Federal Employee Program (FEP) Medicare Advantage (MA) EGWP line of business. Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel Management (OPM), and Centers for Medicare and Medicaid Services (CMS), and EGWP policies and procedures. Manage operational efficiencies/continuous improvement initiatives and support operational implementation of cross-functional initiatives to enhance member and provider experiences.
This position partners closely with FEPOC MA Operations, Compliance, Product, Clinical, Network, and Inter Plan & Products (IPP) teams to ensure product builds are compliant, timely, and operationally sound. Position will serve as the primary interface with operations and implementation partners throughout the product cycle and will play a critical role in driving the success of the company's product portfolio by delivering products that meet business objectives.
  • Manages business requirements, system implementations, UAT, and change management in partnership with the FEP Operations Center and cross-functional stakeholders. Ensures adherence to FEP program and ITS processes/procedures and applies deep Medicare Advantage regulatory and operational expertise to ensure CMS compliance and audit readiness.
  • Manages pre/post-launch operational monitoring, identifies execution gaps, and drives in-year corrections to maintain product integrity and compliance.
  • Relationship management skills to build and maintain a positive, collaborative working relationship across various internal and external functional areas/stakeholders. Establish cohesive relationships and influence decisions without having a direct functional reporting structure. Build trust, exhibit sense of urgency, drive consensus in resolving conflicts and decision making. Resolve or escalate issues, propose alternatives and set or manage expectations in a timely fashion.
  • Manages product implementation and operational readiness as directed by product development team in ensuring benefit builds at the operations and implementation partner level align precisely with approved CMS-compliant specifications. Support enrollment, member services, provider network operations, ANOC/EOC planning, and member experience initiatives.
  • Supports Product Development team with strategic planning, multi-year operational roadmaps, and process optimization using Lean Six Sigma and industry benchmarking. Manages vendor relationships, contracts, and RFPs; represent MA operations in governance forums and with CMS.
  • Manages collating MA product operational performance reporting including all applicable KPIs, SLAs, regulatory, and operational reporting metrics and appropriately distributes to BCBSA leadership.
  • Serves as a liaison and communicator to FEPOC Operations team, presenting recommendations to leadership and mentoring operational staff.

The posting range for this position is:

105,400.00 - 152,800.00


Qualifications:
Education

  • Required BS in Healthcare, Business Administration, Public Health, or related field; or equivalent experience

Experience

  • Required 8+ Years experience in Medicare/Medicare Advantage Operations, healthcare operations, and health insurance or managed care.


Knowledge Skills and Abilities

  • Deep knowledge of Medicare Advantage, Part D, and CMS regulations.
  • Experience leading/supporting large, cross functional programs/projects, including working with TPAs/BPOs.
  • Experience working with core processing platforms like - Facets, HealthEdge, QNXT etc.
  • Strong analytical skills with ability to interpret utilization data, competitive benchmarking, and quality/Stars metrics to drive benefit enhancement decisions.
  • Excellent written, oral communication, and presentation skills; proven ability to develop and deliver executive-level materials and represent product initiatives to senior stakeholders.
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint); familiarity with project management tools and data visualization platforms.
  • Strong stakeholder management and relationship-building skills with the ability to influence without authority across Legal, Compliance, Actuarial, Clinical, and Operations functions.


Extra Posting Information:

#LI-Remote

The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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