- San Francisco Health Plan (San Francisco, CA)
- …(PBP) and bid submissions comply with regulatory requirements and deadlines. Additionally, the Manager , Medicare Programs will support activities to monitor ... Period and product go-live for each plan year. The Manager , Medicare Programs will focus...and implementation efforts. Support functional decision-making in building a Medicare program by sharing expertise of industry… more
- Santa Clara Family Health Plan (Gilroy, CA)
- …change. FLSA Status: Exempt Department: Marketing, Outreach and Enrollment Reports To: Manager , Medicare Outreach GENERAL DESCRIPTION OF POSITION The Medicare ... Medicare Outreach Agent (bilingual - Spanish) Salary Range:...Observe new hires and provide feedback to the Department Manager . Attend and actively participate in daily, weekly, and… more
- San Francisco Health Plan (San Francisco, CA)
- Reporting to the Sr. Director, Product and Growth, the Product Specialist Medicare Programs is responsible for tracking, analyzing, and monitoring compliance ... with Centers for Medicare and Medicaid Services (CMS) regulatory requirements. You will...Bid submission. Participate in cross-functional teams for Bid. Support program manager and manager with… more
- UnitedHealth Group (Cypress, CA)
- …Growing together. Internal classification of Administrative Law Judge (ALJ) and/or Medicare Appeal Counsel documents with redirection to DDE for documents that ... week. This includes responding to emails (or coordinating with Manager when needed), manual addition of a document received...ATS Basic knowledge of GPS Proficiency in Centers for Medicare & Medicaid Services (CMS) Appeals Process Experience with… more
- Santa Clara Family Health Plan (San Jose, CA)
- Accreditation Program Manager Salary Range: $111,168 - $172,310 The expected pay range is based on many factors, such as experience, education, and the market. ... To: Manager , Process Improvement GENERAL DESCRIPTION OF POSITION The Accreditation Program Manager is responsible for developing work plans, gap analyses,… more
- Central California Alliance for Health (Salinas, CA)
- …we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Medicare Care Management Manager (RN), this position: Develops and manages an ... individualized intervention plan for Medicare Dual Eligible Special Needs Plan (D-SNP) members referred...Needs Plan (D-SNP) members referred into the Care Coordination program with the goal of promoting optimal, achievable outcomes… more
- Stanford Health Care (Palo Alto, CA)
- …EMTALA, the Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements. + Develop written policies, procedures, ... activities to promote adherence to these policies, procedures, and programs . + Lead the internal transition to a new...to, HIPAA, Anti-Kickback Statute, EMTALA, the Stark Law, and Medicare and Medicaid program requirements. + Knowledge… more
- Universal Health Services, Inc. (Temecula, CA)
- …Hospital (TVH), part of Southwest Healthcare, brings advanced technology, innovative programs , patient-centered and family sensitive care to area residents. The ... to achieve certification as a Gluten-Free Food Service facility, 3 Star Medicare Hospital Compare Rating, the American College of Cardiology Chest Pain Center… more
- Universal Health Services, Inc. (Palmdale, CA)
- …DC, Puerto Rico and the United Kingdom. www.swhpalmdaleregional.com/careers Position Description: The Manager of Risk Management is as a key member of the SWHS ... ensure that a framework is established and utilized to lead risk management programs that are proven to deliver tangible operational and strategic business value,… more
- UnitedHealth Group (Downey, CA)
- …Caring. Connecting. Growing together. Recruits, trains and supervises independent Medicare Advantage, ACA and ancillary sales agents/agencies. This position provides ... other roles you may be interested in. Required Qualifications: 3+ years of Medicare and/or Healthcare sales experience 2+ years of management experience 2+ years of… more
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