- CVS Health (PA)
- …in the United States* **Position Summary** As an Individual Contributor Manager of Medicare Complaints Operations - Technical, you will play a vital role ... and ensuring the organization meets its operational goals. The Manager of Medicare Complaints Operations - Technical will be a key player in fostering a… more
- CVS Health (PA)
- …in the United States* **Position Summary** As an Individual Contributor Manager of Medicare Complaints Operations - Business Insight, you will play a ... data integrity. In this position, you will oversee support operations for the Medicare Complaints ...aligned with the strategic goals of the organization. The Manager of Business Analytics will be a key player… more
- CVS Health (CT)
- …or more years in Medicare Supplemental filed benefits or Health plan operations + Knowledge of CMS requirements for Complaints , Grievance and Appeals ... heart, each and every day. **Position Summary** Senior Program Manager for Resources for Living is a high impact...for professional to lead programs, projects and initiatives within Medicare business unit, and particularly those related to … more
- Beth Israel Lahey Health (Burlington, MA)
- …for each colleague. Ensures appropriate coverage and escalates issues to the manager . . Assists Utilization Managers with all aspects of utilization review/discharge ... regarding documentation, quality, billing, denials, or anything else related to departmental operations to the appropriate person for resolution. . Contributes to a… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible… more
- Saint Francis Health System (Tulsa, OK)
- …with medical field knowledge. Knowledge, Skills and Abilities: Knowledge of Medicare , TJC, federal and state regulations. Demonstrated effective management skills. ... composite reports from individual reports of subordinates. Resolves errors and complaints . Assists with annual budgetary development and goals for warehouse and… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** This position will provide administrative and operations management oversight for all providers employed by assigned to PruittHealth Physician ... forms/documents as necessary for completion of payor enrollment in Commercial Plans, Medicare and Medicaid in accordance with payor standards. . Perform necessary… more
- Walgreens (Salt Lake City, UT)
- …on behalf of prescribers. ** Operations ** + Works with the Pharmacy Manager toward the success of the pharmacy operation (scheduling, customer service, ... **Job Description:** **Job Summary** Responsible for directing the operation of a Walgreens Local Specialty Pharmacy, and...at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures… more
- Walgreens (Pella, IA)
- …of prior authorizations on behalf of prescribers. + Works with the Pharmacy Manager toward the success of the pharmacy operation (scheduling, customer service, ... **Job Description:** Responsible for directing the operation of a Walgreens Local Specialty Pharmacy, and...at the site. Performs all duties of the Pharmacy Manager in their absence. + Models and shares customer… more
- Omnicell (Watertown, NY)
- …Specialty Pharmacy is looking for an experienced pharmacy leader to oversee on-site operations for a new specialty pharmacy operation . In this highly visible ... role, you will be challenged with growing operations for a new specialty pharmacy integrated within a...of demonstrated experience leading pharmacy teams in a pharmacy manager or regional manager role is preferred.… more