- UpvoteDownvoteShare Job
- Suggest Revision
The Program Manager is a key member of the Medicare Advantage Claims, Configuration and Appeals and Grievance Operations team. Assists in planning, developing, implementing, and managing the Medicare Advantage Claims, Appeals and Grievance program requirements, operational initiatives and policies.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Experience in Medicare Advantage Claims, Appeals & Grievances, program/project management. The incumbent reviews and analyzes key program, regulatory and operational performance indicators for the functional areas reporting to the Assistant Director, Medicare Advantage Operations and makes recommendations to the leadership team on strategies to improve performance.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Program Manager leads and manages key operational programs, initiatives and strategic projects that span across the functional teams of Claims, Configuration and Appeals and Grievances. Strong project management skills with the proven ability to deliver agreed objectives with timeframes, including experience in project outcome reporting utilizing industry standards.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Along with the Assistant Director, Medicare Advantage Operations, the Program Manager is responsible for program management activities impacting the functional areas within the span of control of the Assistant Director including but not limited to initiation, planning, development, and monitoring of program implementations and day to day operations performance monitoring in order to ensure timeliness and compliance.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Medicare Program Manager. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Experience with Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools. Program Manager, Medicare Advantage Operations. Must have at least 3-4 years of managing projects or programs in a healthcare or ACO environment.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Bachelors Degree in Business Administration, Health Care or other related field or equivalent work experience preferred. Must have knowledge and experience in project management, health plan operations, data analysis, and strong organizational, communication and leadership skills.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Lead Technical Recruiter. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level.
RemoteExpandUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Responsible for grievance and appeals coordination and resolution for all Samaritan Health Plan (IHN, SAHP, Commercial, Choice) members who engage with the grievance process. Responsible for the documentation, monitoring and regulatory reporting obligations.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Shift: Monday – Friday, 9:00 am to 5:00 pm must work PST. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
RemoteExpandUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Candidate must be authorized to work in USA without requiring sponsorship. Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Liaison to Services team coordinating efficient and accurate member ad provider servicing as well as Grievance and Appeals processing according to CMS requirements and regulations. The BPS Manager will generate and provide metrics and reporting to demonstrate the performance of the BPS work.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Regularly works on issues where analysis of situations require an in-depth evaluation of data and other variable factors. Duration: 12 Months + Strong Possibility of Extension. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Maintains knowledge of grievance/appeal reporting requirements for the Office of the Center of Medicare/Medicaid Services, DHS, and Metastar. This position interfaces with the Department of Health Services (DHS), the Division of Hearings and Appeals (DHA), Ombudsman Program, the.
Full-timeExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws. We create value by bringing together the right people to achieve results. Experience in leading, facilitating, and implementing new programs and/or projects.
RemoteExpandUpdated 8 days ago
grievance appeals reporting jobs
FEATURED BLOG POSTS
How to Address a Cover Letter With Examples
It’s easy to get caught up in focusing on your resume – how it looks, what it says, and whether it’s going to land you a job interview. Because there is a big focus on building the perfect resume, job searchers often overlook the importance of a high-quality cover letter. Your cover letter plays a huge role in your first impression. It humanizes you and provides context for your resume.
How to Call Out of Work
No matter how happy we are with our jobs, there are days when we feel overwhelmed and want to call out of work. No, don't feel guilty. It's expected because we're humans, and we can't control the uncertainties of life. But the problem lies in how to call out of work without seeming uncommitted to work, especially if you seldom get work-free days.
What is Seasonal Employment?
Depending on where you are in your career, you might have first-hand experience with seasonal employment. Seasonal employment can be a great way to expand your skill set and earn extra cash while helping businesses meet seasonal increases in demand.
How to Avoid a Bad Hire
"A new employee who doesn't meet the minimum performance, quality, and culture fit standards you set when you began sourcing and recruiting. Additionally, bad hires will immediately show signs of self-interest instead of an interest in their role and the company."
How to Ask for a Letter of Recommendation
When the job board you subscribe to finally posts your dream job, you may feel like the stars have aligned. But part of securing a position that matches your career plan is ensuring you address all the application basics. You know, the resume, the cover letter, the portfolio. It seems like you've got this in the bag — until you realize they want a letter of recommendation, too!
What Are SMART Goals?
When it comes to achieving our goals, there’s a lot of noise to work through. A study by the University of Scranton has found that only 8% of people who set New Year’s resolutions actually achieve them. Our busy lives might be one reason for this. Another, even more important reason, is our approach to goal setting. Being too vague, too ambitious or simply unclear on the timeframe can set us up for failure.
In-House vs Outsourcing Recruiting: Which is Better?
When looking at in-house vs outsourcing recruiting, it is important to nail down the benefits for each and whether those benefits outweigh the risks that follow.