Senior Manager, Medicare Advantage Operations in Los Angeles, CA for UCLA

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Senior Director - Pharmacy Operations - Avera Health Plans

Avera Health Plans

Sioux Falls, South Dakota

Oncologist

CommonSpirit Health

LONDON, Kentucky

NEW!

Advanced Practice Provider Cardiology - IP/OP

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

Neurologist

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

Physician OB GYN General

CommonSpirit Health

BARDSTOWN, Kentucky

NEW!

Interventional Cardiologist

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

Senior Director Program Integrity and Special Investigations Unit, Geisinger Health Plan

Geisinger

Danville, Pennsylvania

NEW!

Neuro Hospitalist

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

Physician Fam Med without OB

CommonSpirit Health

BEREA, Kentucky

NEW!

Internal Medicine Physician

CommonSpirit Health

LONDON, Kentucky

NEW!

Electrophysiologist

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

Primary Care Phys Asst

CommonSpirit Health

RICHMOND, Kentucky

NEW!

Oncologist

CommonSpirit Health

CORBIN, Kentucky

NEW!

Advanced Practitioner Wound and Podiatry

CommonSpirit Health

NICHOLASVILLE, Kentucky

NEW!

Cardiologist Non-Invasive

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

Manager Program Integrity, Geisinger Health Plan (Eastern United States resident)

Geisinger

Danville, Pennsylvania

NEW!

NeuroICU Faculty

Cedars Sinai

Los Angeles, California

NEW!

G.I. Hospitalist

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

Phys Asst Cardiology

CommonSpirit Health

WINCHESTER, Kentucky

NEW!

Physician Family Medicine

CommonSpirit Health

WINCHESTER, Kentucky

NEW!

Gastroenterologist

CommonSpirit Health

LONDON, Kentucky

NEW!

Licensed Practical Nurse - Acute MedSurgical A - Full Time

CHRISTUS Health

Coushatta, Louisiana

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Physician Advisor

UCLA

Los Angeles, California

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Primary Care Phys Asst

CommonSpirit Health

LEXINGTON, Kentucky

NEW!

MEDICAL OFFICE SPECIALIST Albuquerque Primary Care Clinic / Full-Time

CHRISTUS Health

United States - Nationwide

NEW!

Senior Manager, Medicare Advantage Operations

DescriptionAs a key leader within Medicare Advantage Operations, the Senior Manager will be responsible for overseeing the strategic management and operational execution of Appeals and Grievances, Claims Processing, and Payment Integrity functions. In this role, you will ensure the efficient and compliant operation of all Medicare Advantage activities, aligning with CMS regulations and internal organizational standards. You will: • Ensure timely, accurate, and compliant operations in accordance with CMS, DMHC, and internal standards. • Collaborate with cross-functional teams to identify opportunities for operational improveme

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