Health Plan Operations SupervisorVirtualVocations • Fresno, California, United States
Health Plan Operations Supervisor
VirtualVocations • Fresno, California, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Health Plan Claims Lead.
Key Responsibilities
Support operational aspects of service area and product expansions
Inspect and review claims processing quality, providing feedback to TPA
Manage TPA operations to ensure quality service delivery and compliance
Required Qualifications
Bachelor's degree or 6+ years of relevant healthcare operation experience
Four years of experience managing healthcare operation teams
Strong knowledge of ACA / IFP and commercial claim requirements
Experience in oversight management of TPA operations for claims
Background in developing and reviewing operational SOPs and business requirement documents
serp_jobs.job_alerts.create_a_job
Operation Supervisor • Fresno, California, United States
Job_description.internal_linking.related_jobs
RCM HealthCare Travel is seeking a travel Certified Occupational Therapy Assistant for a travel job in Hanford, California.
Job Description & Requirements.Certified Occupational Therapy Assistan...serp_jobs.internal_linking.show_more
Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven Clinical Supervisor – Utilization Review to join our missi...serp_jobs.internal_linking.show_more
Director, WC Claims Zonal Operations.AmTrust Worker's Comp Claims is hiring a position for Director, WC Claims Zonal Operations.
These positions can be based in an office or remotely.Positions work ...serp_jobs.internal_linking.show_more
Reporting to the Director CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care continuum for CVHP members.This includes...serp_jobs.internal_linking.show_more
Regional Manager, Hub Operations.WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive care option to our most vulnerable ...serp_jobs.internal_linking.show_more
Skyline Med Staff Allied is seeking a travel Certified Occupational Therapy Assistant for a travel job in Hanford, California.
Job Description & Requirements.Certified Occupational Therapy Assis...serp_jobs.internal_linking.show_more
A leading imaging organization is seeking a Full Time Operations Supervisor in Northern California.This role is ideal for a dynamic operational leader who excels in balancing strategic oversight wi...serp_jobs.internal_linking.show_more
Under the direction of the Health Center Manager, individual will direct, supervise, and coordinate staff and day-to-day operations for assigned center to provide outstanding customer service, qual...serp_jobs.internal_linking.show_more
Enable everyone to make their house a home.To become the first-choice destination for home and holiday dcor.The Operations Lead (OL) reports to the Operations Manager and supports store processes a...serp_jobs.internal_linking.show_more
Synergy Medical Staffing is seeking a travel Certified Occupational Therapy Assistant for a travel job in Hanford, California.
Job Description & Requirements.Certified Occupational Therapy Assis...serp_jobs.internal_linking.show_more
Uniti Med is seeking a travel Certified Occupational Therapy Assistant for a travel job in Hanford, California.Job Description & Requirements.
Certified Occupational Therapy Assistant.Uniti Med ...serp_jobs.internal_linking.show_more
MedPro Healthcare Allied Staffing is seeking a travel Certified Occupational Therapy Assistant for a travel job in Hanford, California.
Job Description & Requirements.Certified Occupational Ther...serp_jobs.internal_linking.show_more
Seeking a Senior Epic Patient Experience Analyst to lead and optimize our digital patient engagement and contact center technology initiatives.
This role focuses on driving operational excellence ac...serp_jobs.internal_linking.show_more
Valley Children’s is seeking a strategic and collaborative leader to oversee the design and administration of key hospital initiatives in Quality, Risk Management, Patient Safety, Infection Prevent...serp_jobs.internal_linking.show_more
The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region's individual needs.
Essential Functions and Job ...serp_jobs.internal_linking.show_more
Healthcare Operations Manager (Facility Administrator).As a Healthcare Operations Manager (Facility Administrator) at DaVita, you'll be a part of a team that values work-life balance and where your...serp_jobs.internal_linking.show_more
Valley Childrens is seeking a strategic and collaborative leader to oversee the design and administration of key hospital initiatives in Quality, Risk Management, Patient Safety, Infection Preventi...serp_jobs.internal_linking.show_more We are recruiting for an exciting leadership opportunity as a Health Center Manager at one of our state of the art clinics.
The Health Center Manager is responsible for the professional and administ...serp_jobs.internal_linking.show_more 
Remote Regional Manager Of Operations.CHE Behavioral Health is currently seeking a full-time Remote Regional Manager of Operations for our Southern California territory.
This person must have SNF (S...serp_jobs.internal_linking.show_more
ODORZX INC is seeking a highly motivated and experienced Operations Supervisor to join our dynamic team in the carwash / detailing industry.
As the Operations Supervisor, you will play a pivotal role ...serp_jobs.internal_linking.show_more
Travel Certified Occupational Therapy Assistant
RCM HealthCare Travel • Hanford, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Clinical Supervisor - Utilization Review (538)
Kings View Corporation • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Director, WC Claims Zonal Operations
AmTrust Financial • Fresno, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Health Plan Case Manager
Saint Agnes Medical Center • Fresno, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Regional Manager, Hub OperationsNewFresno, CA, USA
WelbeHealth • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Certified Occupational Therapy Assistant
Skyline Med Staff Allied • Hanford, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Operations Supervisor
Advanced RPO • CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Health Center Supervisor
United Health Centers • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Operations Lead - PT
At Home Stores LLC • Clovis, CA, US
serp_jobs.job_card.part_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Certified Occupational Therapy Assistant
Synergy Medical Staffing • Hanford, CA, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Certified Occupational Therapy Assistant
Uniti Med • Hanford, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Certified Occupational Therapy Assistant
MedPro Healthcare Allied Staffing • Hanford, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Patient Access Supervisor
MatchPoint • CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Director Quality & Patient Safety
Valley Children's Healthcare • Madera, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Operations Specialist
AdaptHealth • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Healthcare Operations Manager
DaVita Inc • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Director Quality & Patient Safety (Madera)
Valley Children's Healthcare • Madera, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Job Health Center Manager
United Health Centers • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Regional Manager of Operations
CHE Services • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Operations Supervisor (w / Washing & Detailing) $18HR FAT
ODORZX INC. • Fresno, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted