Medicare Program Manager (100% REMOTE/NO C2C)
📋 Role Overview & Responsibilities
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__________________________________________
NOTE- THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099
- ** Candidate must be authorized to work in USA without requiring sponsorship ***
Position: Medicare Program Manager (Job ID: 34452323)Location: Santa Monica CA 90404 (100% REMOTE)Duration: 12 Months + Strong Possibility of Extension____________________________________________________________________________
Program Manager, Medicare Advantage Operations Location: RemoteDuration: 1 year contractShift: Monday – Friday, 9:00 am to 5:00 pm must work PST_____________________________________________________________
Job Description
The Program Manager is a key member of the Medicare Advantage Claims, Configuration and Appeals and Grievance Operations team. 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. 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. 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. Assists in planning, developing, implementing, and managing the Medicare Advantage Claims, Appeals and Grievance program requirements, operational initiatives and policies. Regularly works on issues where analysis of situations require an in-depth evaluation of data and other variable factors.
Required Experience
Bachelor’s Degree in Business Administration, Health Care or other related field or equivalent work experience preferred. Must have at least 3-4 years of managing projects or programs in a healthcare or ACO environment. Must have knowledge and experience in project management, health plan operations, data analysis, and strong organizational, communication and leadership skills. Experience in Medicare Advantage Claims, Appeals & Grievances, program/project managementExperience in leading, facilitating, and implementing new programs and/or projects.Demonstrated skills in data analysis and presentation.Strong project management skills with the proven ability to deliver agreed objectives with timeframes, including experience in project outcome reporting utilizing industry standards.Experience with Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools_______________________________________________
Bhupesh KhuranaLead Technical RecruiterEmail – bkhurana@ameritconsulting.com
Company Overview: Amerit Consulting is an extremely fast-growing staffing and consulting firm. 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. Currently, Amerit has over 2,000 employees in 47 states. 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. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. 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. 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.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.Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws
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