Health Plan Ops Lead: Referrals & Compliance
PacMed Clinics
PacMed Clinics in Renton, WA, seeks a Referrals and Referral Support Supervisor to oversee daily activities of the referrals team under the USFHP Operations Director. You will ensure data entry accuracy, timely processing of authorizations and referrals, and compliance with DoD and government guidelines. Join a Providence-affiliated network focusing on patient-centered care, with responsibilities including policy setting, budget collaboration, and staff development within a collaborative #J-18808-Ljbffr PacMed Clinics
- ...Outside Purchased Services (OPS), timely and accurate... ...of claims. Assures compliance with DoD and other government... ...yearly reviews by each plan to assure continued... ...of the US Family Health Plan management team. Jointly... ...capacity, including Lead role; or six months supervisory...Health InsuranceMinimum wageContract workShift workNight shift
- ...Our client is a growing RIA seeking a Financial Planning Lead to support the delivery of comprehensive financial planning services to HNW clients. This individual will serve as a key technical planning resource for advisors, helping develop financial plans, address complex...SuggestedFull timeWork at office
- ...Our financial advisory client is seeking a Financial Planning Lead to serve as a technical planning resource across the firm and help deliver a high-quality financial planning experience to high-net-worth individuals and families. This role partners closely with advisors...SuggestedFull timeWork at office
$97 - $190 per hour
DescriptionKforce's client in Seattle, WA that is seeking an experienced SAC - Planning Lead to support financial planning, analytics, and future-state design initiatives within an SAP finance transformation. This role will focus on SAP Analytics Cloud (SAC) planning considerations...Suggested$193k - $269k
...Strategy & Operations Manager to join the Supply Planning and Capacity Ecosystems (SPACE) org.This is a high-autonomy, principal-level lead who will serve as a strategic partner... ...technology and business.Senior Strategy & Ops Manager, Infra Capacity Ecosystems Responsibilities...SuggestedHourly payLocal area$173.9k - $235.2k
...growth and revenue realization. The Sr. PM-T leads the end-to-end product lifecycle for the... ...offers comprehensive benefits including health insurance (medical, dental, vision,... ...insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice...Health InsuranceLocal areaFlexible hours- ...servers, data centers, and network resources. In this role, you will lead the development of processes and frameworks for pricing all virtual and physical resources at Meta, and overall Capacity Planning processes. You will operate at the intersection of software...
- ...Blue Origin LLC in Seattle is seeking an experienced Program Planner/Cost Analyst to lead comprehensive program plans and cost forecasts for the In-Space Systems unit. You will integrate schedules with budgets, establish work breakdown structures, and coordinate inputs...
- ...Anduril Industries is seeking an embedded planning partner for one division to own its demand and capacity picture and deliver the read to the enterprise view. You will work closely with division programs and hiring managers to synthesize signals into a clear plan with...
$151k - $222.1k
ABOUT THE TEAMThe Sales Compliance team makes sure DoorDash and Deliveroo... ...for a Senior Manager to lead Sales Compliance for our new and... ...employees, which includes a 401(k) plan with employer matching, 16... ...forming assistance, and a mental health program, among others.To learn...Hourly payContract workWork at officeLocal areaRemote workFlexible hours$2,045 - $2,267 per week
...Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location: Seattle, WA Agency:... ...screen Benefits: ~ Health, Dental, and Vision Insurance ~... ...Certification & Licensure Reimbursement ~ Generous Referral Bonus Program ~ Weekly Direct Deposit...Health InsuranceFull timeContract workImmediate startShift work$82.7k - $129.8k
NA Last Mile Automation Planning team is seeking a qualified Automation Planning Manager to... ...meet critical business needs, including OP planning cycles and network optimization... ...offers comprehensive benefits including health insurance (medical, dental, vision, prescription...Health InsuranceRemote workWorldwideFlexible hoursNight shift$104.9k - $179.5k
...is hiring a Finance Manager to lead automation strategy for Sub... ...bridge submission, automated planning templates, and data pipeline infrastructure... ...across WBR, MEC, and OP cyclesBasic qualifications- 5+... ...benefits including health insurance (medical, dental, vision...Health InsuranceFlexible hours$219k - $301k
...Strategy & Integration to lead the human capital... ...operational continuity, compliance, and employee experience... ...Functional Integration Planning & ExecutionIntegration... ...law compliance.People Ops & Systems Transition (with... ...and benefits, including health, dental and vision...Health InsuranceContract workLocal areaWorldwideFlexible hours$104.9k - $179.5k
...own MCCF revenue forecasting, planning, and analysis end-to-end. This... ...functional stakeholders including WW Ops Finance, ASCS, and Product... ...finance partner for revenue, leading end-to-end forecasting,... ...comprehensive benefits including health insurance (medical, dental, vision...Health InsuranceWorldwideFlexible hours$103.9k - $148.4k
...Program Manager in Middle Mile Planning to plan and enable package... ..., Delivery Channels, TESS and Ops).Doer: Propose, evaluate and drive... ...challenges- Define plans and lead project charters in planning and... ...benefits including health insurance (medical, dental, vision...Health InsuranceTemporary workFlexible hours$146.4k - $235.38k
...experienced Senior Strategic Sourcing Manager to lead category strategy, supplier relationship... ...Finance and Business Partners during planning cycles to provide spend forecasts, budget... ..., adoption or foster care placementFull Health Benefits Plans: options for 100% employer...Health InsurancePermanent employmentFull timeContract workWork at officeLocal areaRemote work2 days per week$115.6k - $160k
...Program Manager to join our Capital Planning team. This role sits within... ...portfolio — from annual OP budget planning through Capital... ...Planning & Guidance Cycles:- Lead OP1/OP2 and quarterly guidance... ...presenting approval metrics, portfolio health, and variance narratives to...Health InsuranceApprenticeshipWorldwideFlexible hours$104.9k - $179.5k
...deep understanding of financial planning and analytics specifically in... ...& insight.Amazon's WW Ops IPAT FP&A team is looking for... ...strategy experience- 4+ years of leading cross-functional initiatives that... ...comprehensive benefits including health insurance (medical, dental,...Health InsuranceWorldwideFlexible hours$223.1k - $292.8k
...development to merchandising, sourcing, assortment planning, master data management, and go to market... ...and forward looking insights. You will lead a global, multi disciplinary engineering... ...wellbeing, and personal growth:Extended health and dental benefits, and mental health...Health InsurancePermanent employmentFull timePart timeWork visa$132.7k - $206.8k
...ResponsibilityAct as Customer Success Operations lead for Customer Success Experience, owning P0... ...from design through execution ensuring plans, dependencies, and risks are visible and... ..., adoption or foster care placementFull Health Benefits Plans: options for 100% employer...Health InsurancePermanent employmentFull timeContract workWork at officeLocal areaRemote work2 days per week$141.93k - $177.41k
...roadmap. As Brex becomes an AI-native company, our CX organization leads that shift: building the systems, metrics, and workflows that let... ...-level automations.Partner with Engineering, Data, and Product Ops to build and maintain the AI infrastructure underneath these tools...Work at officeRemote workWork from homeShift work$142.8k - $193.2k
...signals from DSP feedback and ops listening tools to identify and... ...-time visibility into program health, risk, and milestones across... ...relationships across Engineering, Planning, Operations, Material Handling... ...design and process decisions- Lead engineering design standards,...Health InsuranceWork at officeFlexible hours$183.4k - $322.1k
...delivers service strategy engagements for Health Care clients. This role combines service... ...Healthcare, you will be responsible for: Leading engagements that define service strategies... ..., dependency management, and execution planning to drive delivery with speed and clarityBuild...Health InsuranceLocal areaVisa sponsorship$164.7k - $266k
...established sales goals. Non-Sales roles are eligible for a company bonus plan, which is calculated as a percentage of eligible wages and... ...your child after birth, adoption or foster care placementFull Health Benefits Plans: options for 100% employer paid and minimum...Health InsurancePermanent employmentFull timeContract workWork at officeLocal areaRemote work2 days per week$146.4k - $235.38k
...What you'll doThe GTM CS Strategy & Operations Manager proactively plans and delivers critical business insights and articulates team... ...with your child after birth, adoption or foster care placementFull Health Benefits Plans: options for 100% employer paid and minimum...Health InsurancePermanent employmentFull timeContract workTemporary workWork at officeLocal areaRemote work2 days per week$82.7k - $130.1k
...make a direct impact on how we manage tax compliance across the United States. In this role,... ...and accuracy in tax reporting and planning. As a member of our team, you'll contribute... ...offers comprehensive benefits including health insurance (medical, dental, vision, prescription...Health InsuranceLocal areaFlexible hours- ...administrative functions needed to support a smooth, efficient referral process; assists the utilization review and case management... ...related field. ~ Previous experience in utilization review, health plan, or managed care in a referral environment. Preferred Qualifications...Health InsuranceLocal area
$132.7k - $206.8k
...extends beyond managing project timelines to leading the successful execution of key... ...automationCollaborate with senior leaders to proactively plan program objectives, scope, and... ...birth, adoption or foster care placementFull Health Benefits Plans: options for 100% employer...Health InsurancePermanent employmentFull timeContract workWork at officeLocal areaRemote work2 days per week- ...SummaryProvides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network... ...adequacy standards. • Assesses contract language for compliance with corporate standards and regulatory requirements and review...Health InsuranceContract workWork at office
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