Health Plan Operations Manager: Claims, Enrollment & Care
$115k - $138kA Medium Corporation
Medium is looking for a Manager to oversee health plan operations in San Leandro, California. This role involves executing key workflows across claims, enrollment, provider relations, and care coordination. Ideal candidates will have a Bachelor’s degree and 3+ years of relevant experience. The position also includes overseeing operational staff, managing vendor relations, and ensuring compliance with regulatory requirements. A competitive salary between $115,000 and $138,000 annually is offered based on qualifications and experience. #J-18808-Ljbffr Medium
$115k - $138k
...receive transformative health care that will allow them... ..., medication management, and caregiver support... ...a detail-oriented, operationally strong professional... ...functioning of health plan operations for a new... ...operational workflows across claims, enrollment, provider relations,...ClaimsHealth InsuranceFull time$34 - $36 per hour
...Fuze Care Services LLC in Hayward, California, is searching... ...a Supervisor for Pharmacy Operations. In this role, you will lead... ...safety standards. You will manage pharmacy technicians, focus... ...various benefits including health and wellness plans, retirement savings, and paid...Health InsuranceFull time$19 - $22 per hour
...Description At Fuze Health, we put patients... ...connect with care providers, essential... ...employers, health plans and life sciences... ...supporting Central Operations by delivering exceptional... ...customer service, managing patient inquiries,... ...prescription claims, order status, and...ClaimsHealth InsuranceFull timeTemporary workRemote workFlexible hours$35 - $40 per hour
...Description Job Description Operations Manager Rebottaro Family Dentistry... ...that exceptional patient care depends on strong operations,... ...no call center handling your claims, and no one to blame when something... ...Weekends BENEFITS: Health / Dental / Vision 401k +...ClaimsHourly payFull timePrivate practiceWork at officeShift work$127k - $180k
...software product development, operational excellence, and customer... ...‑disciplinary program manager to drive successful delivery... ...manufacturing and production teams to plan and execute the detailed... ...employees are eligible to enroll in the Company’s group health insurance plans. Regular,...Health InsuranceFull timeContract workLocal areaRelocation packageFlexible hours- ...About University Health : At University Health, we are dedicated... ...through exceptional patient care, education, and innovation.... ...with our Medical Directors to plan, organize, and lead the... ...environment. Budget and Planning : Manage operational and capital budgets, ensuring...Health InsuranceRelocation package
$34 - $36 per hour
Supervisor, Pharmacy Operations - FuzeRx Hayward, California At Fuze Health, we put patients first and... ...digitally connect with care providers, essential health... ..., employers, health plans and life sciences companies... ...Responsibilities Team Leadership: Manage, mentor, and support a...Health InsuranceFull timeTemporary workFlexible hours- Site Safety And Operations Coordinator The Site Safety & Operations Coordinator... ...overseeing safety protocols, managing site logistics, and... ...upholding the highest standards of care. Through proactive training,... ...Oversight: Manage student enrollment, class assignments, and check...Temporary workWork at officeFlexible hours
$80k - $100k
...Customer Satisfaction Management (CSM) rating, 70-bed skilled... ...and long-term care. Our mission is to provide... ...create customized care plans tailored to the individual... ...achieve their personal health and wellness goals.... ...and appeals for various claims to ensure timely payment...ClaimsHealth InsuranceFull timeTemporary workWork at officeMonday to Friday- ...All-Inclusive Care for the elderly... ...approach for care planning and... ...and integrated health care services to... ...fragmented clinical and operational systems such as... ...eClinicalWorks (eCW), and Claim systems;... ...requested by management.... ...for each person enrolled in our program,...ClaimsHealth InsuranceLive in
$105.4k - $144.98k
...Sales and Operations Planning Program Manager Newark, CA Leading the future in luxury electric and mobility At Lucid, we set out to introduce the most captivating, luxury electric vehicles that elevate the human experience and transcend the perceived limitations of space...Health InsuranceInternshipImmediate start$22.96 - $34.33 per hour
...of All-Inclusive Care for the Elderly) organization... ...approach to care planning and care... ...affordable, integrated health care services to... ...and Referrals Manager (HIRM), the Referral... ...alerts vendor for claims processing. Collaborates... ...for each person enrolled in our program,...ClaimsHealth InsuranceHourly payWork experience placementLive in$131k - $201k
...Senior Product Marketing Manager - AI Core Services... .... You'll operate at the intersection... ...to the causes they care about most. What... ..., dental and vision plan, family planning benefits, health savings account, flexible... ...coming from people claiming to be Tanium employees...ClaimsHealth InsuranceFull timeLive inWork at officeWorldwideFlexible hours3 days per week$190k - $230k
...and we apply the same care in selecting and... ...North America coffee operations across the United States... ...compensation matters, health and welfare plans, ERISA compliance, and... ...practices.* Advise management on unionization efforts... ...strikes and pickets**Claims and Litigation***...ClaimsHealth InsuranceFull timeContract workLocal area$28 - $32 per hour
...Full Risk Claims Specialist - Remote 26-45 page is loaded## Full... ...of the future: actively managed care that prevents disease, supports... ...subsidiary of Hill Physicians and operates under a Restricted Knox-... ...and timely pursuant to health plan coverage and Hill Physicians...ClaimsHealth InsuranceHourly payRemote work- ...Inc. is seeking an experienced Operations Support Specialist for its Emeryville... .... The selected candidate will manage auto accident claims and support fleet safety and... ...comprehensive benefits, including health insurance and a 401(k) plan. #J-18808-Ljbffr Wachter, Inc.ClaimsHealth InsuranceFull timeWork at officeMonday to Friday
- ...physicians and advancing high-quality patient care. Operating in close partnership with Vituity as... ...Oversight Oversee financial management, including budgeting, forecasting, and... ...with actuarial, underwriting, and claims leadership to support sound business decisions...ClaimsHealth InsuranceRemote work
- ...Escrow Operations Manager Portland, Oregon-based WFG National Title Insurance Company (WFG),... ...well as other locations as necessary. Plan, assign, direct and evaluate the work of... ...Keeps Management informed of potential claims or loss situations. Closes escrow...ClaimsFull timePart timeSeasonal workWork at officeLocal areaImmediate startMonday to Friday
$120k - $200k
...organization and time management Strong character: Dependability... ..., Occupational Health, Psychology, and/or Chiropractic... ...appropriate care, making recommendations... ...customer. Facilitate timely claim resolution through... ...direction, and action plans to implement treatment...ClaimsHealth InsurancePermanent employmentHome officeFlexible hoursNight shift$149k - $170k
...Senior Operations Manager The Senior Operations Manager is part of the leadership... ...and capital expenditure plan with estimated ROI's covering... ...it, and we apply the same care in selecting and preparing our... ...holidays, and sick days. Health & Wellness – Medical, dental,...Health InsuranceFull timeLocal areaFlexible hours$110k - $115k
...Title: Accounting and Payroll Operations Specialist Employment... ...00 am – 3:30 pm Benefits: Health, Dental and Vision, Vacation,... ...maintaining accurate records, and managing core AP/AR processes while... ...includes everything from EDD claims, workers comp, VOE requests to...ClaimsHealth InsuranceFull timeContract workMonday to Friday$77.08k - $123.33k
...your future with United Rentals! As Operations Manager at United Rentals, you will leverage... ...Best Place to Work in 2026) that truly cares about our people – that’s why we... ...and your family. In addition to our health and financial plans, we also offer: Paid Parental Leave...Health InsuranceHourly payWork at office$167k - $213k
Sales & Operations Planning Manager Lead the company-wide S&OP process to align fleet demand with manufacturing and finance Location: Hayward,... ...metrics such as forecast accuracy, plan attainment, inventory health, service readiness, and cost control. Create executive-...Relocation package- Coordinator, Long Term Care Principal Responsibilities... ...Medical Director, LTC Management and clinical staff as... ...resolve inquiries/issues for claims, authorizations,... ...experience in managed care or health care setting preferred.... ...home health, discharge planning, behavioral health,...ClaimsHealth InsuranceWork at office
- ...particularly with experience operating cherry pickers. Join... ...Reports to: Branch Manager Schedule: Monday-Friday... .... Initiates freight claim procedure when necessary... ...directed Adhere to health & safety policies and quality... ...~ Flexible Spending Plan ~ Health Savings Plan...ClaimsHealth InsuranceLocal areaMonday to FridayFlexible hoursShift workRotating shiftDay shift
$134k - $179k
...of the future: actively managed care that prevents disease,... ...organization’s clinical operations, financial performance, and population health and to address health... ...standards. Design analytic plans and lead evaluations of... ...(medical and pharmacy claims, clinical process and...ClaimsHealth Insurance$114k - $228k
...that matters, grow, and learn, care for yourself and family, be... ...medical coverage in our Health Investment Plan (HIP) PPO medical plan in the... ...helping people with diabetes manage their health more effectively... ...– International Compliance Operations** will work on-site at our Alameda...Health InsuranceFor contractorsWork experience placementWorldwide$169.3k - $338.7k
...science to improve people’s health. We’re always looking... ..., grow, and learn, care for yourself and family... ...our Health Investment Plan (HIP) PPO medical plan... ...foundation of any diabetes management plan, so we’re... ...enabling long-term growth and operational excellence. What You’ll...Health InsuranceTemporary work- ...wide nutrition company operating in over 50 countries and... ..., earth-friendly home care, and organic skin care.... ...cross‑functional leader, managing through functional... ...collaboration. Develop succession planning and talent development... ...Oversee environmental, health, and safety compliance....Health InsuranceWork at officeFlexible hours
$106.7k - $204.9k
...business units and functions by managing and coordinating a wide... ...including but not limited to claims management, financial reporting... ...needs. This includes robust health plans, a market-leading 401(k) program... .... And most importantly, we care about each other as multifaceted...ClaimsHealth InsuranceSummer workWork at officeFlexible hours
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