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Description
Senior Manager, Medicare Advantage Operations
Work Location
Los Angeles,CA
Job #21945
Work Hours
Monday-Friday, 8:00am-5:00pm PST
Employment Type
2 – Staff- Career
Duration
Indefinite
Salary Range
$83800-179400 Annually
Posted Date
February 25, 2025
Bargaining Unit
99
Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
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JOB DUTIES
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JOB QUALIFICATIONS
Description
As 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 improvements and process optimization.
• Lead new initiatives and projects aimed at improving efficiency and enhancing service delivery.
• Develop and implement best practices to improve team performance and regulatory compliance.
• Monitor key operational metrics, including inventory, aging, timeliness, and accuracy, to maintain high standards of performance.
Salary Range: $83,800 – $179,400/annually
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
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