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Manager, Major Medical and VBP Operations
Location:
Tempe, AZ
Description:
Hawaii Mainland Administrators, LLC is a privately held, national Healthcare company which provides a broad range of development, management and information services. Full time employment has career growth opportunities, life insurance, paid Holidays, PTO and many more great benefits.Hawaii Mainland Administrators, LLC ( HMA, LLC ) is seeking a full time Manager, Major Medical and VBP Operations for our Tempe, AZ location. The prospective candidate will need excellent oral and written communications. They should have the ability to maintain a courteous and professional demeanor while working under pressure; self-starter with the ability to work independently and as part of a team, detail oriented, strong analytical ability.Salaried position with 401(k), paid Holidays and excellent company paid benefits. EOE Submit resume and wage requirements to [XXXX@hmatpa.com] or fax to 866-293-XXXX. Education Required High School Diploma, Relevant Work Experience, Bachelor's Degree preferred Experience Required 3+ years of healthcare operations leadership positions, computer literate, verbal and written skills Job Purpose Provides leadership, Training and direction for all aspects of the claims department for the Major Medical and Value based pricing Health plans. This includes high dollar claim review and adjudication, oversight for non-standard claim reimbursements and provide support to other departmental Managers on complex claim reviews. Main Duties and Responsibilities Oversight of the daily operations of Claims processing for Facility claims, C.C.A.R.D. claims, HCFA, Non-Standard reimbursements and performing audits of the adjudicated claims Review and approval of high dollar claims submitted by CCARD Implementation of policies and procedures including staff training Providing claims support and training to other departments
Company:
Hawaii Mainland Administrators
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Manager, Major Medical and VBP Operations
Manager, Major Medical and VBP Operations is a Executive Manager Job at Hawaii Mainland Administrators located in Tempe AZ. Find other listings like Manager, Major Medical and VBP Operations by searching Oodle for Executive Manager Jobs.
Manager, Major Medical and VBP Operations is a Executive Manager Job at Hawaii Mainland Administrators located in Tempe AZ. Find other listings like Manager, Major Medical and VBP Operations by searching Oodle for Executive Manager Jobs.