Manager, Medicare Programs

Leadership Identify, initiate, and manage organization-wide projects to ensure that all HMSA's Medicare Program contractual obligations are met or exceeded. Manages necessary changes to existing systems, operations or workflows to address new/revised requirements of CMS/DHS/MQD. Structures work plans and project scope to deliver business impact on high...

Job Summary Hybrid Work Environment - Must reside in Hawaii ** Responsible to support the development and implementation of required activities to ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements and mandates, that ensures compliance with Medicare contracting and reporting requirements. Coordinate operational activities...

Job Summary **Hybrid Work Environment - Must reside in Hawaii ** The Manager, Medicare Risk Adjustment has organization level responsibilities for the administration of all provisions/requirements of HMSA's Medicare Risk Adjustment program. They are responsible for managing the development and implementation of successful activities that improve the...

Job Summary This position serves as the contact for prospective Medicare Advantage members through strategic outbound efforts and field visits. This position supports HMSA's overall Medicare Advantage sales, including group retiree sales and retention strategies, and works in a dynamic sales driven environment to the Medicare and Dual Special Needs...

Programs Analyst (medical A reputable health insurance company is seeking a Program Analyst to join their team and assist with Medicare and Medicaid related issues such as fraud, abuse, and audits.The ideal candidate will have their bachelor's degree and 2 years of audit and/or fraud investigation experience.Interested? Apply today for immediate...

POSITION SUMMARY The Government Programs Analyst is responsible for assisting the Director of Government Programs and Government Programs Administrator with Medicare and Medicaid markets with primary focus on fraud and abuse related reviews, audits, and special projects as needed. ESSENTIAL DUTIES AND RESPONSIBILITIES Key Responsibilities * Fraud and Abuse...

Programs Analyst (medical) (215137-14)A reputable health insurance company is seeking a Program Analyst to join their team and assist with Medicare and Medicaid related issues such as fraud, abuse, and audits. The ideal candidate will have their bachelor's degree and 2 years of audit and/or fraud investigation experience. Interested? Apply today for...

BAYADA Home Health Care is currently seeking a full-time Registered Nurse to become our next Clinical Manager in our Medicare certified Oahu Visits office in Honolulu, HI. As one of the Clinical Managers, you will lead the field staff in providing exceptional client service, clinical excellence, and adherence to policies and procedures. Clinical Managers are...

Description BAYADA Home Health Care is currently seeking a full-time Registered Nurse to become our next Clinical Manager in our Medicare certified Oahu Visits office in Honolulu, HI. As one of the Clinical Managers, you will lead the field staff in providing exceptional client service, clinical excellence, and adherence to policies and procedures. Clinical...

Description BAYADA Home Health Care is currently seeking a full-time Registered Nurse to become our next Clinical Manager in our Medicare certified Oahu Visits office in Honolulu, HI. As one of the Clinical Managers, you will lead the field staff in providing exceptional client service, clinical excellence, and adherence to policies and procedures. Clinical...

Job DescriptionJob Descriptionhe Alaka'ina Foundation Family of Companies (FOCs) is looking for a qualified Program Manager to support our Pacific Operations Office in Honolulu, Hawai'i.We are seeking a highly engaged leader capable of managing multiple programs effectively. Programs are varied, spanning multiple Industries and Government agencies....

Program Manager (214626-14)A local healthcare company is seeking a Program Manager to join their team and be responsible for planning, implementing, and evaluating healthcare programs to ensure efficient and effective delivery of services. The ideal candidate will have their bachelor's or master's degree in healthcare administration, public health, or...

The Alaka'ina Foundation Family of Companies (FOCs) is looking for a qualified Program Manager to support our Pacific Operations Office in Honolulu, Hawai'i.We are seeking a highly engaged leader capable of managing multiple programs effectively. Programs are varied, spanning multiple Industries and Government agencies. Primary responsibilities include...

Program Manager A local healthcare company is seeking a Program Manager to join their team and be responsible for planning, implementing, and evaluating healthcare programs to ensure efficient and effective delivery of services.The ideal candidate will have their bachelor's or master's degree in healthcare administration, public health, or nursing.Apply...

BAYADA Home Health Care is currently seeking a full-time Registered Nurse to become our next Clinical Manager in our Medicare certified Oahu Visits office in Honolulu, HI. As one of the Clinical Managers, you will lead the field staff in providing exceptional client service, clinical excellence, and adherence to policies and procedures. Clinical Managers are...

BAYADA Home Health Care is currently seeking a full-time Registered Nurse to become our next Clinical Manager in our Medicare certified Oahu Visits office in Honolulu, HI. As one of the Clinical Managers, you will lead the field staff in providing exceptional client service, clinical excellence, and adherence to policies and procedures. Clinical Managers are...

Job DescriptionJob DescriptionFRIENDS OF THE CHILDREN'S JUSTICE CENTER OF OAHUPROGRAM MANAGER JOB OPENINGReports to: Executive Director (if no Executive Director, then FCJCO Board of Directors)Status: Non-ExemptAs the non-profit partner to the Children’s Justice Center of Oahu, the Friends of the Children’s Justice Center of Oahu (FCJCO) provides the...

Summary Serves as a Management and Program Assistant in ATO Technical Operations.The position may be filled at the FV-E or FV-F band level. Duties Duties FV-EPerforms basic and routine tasks in support of a professional, technical, or specialized occupation under the general direction of a manager, project/program manager, team leader, or more experienced...

Senior Program Manager Join our team to lead and support major capital projects and programs. We are seeking an experienced Senior Program Manager with a strong background in engineering and construction with industry experience in energy, utilities, or gas. Responsibilities: Supervise and guide Project Managers to ensure project deadlines, budgets, and...

Senior Program ManagerJoin our team to lead and support major capital projects and programs. We are seeking an experienced Senior Program Manager with a strong background in engineering and construction with industry experience in energy, utilities, or gas.Responsibilities:Supervise and guide Project Managers to ensure project deadlines, budgets, and...