Program Manager Revenue Integrity

2 weeks ago

Oxnard, California, United States UnitedHealth Group Full time
Program Manager Revenue Integrity

Are you a detail-oriented professional with a passion for healthcare revenue management? Do you have experience in eligibility and capitation management? We're seeking a skilled Program Manager Revenue Integrity to join our team at UnitedHealth Group.

Key Responsibilities:
  • Monitor daily operations of the department, including workflows, turnaround times, production levels, and staffing needs within budgetary and business planning guidelines.
  • Compile and analyze monthly enrollment data to provide accurate enrollment schedules to various departments.
  • Prepare, analyze, and monitor eligibility reconciliations to ensure all exceptions and rejected data have been researched and updated.
  • Assist in implementing programming changes for the business unit's eligibility manager software.
  • Calculate and prepare client provider capitated payments monthly in line with contract timelines and requirements.
  • Effectively communicate results, challenges, and solutions through daily interaction and regular reports with management.
  • Create and monitor standard reports to identify anomalies and/or trends impeding appropriate revenue capture.
  • Manage revenue reconciliation by obtaining and monitoring daily revenue activity.
  • Manage and train staff of four.
  • Create, analyze, and ad hoc reports to ensure all revenue is accounted for and paid according to contract.
Requirements:
  • 2+ years of experience in eligibility and capitation management.
  • Ability to demonstrate strong proficiency using MS Suite and other systems.
  • Knowledgeable of accounting/revenue functions.
  • Solid analytical and problem-solving skills.
  • Ability to follow verbal and written instructions.
Preferred Qualifications:
  • Knowledge of eligibility/insurance verification and managed care administration.
  • MS SQL.

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

  • Program Manager Revenue Integrity

    6 days ago

    Oxnard, California, United States UnitedHealth Group Full time

    Program Manager Revenue IntegrityAre you a detail-oriented professional with a passion for ensuring accurate revenue results? Do you have experience in eligibility and capitation management? We're seeking a skilled Program Manager Revenue Integrity to join our team at UnitedHealth Group.Key Responsibilities:Monitor daily operations, including workflows,...

  • Program Manager

    3 weeks ago

    Oxnard, California, United States Eckerd Youth Alternatives Full time

    About the RoleWe are seeking a highly skilled and motivated Program Manager to join our Workforce Development team. As a key member of our team, you will be responsible for supporting and monitoring the delivery of high-quality programs, in accordance with contract specifications.Key ResponsibilitiesSupervise and manage Workforce Development Specialists to...

  • Program Manager

    2 weeks ago

    Oxnard, California, United States Eckerd Youth Alternatives Full time

    About the RoleEckerd Connects is seeking a highly motivated and experienced Program Manager to lead our Workforce Development team. As a Program Manager, you will be responsible for overseeing the delivery of high-quality programs, ensuring model integrity and contractual compliance, and supervising a team of Workforce Development Specialists.Key...

  • Program Manager

    3 weeks ago

    Oxnard, California, United States Eckerd Youth Alternatives Full time

    Job Title: Program ManagerEckerd Connects is seeking a highly motivated and experienced Program Manager to join our Workforce Development team. As a Program Manager, you will be responsible for overseeing the delivery of high-quality programs, ensuring contract compliance, and supervising a team of Workforce Development Specialists.Key...

  • Engineering Program Manager

    3 weeks ago

    Oxnard, California, United States Nextracker Full time

    Job Title: Engineering Program ManagerJob Summary:Nextracker is seeking an experienced Engineering Program Manager to lead our R&D Mechanical Electrical programs. As a key member of our product development team, you will be responsible for planning and executing program plans, managing stakeholders, and driving product development schedules.Key...

  • Senior Program Manager

    3 weeks ago

    Oxnard, California, United States PTI Technologies Full time

    Job OverviewPTI Technologies is seeking a seasoned Senior Program Manager to lead strategic projects and programs in the aerospace industry. As a key member of our Program Management team, you will be responsible for overseeing projects through a structured product development process, ensuring project requirements are met throughout all phases.The ideal...

  • Program Manager 3

    2 weeks ago

    Oxnard, California, United States Northrop Grumman Full time

    Job Title: Manager Programs 3Job Summary:We are seeking a highly skilled and experienced Manager Programs 3 to join our team at Northrop Grumman. As a key member of our organization, you will be responsible for leading cross-functional teams and managing programs to deliver exceptional results.Key Responsibilities:Lead and manage cross-functional teams to...

  • Workforce Development Program Manager

    2 weeks ago

    Oxnard, California, United States Eckerd Youth Alternatives Full time

    About the RoleWe are seeking a highly skilled and motivated Workforce Development Program Manager to join our team at Eckerd Youth Alternatives. As a key member of our workforce development team, you will be responsible for supporting and monitoring the delivery of high-quality programs, in accordance with contract specifications, by supervising all...

  • Senior Program Manager

    21 hours ago

    Oxnard, California, United States Jobot Full time

    Senior Program ManagerWe are seeking a highly skilled Senior Program Manager to lead our engineering projects and drive business growth. As a key member of our team, you will be responsible for overseeing project planning, execution, and delivery, ensuring timely completion, budget adherence, and exceptional quality.Key Responsibilities:Lead cross-functional...

  • Senior Program Manager

    3 weeks ago

    Oxnard, California, United States Jobot Full time

    Senior Program ManagerWe are seeking a highly skilled Senior Program Manager to lead our engineering projects and drive business growth. As a key member of our team, you will be responsible for overseeing project planning, execution, and delivery, ensuring timely completion, budget adherence, and exceptional quality.Key Responsibilities:Lead cross-functional...

  • Fitness Manager Assistant

    3 weeks ago

    Oxnard, California, United States UFC Gym Full time

    Job Title: Assistant Fitness ManagerAt UFC Gym, we are seeking a highly motivated and experienced Assistant Fitness Manager to join our team. As an Assistant Fitness Manager, you will be responsible for ensuring a positive customer experience personally and through Coach's supervision.Key Responsibilities:Sell and conduct private training and small group...

  • Lead Program Manager

    2 months ago

    Oxnard, California, United States Jobot Full time

    Lead Program Manager required for a leading provider of advanced filtration technologies for aerospace and industrial sectorsAbout Us:We are a distinguished engineering and manufacturing firm, celebrated for our proficiency in crafting advanced filtration technologies. Our dedication to innovation allows us to cater to a wide array of industries, including...

  • Restaurant Manager

    4 hours ago

    Oxnard, California, United States Lucky Strike Full time

    Restaurant Manager Job DescriptionAt Lucky Strike, we're looking for a skilled Restaurant Manager to join our team. As a key member of our management team, you'll be responsible for overseeing the day-to-day operations of our restaurant, ensuring exceptional guest satisfaction, and driving business growth.Key Responsibilities:Lead a high-performing team of...

  • General Manager

    2 weeks ago

    Oxnard, California, United States UFC Gym Full time

    Job Title: General ManagerAt UFC Gym, we are seeking a highly motivated and experienced General Manager to lead our team and drive business success. The successful candidate will have a proven track record of managing high-performing teams, driving sales growth, and delivering exceptional member experiences.Key Responsibilities:Recruit, train, and develop a...

  • General Manager

    3 weeks ago

    Oxnard, California, United States UFC Gym Full time

    Job Title: General ManagerUFC Gym is seeking a highly motivated and experienced General Manager to lead our team in delivering exceptional member experiences and achieving financial success.Key Responsibilities:Staffing & Development: Recruit, train, and develop a diverse team of department managers, supervisors, and front-line team members to deliver on UFC...

  • General Manager

    3 weeks ago

    Oxnard, California, United States UFC GYM - Whitestown, IN Full time

    General Manager Job DescriptionThe General Manager is a key leadership role at UFC Gym - Whitestown, IN, responsible for driving business growth, member satisfaction, and team performance. This role requires a strong leader who can motivate and develop a high-performing team to achieve financial success and deliver an exceptional member experience.Key...

  • Account Sales Manager

    3 weeks ago

    Oxnard, California, United States Grainger Businesses Full time

    Job Title: Account Sales Manager, GovernmentJob Summary:We are seeking a highly motivated and experienced Account Sales Manager to join our team in Lompoc, CA. As a key member of our sales team, you will be responsible for maximizing revenue growth within designated account packages by developing new accounts and expanding existing relationships.Key...

  • Account Sales Manager

    4 weeks ago

    Oxnard, California, United States Grainger Businesses Full time

    About the RoleWe are seeking a highly motivated and experienced Account Sales Manager to join our team at Grainger Businesses. As a key member of our sales team, you will be responsible for maximizing revenue for designated account packages by growing sales within existing accounts and developing new accounts.Key ResponsibilitiesUnderstand customer goals and...

  • Account Sales Manager

    4 weeks ago

    Oxnard, California, United States Grainger Full time

    Job SummaryWe are seeking a highly motivated and experienced Account Sales Manager to join our team at Grainger. As a key member of our sales team, you will be responsible for maximizing revenue for designated account packages by growing sales within existing accounts and developing new accounts.Key ResponsibilitiesUnderstand customer goals and remain alert...

  • Wendy's Restaurant Manager

    3 weeks ago

    Oxnard, California, United States WKS Restaurant Group Full time

    Job SummaryWe are seeking a highly skilled and experienced General Manager to lead our Wendy's restaurant team. As a General Manager, you will be responsible for overseeing the daily operations of the restaurant, including managing staff, maintaining high-quality customer service, and ensuring compliance with company policies and procedures.Key...