Senior Manager

6 months ago

Reno, United States Prominence Health Full time

Job Description

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 3, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 4. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Learn more at:

Job Summary: The Senior Claims Manager will oversee and ensure the efficiency and accuracy of healthcare claims operations. This position oversees the claims inventory by setting, evaluating, and monitoring the claims inventory and examiner production metrics and is responsible for timely and precise benefit determinations for claims, while upholding exceptional service standards for both members and providers. The Senior Manager will spearhead implementation efforts and advocate for excellence in quality processes and compliance standards. The role will proactively identify areas for improvement, provide coaching to team members and ensure the attainment of key performance metrics. This position will participate in various meetings. Company initiatives and other workgroups to support claims integrity. Additional responsibilities include all aspects of running an efficient team, including hiring, managing, coaching, training, and motivating direct reports.

Benefit Highlights:

Loan Forgiveness Program  Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans (K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its + Subsidiaries · More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.


Qualifications

Qualifications and Requirements:

Bachelor’s degree in health care administration or business management, or equivalent work experience. 5+ years’ experience with a health care company or a health plan. 5+ years’ experience managing, budgeting, forecasting and collaboration with executive leadership. Strong leadership skills with an ability to influence and persuade internally and externally while driving cross-functional collaboration. In-depth knowledge of medical terminology, coding systems (CPT, ICD-), and insurance billing practices. Strong understanding of healthcare regulations, including HIPAA, CMS guidelines, state laws and experience in information preparation for required regulatory audits. Ability to promote data driven decision making throughout the organization. Knowledge of benefits, pricing and inventory management and reporting. Expertise in software implementation, technology adoption and an understanding of which tools work best to meet the needs of organization. Outstanding interpersonal skills Excellent written, oral, and active listening communication skills. Proficient in MS Office, contact center and training platforms, workforce management and project/team management software. Strong project management skills and experience managing large scale projects. QNXT system experience preferred. Ability to effectively communicate in English, both verbally and in writing. Excellent computer skills. Highly developed professional, interpersonal, written and oral communication skills. Experience in building and maintain provider relationships. Highly accountable, organized, detailed Ability to develop and implement strategic initiatives.

  • LPN Medication Care Manager

    4 weeks ago

    Reno, Nevada, United States Sunrise Senior Living Full time

    Job Title: LPN Medication Care ManagerAt Sunrise Senior Living, we are seeking a highly skilled LPN Medication Care Manager to join our team. As a Medication Care Manager, you will be responsible for providing high-quality care and services to our residents by administering medication and treatments in a safe and organized manner.Responsibilities:Administer...

  • Mountain Lakes NJ RN

    4 weeks ago

    Reno, Nevada, United States Sunrise Senior Living Full time

    Sunrise Senior Living is a renowned provider of senior care services, and we are currently seeking a dedicated and compassionate RN to join our team as a Senior Living Care Specialist in Mountain Lakes, NJ.As a Senior Living Care Specialist, you will be responsible for delivering high-quality care to our residents, promoting their overall well-being, and...

  • Senior Caregiver

    1 month ago

    Reno, Nevada, United States Help at Home Senior Care Nevada Full time

    Job OverviewWe are seeking a compassionate and reliable Senior Caregiver to provide in-home care to our clients in Nevada. As a caregiver/personal assistant, you will have the opportunity to make a positive impact on the lives of seniors and their families.Key Responsibilities:Provide companionship and support to seniors in their homesAssist with daily...

  • Senior Assistant Manager

    3 weeks ago

    Reno, United States Smart & Final Full time

    The Senior Assistant Manager (SAM) reports to the Store Manager. A SAM position with Smart & Final Stores Corporation (the Company) is considered a critical entry-level management job. In this regard, the SAM plays a crucial role in managing the da Assistant Manager, Store Manager, Manager, Store Associate, Senior, Assistant, Grocery

  • Senior Project Manager

    4 weeks ago

    Reno, Nevada, United States Jobot Full time

    We are seeking a highly skilled Senior Project Manager to join our Reno branch. As a key member of our team, you will be responsible for overseeing commercial construction projects from start to finish.With a strong background in ground-up projects and tilt-up construction, you will be able to provide innovative solutions for our clients. Your experience in...

  • Senior Preconstruction Project Manager

    4 weeks ago

    Reno, Nevada, United States United Construction Full time

    Job Title: Senior Preconstruction Project ManagerUnited Construction is seeking a highly skilled Senior Preconstruction Project Manager to lead our preconstruction team. The ideal candidate will have a strong background in construction project management, with a focus on preconstruction and estimating.Key Responsibilities:Lead the preconstruction team in...

  • Senior Project Manager

    2 months ago

    Reno, United States DataX Connect Full time

    Senior Project Manager – Data Centers Are you an experienced Project Manager looking to grow a Mission Critical team?Do you want to work for a growing General Contractor who has an excellent reputation in the market?DataX Connect is currently representing a Top 20 GC who are looking for an experienced Senior Project Manager to help expand their Mission...

  • Senior Project Manager

    4 months ago

    Reno, United States DataX Connect Full time

    Senior Project Manager – Data Centers Are you an experienced Project Manager looking to grow a Mission Critical team?Do you want to work for a growing General Contractor who has an excellent reputation in the market?DataX Connect is currently representing a Top 20 GC who are looking for an experienced Senior Project Manager to help expand their Mission...

  • Senior Project Manager

    1 month ago

    reno, United States DataX Connect Full time

    Senior Project Manager – Data Centers Are you an experienced Project Manager looking to grow a Mission Critical team?Do you want to work for a growing General Contractor who has an excellent reputation in the market?DataX Connect is currently representing a Top 20 GC who are looking for an experienced Senior Project Manager to help expand their Mission...

  • Senior Cost Management Specialist

    4 weeks ago

    Reno, Nevada, United States Insight Global Full time

    Job Summary:We are seeking a highly skilled Senior Cost Management Specialist to join our team at Insight Global. As a key member of our organization, you will play a critical role in optimizing and controlling our total cost management program on mega projects.Responsibilities:Cost Management: Develop and implement a comprehensive cost management strategy,...

  • Senior Construction Manager

    4 weeks ago

    Reno, Nevada, United States Jobot Full time

    Job SummaryAs a Senior Construction Manager with Jobot, you will oversee the execution of commercial construction projects from start to finish. Our team specializes in tilt-up construction, with a focus on projects in the $30-60M range.We have successfully built over 40 million sqft of facilities, including educational, office, retail, aviation,...

  • Senior Audit Manager

    1 month ago

    Reno, Nevada, United States Jobot Full time

    Job SummaryWe're seeking a highly skilled Senior Audit Manager to join our team in a hybrid remote role. As a key member of our audit team, you will be responsible for assisting with engagement planning, conducting accounting research, and supervising staff throughout audit, review, and compilation engagements.Key Responsibilities• Assist with engagement...

  • Senior Project Manager

    2 months ago

    Reno, United States Jobot Full time

    Job DescriptionJob DescriptionSenior Project Manager for a top commercial GC in Reno!This Jobot Job is hosted by: Matt RodriguesAre you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $120,000 - $140,000 per yearA bit about us:Based in Nevada, we are a well-established GC that specializes in commercial construction....

  • Senior Construction Project Manager

    1 month ago

    Reno, Nevada, United States Tactical Overwatch Command LLC Full time

    Job Title: Senior Construction Project ManagerWe are seeking a highly skilled and experienced Senior Construction Project Manager to lead the planning and execution of large-scale data center construction projects.Key Responsibilities:Lead all aspects of project planning, scheduling, and budgeting for large-scale data center construction projects.Develop and...

  • Senior Construction Manager

    4 weeks ago

    Reno, Nevada, United States Pavilion Construction Full time

    About the Role:Pavilion Construction is seeking a seasoned Construction Director to lead our regional offices. As a key member of our leadership team, you will be responsible for assigning project teams, assessing staff strengths and weaknesses, and driving continuous improvement of staff skills. You will also be responsible for recognizing construction...

  • Senior Project Manager

    4 weeks ago

    Reno, Nevada, United States Wood Rodgers Full time

    Job OverviewWood Rodgers is seeking a highly skilled Senior Engineer to join our team. As a key member of our project management team, you will be responsible for the design and execution of transportation and public works projects.Key ResponsibilitiesProvide design and project management services for public sector clients.Prepare technical documentation,...

  • Senior Product Manager

    4 weeks ago

    Reno, Nevada, United States Microsoft Corporation Full time

    About the RoleWe are seeking a Senior Product Manager to drive excellence in building world-class support delivery processes, tools, and frameworks for our Azure customers. As a key member of the Azure Customer Experience Platform team, you will oversee the design, build, and successful adoption of processes and tools to ensure our customers achieve...

  • Senior Product Manager

    4 weeks ago

    Reno, Nevada, United States ITS Logistics Full time

    About ITS LogisticsWe are a premier Third-Party Logistics company that provides creative supply chain solutions. Our purpose is to improve the quality of life by delivering excellence in everything we do.At ITS, we invest in your personal and professional growth, providing the tools, resources, and support you need to unleash your full potential. We empower...

  • Home Care Aide

    6 months ago

    Reno, United States Senior Helpers - Reno Full time

    If you’re looking to work for a company that improves the lives of others, invests in their employees, and provides a welcoming work environment, you should join the Senior Helpers team.By providing care to our clients, our caregivers make a direct impact on helping seniors age in the comfort of their own home.Apply today!Job Responsibilities:Provide...

  • Senior Preconstruction Manager

    1 week ago

    reno, United States CyberCoders Full time

    Position OverviewThe Senior Preconstruction Manager will oversee the preconstruction phase of projects, ensuring that all aspects of planning, budgeting, and scheduling are executed effectively. This role is critical in establishing project feasibility and aligning stakeholders' expectations with the company's goals.Key ResponsibilitiesLead the...