Talent.com
Medicare Vendor Operations Specialist
Medicare Vendor Operations SpecialistVirtualVocations • Irvine, California, United States
No longer accepting applications
Medicare Vendor Operations Specialist

Medicare Vendor Operations Specialist

VirtualVocations • Irvine, California, United States
5 days ago
Job type
  • Full-time
Job description

A company is looking for a Vendor Operations Oversight Specialist (Medicare).

Key Responsibilities

Monitor vendor performance to ensure compliance with regulatory and business requirements

Develop standardized processes for tracking and documenting vendor oversight activities

Serve as a subject matter expert on current CMS requirements for operational functions and vendor oversight

Required Qualifications

Bachelor's degree in Healthcare, Business Administration, or related field

2+ years of experience in managed care operations, compliance, auditing, project management, or business analysis, preferably in the Medicare field

Experience coordinating cross-functional teams on large-scale projects

Ability to evaluate and communicate regulatory and business requirements

Demonstrated understanding of relationships and dependencies between functional areas

Create a job alert for this search

Operation Specialist • Irvine, California, United States

Related jobs
Manager, Clinical Operations

Manager, Clinical Operations

West Coast University • ONTARIO, California, United States
Full-time
At West Coast University, we share a.As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, student ...Show more
Last updated: 1 day ago • Promoted
California DME Reimbursement Specialist

California DME Reimbursement Specialist

VirtualVocations • Mission Viejo, California, United States
Full-time
A company is looking for a DME Reimbursement Specialist.Key Responsibilities Conduct billing review and claim generation for DME / HME orders Manage A / R and denial management, including denied cla...Show more
Last updated: 2 days ago • Promoted
Refund Specialist III

Refund Specialist III

VirtualVocations • Pasadena, California, United States
Full-time
A company is looking for a Refund Specialist III - Remote.Key Responsibilities Validates and tracks credits due to insurance companies, patients, and other payers Analyzes account activity to de...Show more
Last updated: 30+ days ago • Promoted
Hospital Billing Follow-Up Specialist

Hospital Billing Follow-Up Specialist

VirtualVocations • Pasadena, California, United States
Full-time
A company is looking for a Hospital AR Follow Up specialist to manage aged hospital account receivables.Key Responsibilities Perform comprehensive follow-up on hospital claims to resolve outstand...Show more
Last updated: 2 days ago • Promoted
Medicare Vendor Operations Specialist

Medicare Vendor Operations Specialist

VirtualVocations • Fullerton, California, United States
Full-time
A company is looking for a Vendor Operations Oversight Specialist (Medicare).Key Responsibilities Monitor vendor performance to ensure compliance with regulatory and business requirements Develo...Show more
Last updated: 5 days ago • Promoted
Medicaid Collections Specialist

Medicaid Collections Specialist

VirtualVocations • Mission Viejo, California, United States
Full-time
A company is looking for a Collections Specialist I - Medicaid (REMOTE).Key Responsibilities Perform collection follow-up on outstanding insurance balances and document account activity Make out...Show more
Last updated: 23 days ago • Promoted
Pharmacy Operations Manager

Pharmacy Operations Manager

VirtualVocations • Fullerton, California, United States
Full-time
A company is looking for a Manager, Formulary & Medical Pharmacy Operations.Key Responsibilities Oversee clinical pharmacy initiatives to drive affordability savings and manage formulary operatio...Show more
Last updated: 30+ days ago • Promoted
Senior Operation Program Specialist

Senior Operation Program Specialist

VirtualVocations • Mission Viejo, California, United States
Full-time
A company is looking for an Operation Program Specialist 3 to optimize operational processes and enhance program performance within clinical trials. Key Responsibilities Manage and oversee the ope...Show more
Last updated: 3 days ago • Promoted
Lead Pharmacy Operations Specialist

Lead Pharmacy Operations Specialist

VirtualVocations • Whittier, California, United States
Full-time
A company is looking for a Lead Pharmacy Systems Operations Specialist.Key Responsibilities Manage and support pharmacy claims adjudication across multiple platforms Develop and maintain standar...Show more
Last updated: 30+ days ago • Promoted
Licensed Pharmacist Operations Director

Licensed Pharmacist Operations Director

VirtualVocations • Whittier, California, United States
Full-time
A company is looking for a Director of PBM Prior Authorization Operations.Key Responsibilities Lead a nationwide team responsible for prior authorization and utilization management programs Over...Show more
Last updated: 5 days ago • Promoted
Accounts Receivable Specialist - San Clemente (Contract-Hire)

Accounts Receivable Specialist - San Clemente (Contract-Hire)

Vaco by Highspring • San Clemente, CA, US
Full-time
Accounts Receivable Specialist – Temp-to-Hire | Onsite in San Clemente, CA.We’re partnering with a growing organization in San Clemente that’s looking to add an. Accounts Receivable Specialist.Direc...Show more
Last updated: 7 days ago • Promoted
RCM Operations Associate

RCM Operations Associate

VirtualVocations • Norwalk, California, United States
Full-time
A company is looking for an RCM Operations Associate to support its revenue cycle management function.Key Responsibilities Bulk action claims and perform root-cause analysis on high-volume denial...Show more
Last updated: 3 days ago • Promoted
Accounts Receivable Specialist

Accounts Receivable Specialist

Vaco by Highspring • San Clemente, CA, US
Full-time
Accounts Receivable Specialist – San Clemente, CA.Full-time, Temp-to-Hire | 100% Onsite.Join a growing accounting team of nine at a well-established, San Clemente–based company in the environmental...Show more
Last updated: 7 days ago • Promoted
Operations Specialist Lead

Operations Specialist Lead

VirtualVocations • Pasadena, California, United States
Full-time
A company is looking for an Operations Specialist Lead (Remote KY, NC).Key Responsibilities Develops and maintains relationships with customers, associates, and vendors to enhance service experie...Show more
Last updated: 30+ days ago • Promoted
Operations Excellence Lead

Operations Excellence Lead

VirtualVocations • Huntington Beach, California, United States
Full-time
A company is looking for a Lead of Operations Excellence (Remote).Key Responsibilities Lead process transformation initiatives for payer operations, focusing on practice rostering and provider en...Show more
Last updated: 3 days ago • Promoted
Licensed Clinical Operations VP

Licensed Clinical Operations VP

VirtualVocations • Huntington Beach, California, United States
Full-time
A company is looking for a VP, Clinical Operations.Key Responsibilities Oversee care delivery and practice management teams, focusing on innovative care model improvements and achieving departmen...Show more
Last updated: 1 day ago • Promoted
Ohio Licensed Operations Supervisor

Ohio Licensed Operations Supervisor

VirtualVocations • Huntington Beach, California, United States
Full-time
A company is looking for a Supervisor, Operations to lead a remote pharmacy team.Key Responsibilities Provide leadership and coaching to team leads and their direct reports Monitor team performa...Show more
Last updated: 3 days ago • Promoted
Medical Assistant - Quick Care (VW)

Medical Assistant - Quick Care (VW)

TrueCare • Oceanside, CA, US
Full-time
TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare ac...Show more
Last updated: 7 hours ago • Promoted • New!