What are the responsibilities and job description for the Senior Manager, Medicare Advantage Operations position at UCLA Health Careers?
As a key leader within Medicare Advantage Operations, the Senior Manager will be responsible for overseeing the strategic management and operational execution of Appeals and Grievances, Claims Processing, and Payment Integrity functions. In this role, you will ensure the efficient and compliant operation of all Medicare Advantage activities, aligning with CMS regulations and internal organizational standards. You will:
Salary Range: $83,800 - $179,400/annually• Ensure timely, accurate, and compliant operations in accordance with CMS, DMHC, and internal standards.
• Collaborate with cross-functional teams to identify opportunities for operational improvements and process optimization.
• Lead new initiatives and projects aimed at improving efficiency and enhancing service delivery.
• Develop and implement best practices to improve team performance and regulatory compliance.
• Monitor key operational metrics, including inventory, aging, timeliness, and accuracy, to maintain high standards of performance.
Salary : $1,000 - $1,000,000
