Senior Manager, Medicare Advantage Operations in Los Angeles, CA for UCLA

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Senior Manager, Medicare Advantage Operations

DescriptionAs 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: • Ensure timely, accurate, and compliant operations in accordance with CMS, DMHC, and internal standards. • Collaborate with cross-functional teams to identify opportunities for operational improveme

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