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Operations Manager
3 weeks ago
United Palestinian Appeal Washington, United StatesJob Announcement: Operations Manager · Position Type: Full time, exempt (not eligible to receive overtime pay) · Compensation: Commensurate with experience · Location: UPA Office, Washington, DC · Reports to: Executive Director · Position Summary · UPA is seeking a highly motiv ...
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Operations Manager
1 week ago
Concord Hospitality Enterprises Company Washington, United StatesDemonstrates and communicates key drivers of guest satisfaction for the brand's target customer. - Analyzes service issues and identify trends. - Successfully works with department heads to ensure proper processes are being met. - Communicates effect Operations Manager, Operation ...
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Operations Manager
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Wagshal's Washington, United StatesCompany Description · We are a food centric grocery concept in the DC area that has been in business for almost 100 years Everything we do is centered around FOOD and customer service. Come experience and be a part of our "Passion for Food" · Role Description · This is a full-tim ...
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Operations Manager
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National Rural Utilities Cooperative Washington, United StatesJob Description · Job Description · Join a member-driven leader in a fast-paced, challenging and collaborative environment with the shared mission of supporting America's network of rural electric cooperatives. Since its formation in 1969, National Rural Utilities Cooperative F ...
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IT Operations Manager
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CareFirst BlueCross BlueShield Washington, United StatesManages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the organization's infrastructure. Manages the administration of environments in multiple on-premise data centers, clo Operations Manager, IT, Opera ...
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IT Operations Manager
2 weeks ago
CareFirst BlueCross BlueShield Washington, United States**Resp & Qualifications** · **PURPOSE:** · Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the organization's infrastructure. · Manages the administration of environments in multiple on-premise ...
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IT Operations Manager
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Money Fit by DRS Washington, United StatesJob Description: · The IT Operations Manager, recognized as key personnel for Task Area 5, is essential for managing the overall operational integrity of the EOIR IT enterprise environment. This manager carries the responsibility of overseeing both on-premise and cloud-based inf ...
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IT Operations Manager
2 weeks ago
CareFirst BlueCross BlueShield Washington, United StatesResp & Qualifications · PURPOSE: · Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the organization's infrastructure. Manages the administration of environments in multiple on-premise data cent ...
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IT Operations Manager
2 weeks ago
CareFirst BlueCross BlueShield Washington, United StatesIT Operations Manager - Evening Shift (Remote) · Job ID: · 19657 · Job Function: · Information Technology · Location: · Washington, DC, United States · Campus: · DC-Washington-Union Center Plaza · PURPOSE: · Manages a team of technical engineers that manages daily operations ...
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IT Operations Manager
2 weeks ago
CareFirst BlueCross BlueShield Washington, United StatesResp & Qualifications PURPOSE: Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the organization's infrastructure. Manages the administration of environments in multiple on-premise data centers, cl ...
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IT Operations Manager
1 week ago
CareFirst BlueCross BlueShield Washington, United StatesResp & Qualifications · PURPOSE: · Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the organization's infrastructure. Manages the administration of environments in multiple on-premise data center ...
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Operations Manager
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Bowhead Washington, United StatesOverview: · OPERATIONS MANAGER (SIOP : · Bowhead seeks an Operations Manager to join our team in providing program management support in a broad range of services to the Shipyard Infrastructure Optimization Program (SIOP) and assisting our US Navy clients in the execution of th ...
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Operations Manager
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Telos Group Washington, United StatesJob Description · Job Description Salary: · Our Mission We form communities of American peacemakers across lines of difference, and equip them to help reconcile seemingly intractable conflicts at home and abroad. · Telos is a nonprofit whose mission is to form communities of pe ...
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Operations Manager
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SecuriGence LLC Washington, United StatesJob Title: Operations Manager · Location: Washington, DC Metropolitan area · Clearance Level: Top Secret w/ SCI eligibility · Summary · We deliver essential technology services to our customers in support of their missions to sustain the national security and economic interests ...
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Operations Manager
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EMCOR Government Services, Inc. Washington, United StatesAbout Us: EMCOR Government Services offers an experienced single-source solution for meeting the routine and mission-critical needs of federal, state, local and other government organizations. By combining our expert professional technicians, commercial best practices, extensive ...
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Operations Manager
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Operations Manager
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Kohl's Washington, United StatesRole Specific Information · Directly accountable for providing service to retail stores by coordinating the processing of merchandise from the vendor, through the Distribution Network. Manages the day to day execution of overall business strategies and productivity measures. · J ...
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operations manager
12 hours ago
Compass Group, PLC Washington, United StatesThe Operations Manager supervises the overall success of the operation adhering to the Clients culture and guidelines, the Health Departments regulations, and Company standards and expectations of food quality, freshness and presentation. Oversees Operations Manager, Operations, ...
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Operations Manager
12 hours ago
Pirate Ventures Washington, United StatesAbout Pirate Ventures · At Pirate Ventures, we live boldly and act differently. We"re a crew built of dreamers that collaborate to Deliver the Unexpected, every day. We understand it is our call and responsibility to curate environments and experiences where people feel genuinely ...
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Operations Manager
12 hours ago
JLL Washington, United StatesOperations Manager – Mobile Engineering Services · Job Description · The Operations Manager has the overall responsibility for the management, supervision and operation of the Mobile Engineering Services assigned facilities for ongoing engineering and maintenance operations to ...
Mortgage Operations Manager - Washington, United States - Florida Realty Elite
Description
Candidates must be a resident of New Mexico to be considered for this role.Who is Comagine Health?
Comagine Health is a national, nonprofit, health care consulting firm.
We work collaboratively with patients, providers, payers, and other stakeholders to reimagine, redesign and implement sustainable improvements in the health care system.
As a trusted, neutral party, we work in our communities to address key, complex health, and health care delivery problems.
In all our engagements and initiatives, we draw upon our expertise in quality improvement, care management, health information technology, analytics, and research.
We invite our partners and communities to work with us to improve health and redesign the health care delivery system.
Develop, implement, and maintain departmental policies and procedures, staffing protocols, training programs, quality management programs, and department budgets.
Ensure that department fully meets all required legal, contractual and accreditation standards as well as compliance with corporate policies.
Participate in business/product development, proposals and customer relations activities.
May also conduct prospective, concurrent, and/or retrospective utilization management reviews.
On a formal and informal basis, conducts performance appraisals with staff using objective data related to job performance and goals/standards established for each position
Ensures that all resource materials, such as reference books, computers, provider manuals, internet connectivity, etc., necessary to conduct daily work activities are made available to staff
Ensures that established quality, productivity and attendance standards are met by all staff through regular performance monitoring
Develops, updates and shares job descriptions with staff to clarify job expectations and performance standards
Initiates timely and appropriate counseling, education, training and coaching with staff to support professional development or to address areas of performance deficiencies and related improvement expectations
Responsible for all personnel management activities, including supervision, evaluation, hiring and termination, in accordance with company policies and under advisement of management
Serves as a consultant to staff regarding clinical and/or non-clinical matters, customer expectations, accreditation standards, contractual requirements and utilization activities, as applicable
Ensures the integrity and high quality of utilization management services
Accepts utilization management assignments when work volumes or case complexities require managerial back up
Collaborates with the development and implementation of a quality management program, including an on-going internal quality control (IQC) system that provides on-going performance monitoring for compliance with contractual requirements, performance measures accreditation standards
Collaborates with medical affairs and staff in developing guidelines and protocols for clinical review staff in referring, consulting, and staffing cases/reviews with Medical Directors and physician/practitioner consultants and dentists.
Monitors and maintains adequate access by providers, customers, patients/clients, and others with staff in order to provide the timely provision of Utilization Review services
Reviews Utilization Review reports, appeal letters, and other sensitive documents to ensure they meet contractual requirements, accreditation standards, performance measures, timeframe requirements, and service standards %
Efficiently and effectively manages financial responsibilities
Develops and monitors the productivity standards for the staff to ensure there is efficient and effective delivery of services by the appropriate number and skill level of staff
Develops timely and appropriate budgets that include sufficient staffing and other resources to meet the contractual requirements, case/review volumes, service standards, and organizational goals
Ensures compliance with finance and accounting policies and procedures, which includes but is not limited to the delegations of authority
Initiates timely and appropriate managerial interventions to improve compliance with the budget when expenditures are not in line with budget
Monitors unbilled hours and open cases/reviews to ensure that there is timely, accurate, and appropriate billing by staff
Effectively works with customers, including business development activities
Participates in responses to requests for proposals (RFPs), product development, and other business development activities
Promotes, monitors, and improves positive customer service behaviors, communications, and attitudes by all staff in the provision of services to all stakeholders
Provides timely, appropriate, and responsive communications and interventions when necessary with providers, patients/clients, customers, and other stakeholders to resolve their concerns, questions, and issues
Represents the products/services of the department through the active participation in customer conference calls, customer meetings, and educational seminars
Complies with policies and procedures, administrative assignments and other projects
Develops, monitors, and reports on departmental goals, standards, and objectives through collaboration with the Vice President, Medical Director, Operations Director, staff, and other managers
Ensures that the Vice President, Operations Director or designee is informed in a timely manner regarding significant operational issues, performance measures, complaints/grievances, compliments, quality management initiatives, staffing concerns, and other relevant topics
Maintains compliance with organizational policies and procedures, including but is not limited to the strategic plan, organizational structure, confidentiality, safety, and complaint/grievance resolution
Monitors completion of timecards to ensure staff's accuracy, timeliness, and compliance with related policies and procedures
Compensation Range:
$85,000 - $107,000
Required Skills
Intermediate MS Office Suite proficiency
Working knowledge of Medicaid, or commercial insurance preferred
Required Experience
Current, active, unrestricted RN licensure
BA / BS in a related field
Equivalent combination of education and/or work experience may be substituted
IQCI or certification in a medical management field preferred
At least 5 years of utilization/case management experience
At least 2 years of management experience, including financial management
Qualifications:
Intermediate MS Office Suite proficiency
Working knowledge of Medicaid, or commercial insurance preferred
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