1331 supervisor medical management jobs found

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe...

Overview Position: Supervisor – Experienced Location: Remote (Involuntary Remote TMC – Remote, SC 29486) | Job Type: Full Time | Education Level: Masters | Salary: $110,000.00 – $118,000.00 per year Responsibilities Represent the company in a professional manner to internal and external customers and clients. Ensure team performance standards through ongoing training, coaching, quality assurance, and regular performance evaluations. Provide clinical, technical, and operational support and direction, including organization and department procedures. Monitor staff assignments and adjust based on staffing levels; provide coaching to improve staff productivity. Assist in training new staff and ongoing training to ensure staff competency. Review quality audits and promptly share audit results with associates, delivering education and training to improve performance. Collaborate with the Manager and TMC leadership to develop and implement performance measures; monitor associates on...

To oversee the operational performance of the Referral Navigator Department, the full-time salaried Texas Licensed Medical Management Supervisor will manage staff, ensure compliance with regulatory standards, and improve workflow efficiency while working remotely. Key responsibilities: Supervise and support Referral Navigator staff while maintaining an active production workload Ensure adherence to organizational policies and monitor quality performance through audits and reviews Oversee daily operational performance to meet established turnaround times for referrals and requests Required qualifications: Graduate from an accredited nursing program Registered Nurse or Licensed Vocational Nurse with state of Texas privileges 6+ years as a licensed vocational nurse (LVN) or Registered Nurse (RN) 4+ years of experience in authorization modules or managed care operational areas 2+ years of management or supervisory experience in a managed care setting

Leading the Medical Management Support team, the full-time salaried Medical Management Support Supervisor will oversee non-clinical operations, manage staff, improve processes, and ensure compliance while working remotely. Key responsibilities Supervise and develop the Medical Management Support team, establishing performance standards and goals Monitor operational metrics and audit work outputs to ensure timely and accurate service delivery Collaborate with cross-functional teams to resolve workflow barriers and support departmental objectives Required qualifications High school diploma or equivalent 1-3 years of experience leading teams and managing direct reports 3-5 years of healthcare operations or administrative support experience Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint) Lean Six Sigma or equivalent process improvement certification preferred

Medical Case Management SupervisorPHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent — managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment.The Medical Case Management Supervisor shall oversee the staffing and performance of Medical Case Managers (MCM) and HIV/PrEP Patient Navigators across the PHMC Health Network. This person shall possess a strong knowledge of the Philadelphia Division of HIV Health (DHH) Medical Case Management and PrEP standards and shall serve as a liaison to DHH around MCM activities.The Medical Case Manager Supervisor will ensure that regular, ongoing, and high-quality supervision is provided and appropriately documented, and that all staff are connected to and complete all required trainings. The Medical Case Manager Supervisor...

Medical Management - Supervisor Complex Utilization Management & Population Health Management Tulsa, OK, USA Job Description Posted Wednesday, August 19, 2026 at 6:00 AM JOB SUMMARY: Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. KEY RESPONSIBILITIES: Serves as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department. Oversees the PHM team, supporting the development and implementation of care coordination, chronic disease management, and complex case management initiatives. Ensures regulatory requirements are met. Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes...

CommunityCare, Inc. in Tulsa, OK is seeking a Medical Management Supervisor to lead the Utilization Management & Population Health Management team. The role oversees care coordination initiatives and manages staffing to meet regulatory requirements on site. The supervisor will drive care delivery improvements, supervise eligibility personnel, and partner with leadership to optimize workflows in a hospital setting. #J-18808-Ljbffr

Medical Management - Supervisor Complex Utilization Management & Population Health Management Tulsa, OK, USA Job Description Posted Wednesday, August 19, 2026 at 6:00 AM JOB SUMMARY: Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. KEY RESPONSIBILITIES: Serves as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department. Oversees the PHM team, supporting the development and implementation of care coordination, chronic disease management, and complex case management initiatives. Ensures regulatory requirements are met. Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes...

CommunityCare, Inc. in Tulsa, OK is seeking a Medical Management Supervisor to lead the Utilization Management & Population Health Management team. The role oversees care coordination initiatives and manages staffing to meet regulatory requirements on site. The supervisor will drive care delivery improvements, supervise eligibility personnel, and partner with leadership to optimize workflows in a hospital setting. #J-18808-Ljbffr

SCAN Health Plan in Long Beach, CA is seeking a Nursing/Medical Management leader to oversee clinical staff, ensure regulatory compliance, and drive performance improvement. You will coach staff, conduct audits, and develop education plans, with a focus on policy guidance and escalation of complex issues. The role offers mostly remote work with monthly travel to the California HQ and a strong focus on quality care for seniors. #J-18808-Ljbffr

SCAN Health Plan in Long Beach, CA is seeking a Nursing/Medical Management leader to oversee clinical staff, ensure regulatory compliance, and drive performance improvement. You will coach staff, conduct audits, and develop education plans, with a focus on policy guidance and escalation of complex issues. The role offers mostly remote work with monthly travel to the California HQ and a strong focus on quality care for seniors. #J-18808-Ljbffr

SCAN, a nonprofit health organization founded in 1977 and serving multiple states, seeks a Nursing Operations Leader to oversee Medical Management staff, ensure regulatory compliance, and drive performance improvements. The role emphasizes coaching, education, and adherence to CMS/DMHC/DHCS/NCQA standards. The position offers a mostly remote work model with monthly travel to SCAN's Long Beach headquarters ( relocation to Cerritos in 2027 ) and an annual bonus program, wellness benefits, generous #J-18808-Ljbffr

Location: Southwoods Executive Centre – Boardman, Ohio Schedule: Full-time | Monday–Friday, Day Shift Flexibility: Choose your own 8-hour shift! Work your preferred schedule within our business hours of 6:00 AM to 6:00 PM. No evenings or weekends required. About the Role: Southwoods Health is seeking a detail-oriented Medical Billing Specialist to join our billing department at theSouthwoods Executive Centre. The successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries. Claim Management: Resolve daily edits through the EMR or clearinghouse to produce clean claims; submit secondary claims while ensuring primary payment information is accurately captured. Documentation: Identify and gather necessary supporting documentation required by insurance carriers; ensure all attachments are included with original claim...

Lexington Regional Health Center Title: Medical Coder Effective Date: October 29, 2021 Supervisor: Director of Health Information Management Department: Health Information Management FLSA Status: Non-Exempt Principle duties and responsibilities Review medical records to assign accurate diagnostic and procedure codes to patient records, which will play a key role in determining reimbursement and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing. Responsible for coding specific areas of the organization as assigned. May have the potential to transition to a work from home position based on the needs of the organization after on- site orientation and training has been established. Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes. Collaborate with the various departments to ensure proper charging and billing for maximum reimbursement. Interact with providers regarding documentation...

Medical Billing Specialist Location: Southwoods Executive Centre - Boardman, Ohio Schedule: Full-time | Monday-Friday, Day Shift Flexibility: Choose your own 8-hour shift! Work your preferred schedule within our business hours of 6:00 AM to 6:00 PM. No evenings or weekends required. About the Role: Southwoods Health is seeking a detail-oriented Medical Billing Specialist to join our billing department at the Southwoods Executive Centre. The successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries. Essential Duties & Responsibilities: Claim Management: Resolve daily edits through the EMR or clearinghouse to produce clean claims; submit secondary claims while ensuring primary payment information is accurately captured. Documentation: Identify and gather necessary supporting documentation...

Customer Solutions Center Overnight Supervisor Under the leadership of the Customer Solutions Center Manager, the Customer Solutions Center Overnight Supervisor (CSC OS) contributes to the success of Butler Medical Transport through providing supervisory support and monitoring of call center operations and activities to ensure inbound calls are answered promptly and accurately, call center volume is managed appropriately, and requests for transport are dispatched accurately and effectively to ensure customer success. Butler Medical Transport provides emergent and non-emergent Mobility, Basic Life Support (BLS), Advanced Life Support (ALS), and Specialty Care (SCT) ambulance transportation. Butler Medical Transport's call volume consists of an average of 300 inbound phone calls daily and 150 transports per day. The CSC OS schedule rotation is four on four off shift from 1830-0630. The CSC OS is responsible for customer service levels and serves as a liaison between our contracted...

Summary This position plans, directs, controls and supervises the overall financial, operational and functional activities of assigned physician practices within MyMichigan Health, assists in the short and long-term planning of assigned practices to maximize growth, efficiency, profitability and maintenance of the practices. Manages the day-to-day practice operations to ensure compliance to all organizational and department policies and procedures follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. The Supervisor will be responsible for scheduling and processing worked hours for pay; will assist in the annual budget process; and may have responsibility for patient record transfer and retention process. They will oversee the training and evaluations of any employees, students, and float staff. They serve as administrative representative, patient advocate and...

Laboratory Supervisor (Aventura)As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.Culture of Caring: The Sinai WayOur hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each...

To oversee the operation of a medical and/or environmental laboratory and its staff; and other related duties as assigned. To view or print a copy of the complete Ramsey County job (class) description for this position, go to : Job Descriptions. Once at this page, you can browse the alphabetical list or search for a job description. Promote a diverse, culturally competent, and respectful workplace. Supervise laboratory staff including, hiring, training, evaluating, and scheduling; set goals; plan and supervise work; ensure that quality standards are met and maintained. Provide technical and scientific oversight of the laboratory by evaluating and selecting test procedures and equipment; developing, and revising the Lab Policy and Procedure Manual; and preparing the lab for inspection and certification by accreditation agencies. Perform and interpret laboratory tests on blood, urine, and other bodily fluids; prepare and examine smears and cultures for pathogenic organisms;...

Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Location Olean General Hospital, US:NY:Olean. Full-Time, Shift 1. Education and Credentials Associate’s degree from an accredited institution or have obtained education through an accredited agency...

Coder I Location: Olean General Hospital Location of Job : US:NY:Olean Work Type : Full-Time Shift 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Education And Credentials Associate's degree from an accredited institution or...