Health Insurance Operations Manager jobs in Ventura, CA

Health Insurance Operations Manager manages and maintains daily health insurance operations in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Handles and settles complicated customer service issues which can not be resolved by lower level staff. Being a Health Insurance Operations Manager monitors performance of each service area. Requires a bachelor's degree or its equivalent. Additionally, Health Insurance Operations Manager typically reports to senior management or Director. The Health Insurance Operations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Health Insurance Operations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Pharmacy Operations Manager
  • Community Memorial Health System
  • Ojai, CA FULL_TIME
  • Compensation

    The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range.

    If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs

    Pay for PRN positions is calculated differently than Full-Time, Regular Part-Time, and Part-Time positions. PRN Rates depend on the position and other factors, including years of experience, or shift commitment according to the department policy. PRN differential is added in certain positions.

    Responsibilities

    Position Overview:

    The Pharmacy Operations Manager - OVCH assists the Director of Inpatient Pharmacy and Compliance in running and maintaining the pharmacy and pharmacy programs, as well as supervising the pharmacy staff and providing clinical pharmacy oversight. The Pharmacy Operations Manager, in conjunction with the Director of Inpatient Pharmacy and Compliance, will strive to deliver quality pharmacy services, collaborating with physicians and staff to improve the health of patients. The Pharmacy Operations Manager will work in concert with the Inpatient Pharmacy Management Team to support the safe, efficient, and compliant provision of pharmacy services.

    Qualifications

    Required:

      PharmD or Bachelor of Pharmacy Degree
    • Current CA Pharmacist license
    • Current PIC certification issued from the CA Board of Pharmacy

    Preferred:

    • Pharmacy Residency
    • Completion of practice-relevant Board of Pharmacy Specialties (BPS) certification, e.g., Board Certified Pharmacotherapy Specialist (BCPS) or Board Certified Geriatric Pharmacist (BCGP)
    • Current Advanced Cardiac Life Support (ACLS) Certification
    • Previous supervisory, PIC, and/or acute care hospital pharmacy experience
    • Sterile compounding experience
    Overview

    When it comes to quality, we're 5 Star!

    Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on - and answer to - the communities we serve.

    Community Memorial Hospital - Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile every day for our patients, and we are the ONLY hospital in Ventura County to earn this distinction!

    Community Memorial Healthcare Benefits

    To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That's why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family's health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way.

    • Competitive Pay
    • Shift Differentials
    • In-House Registry Rates
    • Fidelity 403(b) Retirement Plan
    • Paid Time Off
    • Medical (EPO/PPO), Dental, & Vision Insurance Coverage
    • Voluntary Worksite Benefits
    • Employee Assistance Program Available 24/7 (EAP)
    • Tuition Reimbursement
    • Public Service Loan Forgiveness (PSLF)
    • Recognition programs
    • Employee service recognition events
    • Home, Retail, Travel & Entertainment Discounts
    • National Hospital Week and National Nurses Week celebrations

    Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community.

    "We are an AA/EEO/Veterans/Disabled Employer"

     

  • 1 Month Ago

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Operations Manager
  • The Mom Project
  • Westlake, CA FULL_TIME
  • Looking for an operations manager for a 28 seat beauty salon in Orange County, CA. Salon provides hair, coloring, eyelash extensions, nail and other cosmetic services. Would be involved in all aspects...
  • 2 Days Ago

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Operations Manager
  • Sugarbug Dental & Orthodontics
  • Camarillo, CA FULL_TIME
  • Sugarbug is hiring a Dental & Orthodontic Operations Manager- Sugarbug Dental & Orthodontics is an established Pediatric Dental and Orthodontic practice that has been serving the county of Ventura for...
  • 3 Days Ago

F
Operations Manager
  • Ferguson Enterprises, LLC
  • Thousand Oaks, CA FULL_TIME
  • Job Posting: Ferguson is North America’s leading value-added distributor across residential, non-residential, new construction and repair, maintenance, and improvement (RMI) end markets. Spanning 34,0...
  • 1 Month Ago

I
Seeking Quality Insurance Agents for Personal Lines Insurance- Camarillo, CA
  • Insurance Incorporated
  • Camarillo, CA FULL_TIME
  • Are you a dedicated, goal-oriented individual looking for a fulfilling career in the insurance industry? Look no further! Insurance Incorporated is actively seeking talented Insurance Agents and Custo...
  • 4 Days Ago

B
Clinical Manager - Home Health
  • Buena Vista Home Health, Palliative Care & Hospice
  • Thousand Oaks, CA FULL_TIME
  • $5,000 SIGN ON BONUS!!! Buena Vista Home Health, Palliative Care & Hospice (BV)provides positive, life-changing services that have touched the lives of thousands of individuals in the Ventura & Los An...
  • 28 Days Ago

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0 Health Insurance Operations Manager jobs found in Ventura, CA area

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People & Culture Compliance Analyst
  • AeroVironment
  • Simi Valley, CA
  • Summary The People & Culture Compliance Analyst is responsible for assisting in the development, implementation, and adm...
  • 4/18/2024 12:00:00 AM

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P&C Compliance Analyst
  • AeroVironment
  • Simi Valley, CA
  • Summary The People & Culture Compliance Analyst is responsible for assisting in the development, implementation, and adm...
  • 4/18/2024 12:00:00 AM

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Vice President, Underwriting Manager
  • Western Alliance Bancorporation
  • Westlake Village, CA
  • Job Title: Vice President, Underwriting Manager Location: CA - Westlake Village What you'll do: The Underwriting Manager...
  • 4/18/2024 12:00:00 AM

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Medical Claims Processor
  • Aya Healthcare
  • Santa Barbara, CA
  • Aya Healthcare has an exciting 13-week contract opportunity in Santa Barbara, CA! Job Details: JOB TITLE: Claims Process...
  • 4/18/2024 12:00:00 AM

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Community Health Worker - Chronic Disease Prevention - Bilingual Required
  • Ventura County
  • Ventura, CA
  • Community Health Worker - Chronic Disease Prevention - Bilingual Required Print (https://www.governmentjobs.com/careers/...
  • 4/18/2024 12:00:00 AM

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P&C Compliance Analyst
  • Aerovironment
  • Simi Valley, CA
  • Summary The People & Culture Compliance Analyst is responsible for assisting in the development, implementation, and adm...
  • 4/16/2024 12:00:00 AM

A
People & Culture Compliance Analyst
  • Aerovironment
  • Simi Valley, CA
  • Summary The People & Culture Compliance Analyst is responsible for assisting in the development, implementation, and adm...
  • 4/16/2024 12:00:00 AM

A
Medical Claims Processor
  • Aya Healthcare
  • Santa Barbara, CA
  • Aya Healthcare has an exciting 13-week contract opportunity in Santa Barbara, CA! Job Details: JOB TITLE: Claims Process...
  • 4/16/2024 12:00:00 AM

Ventura is located northwest of Los Angeles on the California coast. The western portion of the city stretches north along the Ventura River and is characterized by a narrow valley with steeply sloped areas along both sides. The steep slopes of the Ventura foothills abut the northern portion of the community. Much of the eastern portion is on a relatively flat alluvial coastal plain lying along the western edge of the Oxnard Plain. The Santa Clara River forms the city's southerly boundary with the city limits reaching up to the beginning of the Santa Clara River Valley at the historic communit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Manager jobs
$117,050 to $159,125
Ventura, California area prices
were up 2.5% from a year ago

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