Top 32 Medical services manager Jobs in Oregon

Manager Medical Customer Service
Moda Health —Milwaukie, OR
- $78,911.43 - $98,639.28 a year
- Overtime
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
6d
Lead Direct Support Professional IDD Services Adult group homes
AbleLight —Hillsboro, OR
- Full-time
- Hybrid work
- Mid-level
- Administrative experience
- High school diploma or GED
- Mileage reimbursement
- Health savings account
Quick Apply
Case Manager/QMHA, Enhanced Adult Mental Health Services Case Manager/QMHA, Enhanced Adult Mental He
Lifeworks NW —Milwaukie, OR
- $25.39 - $32.71 an hour
- Full-time
- Microsoft Word
- Clean driving record
- Microsoft Outlook
- 403(b) matching
- Health savings account
Quick Apply
10d
Supervisor Diagnostic Imaging - Vascular Services
Providence Non-RN - Oregon —Portland, OR
- $57.41 - $90.62 an hour
- Full-time
- Hospital
- BLS Certification
- Mid-level
- Paid parental leave
- Paid holidays
5d
Manager, Inpatient and Post Acute Services
PacificSource Health Plans —Portland, OR
- $91,587.15 - $160,277.52 a year
- Full-time
- Nursing
- RN License
- Licensed Clinical Social Worker
Supervisor, Medical Customer Service
Moda Health —Milwaukie, OR
- $65,682.16 - $82,107.97 a year
- Weekends as needed
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
10d
Manager Acute Social Services and Spiritual Care
St. Charles Health System —Bend, OR
- $103,958 - $155,937 a year
- Full-time
- Acute care
- Hospital
- Licensed Clinical Social Worker
- Relocation assistance
Manager Cardiovascular Services
Providence —Medford, OR
- $61.37 - $96.89 an hour
- Weekends as needed
- Nursing
- RN License
- Hospital
- Paid parental leave
- Paid holidays
Lead Rehabilitation Services
Providence —Medford, OR
- $49.50 - $78.16 an hour
- Full-time
- Hospital
- BLS Certification
- Physical & Rehabilitation Medicine
- Free parking
- Paid parental leave
Nutrition Services Manager
PeaceHealth Springfield Rehabilitation Hospital —Springfield, OR
- Full-time
- Hospital
- ServSafe
- Inpatient
- Disability insurance
- Health insurance
Quick Apply
Clinical Services Manager
Stanton Optical —Gresham, OR
- Online Application
- Mid-level
- In-person
- 1 year
Quick Apply
11h
Assistant Nurse Manager - Women's Services (Temporary Benefit Eligible)
Legacy Health —Tualatin, OR
- $70.21 - $104.61 an hour
- Temporary
- Nursing
- RN License
- BLS Certification
5d
Customer Service Team Leader
PacificSource Health Plans —Bend, OR
- $50,830.78 - $81,329.23 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Writing skills
3d
Nutrition Services Program Manager - 1.0 FTE - Nutrition Services
Portland Public Schools Oregon —Portland, OR
- $97,878 - $116,872 a year
- Full-time
- School experience
- Cooking
- Mid-level
- Disability insurance
- Health insurance
5d
NUTRITION SERVICES LEAD 2 | Probationary | 7 Hrs | Five Oaks Middle School (Nutrition Services)
Beaverton School District 48J —Hillsboro, OR
- Full-time
- Mid-level
- Middle school
- School
- Health insurance
- Dental insurance
Clinical Program Manager – Intensive Children’s Services
Options for Southern Oregon —Medford, OR
- Full-time
- LMFT
- Spanish
- Computer literacy
- 403(b) matching
- Paid holidays
Quick Apply
Assistant Nurse Manager - Women's Services
Legacy Health —Portland, OR
- $70.21 - $104.61 an hour
- Full-time
- Nursing
- Surgery
- RN License
Rehabilitation Services Supervisor
Samaritan Health Services —Lebanon, OR
- Up to $73.22 an hour
- Writing skills
- BLS Certification
- Physical & Rehabilitation Medicine
Supportive Services Supervisor - Adult Team
Lifeways —Ontario, OR
- $41.71 - $44.50 an hour
- Background check
- LMFT
- Management
- Wellness program
- Health savings account
4d
Social Services Manager
Beaverton of Cascadia LLC —Beaverton, OR
- Full-time
- Background check
- Skilled nursing facility
- Licensed Clinical Social Worker
Quick Apply
3d

I want to receive the latest job alert for medical services manager in oregon

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medical services manager jobs near oregon

Manager Medical Customer Service

Moda Health -
Milwaukie, OR

Quick Apply

Job Details

Full-time
$78,911.43 - $98,639.28 a year
6 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Customer communication
Vendor contracts
Healthcare staff management
Medicare
Managing teams in a customer support role
Employee relationship building
Medicaid health insurance
Contracts
Medicaid
Team motivation (leadership skill)

Full Job Description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

This is a FT Hybrid position based in Milwaukie, Oregon
This role develops and maintains customer service policies, procedures, and guidelines for multiple lines of business in Oregon, Alaska, Idaho, and Texas:

Commercial medical groups, including ASO and fully insured groups
Individual medical groups

This role also ensures prompt, efficient, and accurate information is provided to staff, members, providers, and group administrators. Works closely with supervisors and senior leadership to develop, implement, and ensure consistency of processes and procedures across each line of business. Responsible for staff organization, service-level performance, goal setting, coaching, motivation, and staff development.

Pay Range
$78,911.43 - $98,639.28 annually (depending on experience)
Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27781552&refresh=true

Benefits:

Medical, Dental, Vision, Pharmacy, Life, & Disability
401K- Matching
FSA
Employee Assistance Program
PTO and Company Paid Holidays

Required Skills, Experience & Education:

Bachelor’s degree or equivalent work experience specializing in business administration, customer service, and/or health insurance.

Minimum of four years of supervisory experience in medical, dental, and/or pharmacy customer service.

Demonstrated ability to effectively manage multiple lines of business concurrently.

Knowledge and understanding of Medicaid, Medicare, pharmacy, medical, and dental programs.

Ability to instruct, motivate, and direct individuals at various skill levels, both face to face and in a virtual environment.

Demonstrated strong, effective, and diplomatic interpersonal skills with employees at all levels.

Possesses and demonstrates strong presentation skills.

Excellent reading, oral, and written communication skills, with the ability to interact professionally, patiently, and courteously with internal and external customers.

Strong problem-solving and decision-making skills.

Ability to work well under pressure in a complex and rapidly changing environment.

Ability to maintain confidentiality and project a professional business presence and appearance.

Knowledge and understanding of contracts and administrative policies affecting claims.

Demonstrated consistent ability to comply with company rules and policies.

Maintains attendance above company standards.

Primary Functions:

Manages and oversees all functions within the Medical Customer Service team.

Strives to ensure all Moda performance guarantees, NCQA requirements, call goals, voicemail callbacks and email statistical goals are met.

Provides mentoring and development for supervisors to ensure performance standards are met.

Participates in workgroups to offer solutions and suggestions that support department goals. Manages current processes and develops innovative solutions to meet and exceed department measures and metrics.

Plans, organizes, and directs department workflow to ensure staff performance expectations, including quality and quantity goals, are reasonable and met. Reviews performance issues with supervisors and takes disciplinary action when appropriate. Drafts, implements, approves, and executes policies and procedures that support a quality customer service experience.

Assesses and oversees process improvement implementation plans to ensure departmental processes are efficient. After process improvements are implemented, evaluates and modifies them as appropriate.

Ensures prompt, efficient, and accurate customer service administration by developing and implementing appropriate goals with the Director.

Reviews monthly, quarterly, and annual statistical reports.

Ensures language access contracts for member and provider vendors are in place and functioning as intended.

Provides written narratives and reviews data for quarterly NCQA reports for Commercial Medical in all states.

Provides direction to supervisors and keeps them informed of expectations and performance on a monthly basis. Sets short-term and long-term objectives for supervisory staff and provides resources to ensure goals are met. Provides constructive and timely performance evaluations.

Oversees hiring, training, orientation, performance appraisals, scheduling, and corrective action for staff.

Recruits, interviews, hires, and trains departmental supervisory staff.

Coordinates with the Training Manager, Operations teams, and supervisors to provide initial and ongoing staff training.

Works with the Director to review and advocate for departmental staffing projections and budget needs. Recommends appropriate staffing requirements based on projected new sales and business retention.

Coordinates with Human Resources and supervisors to ensure departmental recruitment efforts remain on track.

Works cooperatively companywide with Claims, Membership Accounting, Marketing, Operations, Healthcare Services, Compliance, and Sales and Service Management. Serves on project teams and committees for all areas as appropriate.

Provides annual review of plan documentation, websites, and benefit programs to ensure accurate annual updates for medical departments.

Provides oversight and direction for departmental involvement in various annual user acceptance testing projects.

Identifies areas for improvement within departments and across functions. Leads improvement efforts where appropriate and evaluates and manages cross-training to maximize productivity.

Ensures phone lines are directed correctly for weekend and holiday coverage and are adequately staffed for Texas lines of business.

Performs other duties as assigned by leadership.

Working Conditions & Contact with Others

Work is performed while seated or standing for prolonged periods. The position requires close work with a PC monitor and keyboard, along with constant interaction with others by phone, virtually, and in person. The role may require working more than 40 hours per week, including evenings and occasional weekends, to meet business needs.
Interacts internally with staff and departments at all levels. Interacts externally with members, providers, policyholders, group administrators, vendors, and other insurance carriers.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our [email protected] email.

Quick Apply

Refine Your Search

medical services manager jobs in oregon

Manager Medical Customer Service

Lead Direct Support Professional IDD Services Adult group homes

Case Manager/QMHA, Enhanced Adult Mental Health Services Case Manager/QMHA, Enhanced Adult Mental He

Supervisor Diagnostic Imaging - Vascular Services

Manager, Inpatient and Post Acute Services

Supervisor, Medical Customer Service

Manager Acute Social Services and Spiritual Care

Manager Cardiovascular Services

Lead Rehabilitation Services

Nutrition Services Manager

Clinical Services Manager

Assistant Nurse Manager - Women's Services (Temporary Benefit Eligible)

Customer Service Team Leader

Nutrition Services Program Manager - 1.0 FTE - Nutrition Services

NUTRITION SERVICES LEAD 2 | Probationary | 7 Hrs | Five Oaks Middle School (Nutrition Services)

Clinical Program Manager – Intensive Children’s Services

Assistant Nurse Manager - Women's Services

Rehabilitation Services Supervisor

Supportive Services Supervisor - Adult Team

Social Services Manager

I want to receive the latest job alert for medical services manager in oregon

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected