• Medicare Compliance Manager

    Molina Healthcare (Phoenix, AZ)
    …experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
    Molina Healthcare (07/25/25)
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  • Manager , Medicare Program Services…

    CVS Health (Phoenix, AZ)
    …each and every day. **Position Summary** As an Audit and Testing Program manager , you will provide technical, analytical, and business support for all assigned ... programs for Medicare , Medicaid, and Commercial products. Programs currently include End-Stage...**Knowledge of:** + 3+ years of Pharmacy Benefit Management, Medicare Part D or Medicaid experience + 2 +… more
    CVS Health (08/30/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Scottsdale, AZ)
    …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
    Molina Healthcare (07/25/25)
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  • Medicare Customer Service Specialist…

    Molina Healthcare (Scottsdale, AZ)
    …members, and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EXPERIENCE:** Experience with Medicare and Medicare ... Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual...8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound welcome calls… more
    Molina Healthcare (08/31/25)
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  • Specialist, Medicare Member Engagement…

    Molina Healthcare (Mesa, AZ)
    …and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social Work, Human ... of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP,… more
    Molina Healthcare (08/29/25)
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  • Senior Analyst, Operational Regulatory Oversight-…

    Molina Healthcare (Scottsdale, AZ)
    …provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
    Molina Healthcare (08/22/25)
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  • Supervisor, Medicare Pharmacy…

    Molina Healthcare (Phoenix, AZ)
    …speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is ... leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. + Responsible for key… more
    Molina Healthcare (08/13/25)
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  • In-Office Senior VBC Coordinator, Medicare

    Amazon (AZ)
    …and program initiatives in partnership with our care teams. Reporting to the Manager of Network Development, you may rotate across clinics and contribute to core ... managing telehealth connections, organizing program operations and leadership within our Medicare Population Health Programs team. This hybrid role may include… more
    Amazon (08/09/25)
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  • Big Data Engineer - Medicare /Medicaid

    Molina Healthcare (Scottsdale, AZ)
    …monitor, and troubleshoot Hadoop-based infrastructure using tools such as Cloudera Manager , Ambari, and Zookeeper. * Enforce data quality, security, and compliance ... in deploying and monitoring big data infrastructure with Ambari, Cloudera Manager , and Zookeeper. * Solid understanding of data warehousing, data validation,… more
    Molina Healthcare (08/26/25)
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  • Senior Process Consultant ( Medicare )…

    Molina Healthcare (Scottsdale, AZ)
    …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... staff on process improvement and problem-solving methodologies + Conducts educational sessions with staff and leaders and coaches them on process improvement projects. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree required in a related field… more
    Molina Healthcare (07/19/25)
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