• Accreditation Program Manager - NCQA…

    Molina Healthcare (Grand Island, NE)
    …5 years in healthcare, with 2+ years in health plan quality improvement or managed care . (HIGHLY PREFERRED)** + **Strong knowledge of NCQA standards and EQRO ... work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job… more
    Molina Healthcare (10/18/25)
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  • Program Manager - Payment Integrity

    Molina Healthcare (Madison, WI)
    …: + 5-7 years of Program and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity, Claims Payment, Provider ... oversee the work of external vendors. This positions primary focus is project/ program management. **Job Duties** + Active collaborator with people who are… more
    Molina Healthcare (10/18/25)
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  • Program Manager III - Healthcare…

    Centene Corporation (Harrisburg, PA)
    …equivalent experience. Master's degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription ... a fresh perspective on workplace flexibility. **Position Purpose:** Promote increased program efficiency, service levels, and value by capturing and monitoring… more
    Centene Corporation (09/26/25)
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  • Network Audit Program Manager

    CVS Health (Hartford, CT)
    …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... and performance data to support management decisions and training program development. Collaborates cross-functionally to support the negotiation and renewal… more
    CVS Health (10/15/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (San Bernardino, CA)
    …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the… more
    J&J Family of Companies (10/21/25)
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  • Outside Sales Account Manager - Facility…

    City Wide Facility Solutions (Las Vegas, NV)
    …You Sell. Join City Wide Facility Solutions as an Outside Sales Account Manager managing a portfolio of 50-80 commercial facility services accounts across Las Vegas. ... This is a unique hybrid role: you're the account manager keeping clients happy and services running smoothly, while...continuously adds new accounts to your route, expanding your managed portfolio. As your route grows, so does your… more
    City Wide Facility Solutions (10/06/25)
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  • Manager Claims Recovery

    Dignity Health (Bakersfield, CA)
    …management or team leadership experience. + Strong working knowledge of managed care contracts, provider reimbursement methodologies, and recovery-related ... provider relations workflows + Knowledge of Medicare Advantage, Commercial, and Medi-Cal managed care recovery requirements. **Where You'll Work** The purpose of… more
    Dignity Health (10/17/25)
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  • Manager Clinic and Center Administration

    CenterWell (The Villages, FL)
    …+ Basic knowledge of Population Health Strategy + Medicare knowledge + Bachelor's Degree + Managed care experience + Value Based Care knowledge + Proven ... care to patients in a clinical setting. The Manager , Clinic/Center Administration works within specific guidelines and procedures;...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
    CenterWell (10/23/25)
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  • Manager , Clinic/Center Administration

    CenterWell (Lake Worth, FL)
    …+ Bachelor's Degree + Basic knowledge of Population Health Strategy + Medicare knowledge + Managed care experience + Value Based Care knowledge + Proven ... care to patients in a clinical setting. The Manager , Clinic/Center Administration works within specific guidelines and procedures;...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
    CenterWell (10/22/25)
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  • Practice Manager , Center Administrator

    CenterWell (Casselberry, FL)
    …+ Medicare knowledge + Bachelor's Degree + Bilingual in both English and Spanish + Managed care experience + Value Based Care knowledge + Proven ability ... community and help us put health first** The Practice Manager , Clinic/Center Administration plans and directs the work of...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
    CenterWell (10/21/25)
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