• Nurse Care Manager for Senior Care…

    US Tech Solutions (Malden, MA)
    …area** Under the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all ... management managing geriatric/chronic illness populations required. Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid… more
    US Tech Solutions (10/17/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Las Vegas, NV)
    …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
    Elevance Health (10/31/25)
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  • Senior Manager , Analytics

    ChenMed (Miami Gardens, FL)
    …providers. We're rapidly expanding and we need great people to join our team. The Senior Manager , Analytics actively leads and participates with a team to create ... and challenges. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + High business acuity and insight… more
    ChenMed (09/30/25)
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  • American Indian Substance Use Disorder Grants…

    State of Minnesota (St. Paul, MN)
    **Working Title: American Indian Substance Use Disorder Grants Manager ** **Job Class: Grants Specialist Senior ** **Agency: Human Services Dept** + **Job ID** : ... **FLSA Status** : Nonexempt + Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes The… more
    State of Minnesota (10/31/25)
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  • Senior Manager , Enterprise…

    Centene Corporation (Jefferson City, MO)
    …, ensuring alignment with organizational standards. + Provide regular updates on program performance to senior management and key stakeholders. + Recruit, ... States.** **Position Purpose:** Leads and manages the Corrections Compliance program , ensuring timely identification and resolution of non-compliance issues.… more
    Centene Corporation (10/29/25)
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  • Senior Data Engineering Manager

    CVS Health (Dover, DE)
    …and every day. **Position Summary** We are seeking a highly skilled and experienced Senior Data Engineering Manager to lead and mentor our data engineering team ... team that is responsible for processing Claims, Revenue, and Medicare Specific files and data from 30+ payors into...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (10/31/25)
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  • Senior Manager , Ethics & Compliance

    Centene Corporation (Jefferson City, MO)
    …regulatory requirements for assigned products across the entire company + Ensure all Medicare and Medicaid product and services are being tested for compliance with ... program regulations, insurance regulations, and regulatory requirements for business...healthcare environment with at least 3+ years of Medicaid, Medicare or Commercial Managed Care experience. + Previous experience… more
    Centene Corporation (10/24/25)
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  • Senior Manager , Audit and Business…

    CVS Health (Springfield, IL)
    …Qualifications** + Pharmacist + 7-10 years work experience in healthcare + Medicare and/or Medicare -Medicaid Integrated Product Experience + Experience with Part ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
    CVS Health (10/25/25)
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  • Medical Economics Senior Manager

    CVS Health (Harrisburg, PA)
    …supporting complex Capitation analyses that support our strategic goals for Medicaid, Medicare , IFP and commercial, and working collaboratively with the Network to ... & coding structures + Understanding of both Commercial and Medicare plans to help network partners to make sound...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (10/19/25)
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  • Senior Manager , Network Management…

    CVS Health (Tallahassee, FL)
    …forge meaningful, long-lasting relationships with providers + Working knowledge of Medicare programs and related subject matter **Education** + Bachelor's Degree ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
    CVS Health (10/29/25)
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