- Molina Healthcare (NM)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Elevance Health (Columbus, GA)
- Value Based Provider Account Manager Sr . (JR150941) **Location:** This role requires associates to be in-office (Atlanta or Columbus/Midland) 1 day per week ... and be willing to visit providers quarterly. The Value Based **Provider Account Manager Sr .** is responsible for developing and maintaining positive provider… more
- CVS Health (Hartford, CT)
- …care landscape in new and exciting ways every day. Aetna is currently seeking a ** Senior Manager for the Test Center of Excellence** team. This individual will ... delivery (planning, delivering, and supporting) skills + Knowledge of Medicare lines of business + Ability to work in...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- HCA Healthcare (Port St. Lucie, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... organization that invests in you as a Home Health Sr Clinical Manager ? At HCA Florida Healthcare...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
- CVS Health (Downers Grove, IL)
- …Hartford, Scottsdale areas. The Medicare Strategic PMO is seeking a qualified program and project manager to drive and lead large, critical and highly ... visible initiatives. We are seeking a highly motivated, seasoned program manager who is energized by working...a fast paced, complex, cross-functional environment. **Position Summary** The Sr Manager , Project Management will lead a… more
- Molina Healthcare (Everett, WA)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Terumo Medical Corporation (Somerset, NJ)
- …State transparency reporting obligations, and measuring the effectiveness of the compliance program . The Senior Compliance Manager -Monitoring & Transparency ... Sr . Compliance Manager - Monitoring &...senior management to create efficiencies in the compliance program and track its effectiveness. Develops insightful dashboards and… more
- Methodist Health System (Dallas, TX)
- …days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the Manager ... MRMC, SLMC and MHS home office. Development objective: Learn the relationship of Medicare Laws, regulations, Program Memorandums, Program Manuals, CMS… more
- CVS Health (Hartford, CT)
- …compassionate. We do it all with heart, every single day. We are seeking a ** Senior Manager of Provider Contract & Pricing Testing** to join our expanding ... while promoting industry best practices in Quality Assurance and Testing. + ** Sr Leadership Reporting** : Deliver comprehensive quality reports on Provider &… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** Oversees the Medicare Prescription Payment Plan (M3P), working closely with internal matrix partners and external vendors to ensure all aspects ... of the program are administered timely, accurately and in compliance with the Centers for Medicare and Medicaid Services (CMS) requirements. Ensures that future … more
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