- Molina Healthcare (NE)
- **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
- Molina Healthcare (Kearney, NE)
- …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
- CenterWell (Lincoln, NE)
- …help us put health first** The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist Program & Automation Strategy Expert supports government ... evaluates drug polices for clinically appropriate automation opportunities. In addition, the Senior Clinical Pharmacist Program & Automation Strategy Expert will… more
- Prime Therapeutics (Lincoln, NE)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program ... growing the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing… more
- Cardinal Health (Lincoln, NE)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Healthfirst (NE)
- …members electronic record. + Participate in the Quality Management Program , identifying performance/process improvement opportunities and recommend studies for ... + Bachelors degree + Experience working as a care manager for long term care programs such as MAP...programs such as MAP or MLTC + Knowledge of Medicare Regulations related to Long Term Care + Experience… more
- Humana (Lincoln, NE)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- CVS Health (Lincoln, NE)
- …guidelines. Assist with department build and implementation of SIU coding quality program . + Training: Assesses team's training needs and works with SIU leadership ... decrease in unit cost, inventory reporting, inventory allocation for Medicare , Medicaid and Commercial (fully insured and ASO) work...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Lincoln, NE)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- Prime Therapeutics (Lincoln, NE)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely ... Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop… more