• Senior Program Manager

    Molina Healthcare (Dallas, TX)
    **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... 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 (10/02/25)
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  • Senior Manager , Project…

    CVS Health (Austin, TX)
    …compassionate. And we do it all with heart, each and every day. As the Senior Manager , Aetna Medical Pharmacy, you will be accountable for leading the ... and organizational compliance with regulations related to the organization's Medicare Part B program operations. + Triage...related to the organization's Medicare Part B program operations. + Triage escalation requests to the correct… more
    CVS Health (09/26/25)
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  • Senior Analyst, Operational Regulatory…

    Molina Healthcare (Austin, TX)
    …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
    Molina Healthcare (08/22/25)
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  • Sr Mgr, Aetna Medicare Pharmacy…

    CVS Health (Austin, TX)
    …and more compassionate. And we do it all with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a ... critical role in shaping and executing the organization's Medicare Part D formulary and product strategy. Leveraging your...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (09/21/25)
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  • Sr Mgr, Aetna Medicare Medical Pharmacy…

    CVS Health (Austin, TX)
    …and more compassionate. And we do it all with heart, each and every day. As the Senior Manager , Aetna Medicare Medical Pharmacist, you will play a key role ... and execution of business strategies and programs within the Medicare Part B Pharmacy Team. You will act as...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (09/28/25)
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  • Senior Manager , MarketPoint Sales

    Humana (Austin, TX)
    …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
    Humana (09/16/25)
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  • Delivery Senior Manager

    NTT DATA North America (Plano, TX)
    …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to ... hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements...paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally… more
    NTT DATA North America (09/11/25)
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  • Senior Manager , Member A/R…

    CVS Health (Irving, TX)
    …order pharmacy along with member dispute resolution for mail order and the Medicare Prescription Payment Program (M3P). **Key Responsibilities** -Lead the team ... heart, each and every day. **Position Summary** The Sr. Manager , Member A/R and Disputes requires an ambitious, motivated,...set forth by government agencies including the Centers for Medicare and Medicaid Services (CMS) This is a hybrid… more
    CVS Health (09/24/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Denison, TX)
    …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 (09/25/25)
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  • Senior Network Provider Manager

    CVS Health (Austin, TX)
    …it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level ... skills. * Ability to identify and capitalize on opportunities to support program delivery. * Strong communication skills (written, verbal and presentation). * Highly… more
    CVS Health (09/26/25)
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