- 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
- CVS Health (Hartford, CT)
- …Summary** This position is available throughout the United States. We are seeking a Senior Manager , Medicare Special Needs Plan (SNP) Consultant for the ... services, as well as troubleshooting complex issues. Additionally, the Senior Manager , Medicare Special Needs...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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
- 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
- CVS Health (Boston, MA)
- …with heart, each and every day. **Position Summary** Reporting to the Lead Director of Medicare Revenue Integrity, the Sr . Manager , will work closely with ... with other key business areas, internally and externally. The Medicare Risk Adjustment Sr . Manager ...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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