• Sr Manager ,Product Mgt…

    CVS Health (Olympia, WA)
    …Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… more
    CVS Health (05/31/25)
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  • Sr . Program Manager

    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
    Molina Healthcare (04/20/25)
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  • Sr Program Manager (Remote…

    Molina Healthcare (Seattle, WA)
    …operational efficiency, regulatory compliance, and financial performance across the health plan. The Senior Program Manager will serve as a key liaison ... combination of education and experience **Preferred Experience** 10+ years Program Management Healthcare Payer/Provider Domain Experience Medicare and/or… more
    Molina Healthcare (05/31/25)
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  • Sr Clinical Pharmacist - Program

    CenterWell (Olympia, WA)
    …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
    CenterWell (05/29/25)
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  • Senior Product Manager (Medicaid)

    Humana (Olympia, WA)
    …community and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products for customer ... use. The Senior Product Manager work assignments involving moderately...on track and delivers successfully. + Manages project and program interdependencies and potential roadblocks, establishes clear resolution paths,… more
    Humana (05/30/25)
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  • Actuary Senior Manager with Medicaid…

    Deloitte (Seattle, WA)
    …knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare Supplement products ... be eligible to participate in a discretionary annual incentive program , subject to the rules governing the program... program , subject to the rules governing the program , whereby an award, if any, depends on various… more
    Deloitte (05/24/25)
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  • Senior Case Manager

    Cardinal Health (Olympia, WA)
    …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
    Cardinal Health (04/29/25)
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  • Senior Manager , Care Management LTC

    Healthfirst (WA)
    …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
    Healthfirst (05/24/25)
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  • Senior Special Investigations Coding…

    CVS Health (Olympia, WA)
    …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 (05/24/25)
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  • Manager Regulatory Affairs *Remote

    Providence (WA)
    …regulatory program , operating in tandem but separate from, the Medicare and Medicaid compliance functions. 2. Leading regulatory team through successful growth ... **Description** ** Manager Regulatory Affairs** **_Remote_** This position is responsible...and government contract requirements applicable to Providence Health Assurance's Medicare Advantage and Medicaid lines of business at the… more
    Providence (05/23/25)
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