- Novo Nordisk Inc. (San Luis Obispo, CA)
- …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …disorders. Summary:The Associate Director, Oncology Value & Market Dynamics Training Manager is responsible for developing & deploying a strategic training plan ... The individual will be required to have in-depth knowledge of payer policy, Medicare , Medicaid and the Oncology Care Model. This individual is ad subject knowledge… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** This role 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...timely, accurately and in compliance with the Centers for Medicare and Medicaid Services (CMS) requirements. Ensures that future… more
- CVS Health (Boise, ID)
- …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 (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
- Point32Health (Canton, MA)
- …products are often intended for senior leadership and/or strategy teams. The Sr Pharmacy Program Manager supports the Pharmacy department in conducting ... stakeholders and vendors to develop and implement strategic projects. The Sr Pharmacy Program Manager functions as a senior project manager /advisor… 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 (Austin, TX)
- …to service performance, customer satisfaction, financial performance, and quality. The Sr . Manager will collaborate with upstream and downstream functional ... the PA programs across our book of business for Medicare , Commercial (Health Plan, Employer, Coalition) and Marketplace Exchange...that have delegated PA services to the PBM. The Sr . Manager may have 4-6 direct work… 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
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Internal Audit Sr Manager is a key leadership role responsible for developing, implementing, and overseeing the internal audit ... to ensure the successful delivery of high-quality audit results across the company. The Sr Manager will work closely with executive leadership and the Audit… 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
- CSL Behring (King Of Prussia, PA)
- The Sr . Manager , Pricing & Government Reporting will lead the Government price reporting processes including monthly/quarterly calculations of pricing to Veteran ... Administration (VA), Public Health Services (PHS), and Centers for Medicare and Medicaid Services (CMS). Responsible for reconciling, preparing, and analyzing… more
- Humana (Oklahoma City, OK)
- …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 ... train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must...+ This role is part of Humana's Driver safety program and requires an individual to have a valid… more
- General Dynamics Information Technology (Fairfax, VA)
- …Scrum Team) or Senior Developer, depending on the needs of the program .** + **Develop** Lightning components both by writing **custom LWC** in JavaScript with ... improving how agencies operate. Our work depends on a Sr . Salesforce Developer joining our team to support Centers...Salesforce Developer joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is… more
- Elevance Health (Indianapolis, IN)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... to transform federal health programs. **Audit & Reimbursement Sr ** **Location:** This role enables associates to work virtually full-time, with the exception of… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. Position Summary We are seeking a Senior Manager to join our Medicare Product Tech team, supporting the business ... applications that power our Group Medicare business. This individual will serve as a critical...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and ... + Holiday Pay + 401(k) with match + Employee Assistance Program + Paid Parental Bonding Benefit Program + Pharmacy Benefits + Income Protection Plans + Pet… more
- Molina Healthcare (Tucson, AZ)
- **Job Description** **Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- CVS Health (Hartford, CT)
- …of work supporting multiple lines of Aetna business, including Commercial, Group Medicare , and Medicaid. Your success will hinge on your ability to collaborate ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
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