• Medicare Pharmacy Audit

    CVS Health (Scottsdale, AZ)
    …And we do it all with heart, each and every day. **Position Summary** As the Medicare Pharmacy Audit Programs Project Manager you will be responsible ... for administering Medicare Part-D Pharmacy Audit Programs . In this...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (04/25/25)
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  • Manager, Client Audit Services - Remote

    Prime Therapeutics (Phoenix, AZ)
    …passion and drives every decision we make. **Job Posting Title** Manager, Client Audit Services - Remote **Job Description** The Manager Client Audit Services ... department priorities as determined collaboratively with compliance leadership for client audit management (CAM). This position assists in the analysis, design,… more
    Prime Therapeutics (04/19/25)
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  • VP, Rebate & Pharmacy Benefit Manager…

    CVS Health (Phoenix, AZ)
    …for a broad array of financial operations activities for the Caremark Pharmacy Services Segment, including Medicare Part D financial management, rebate ... financial management, client guarantee management, revenue cycle, pharmacy adjustment services, member financial services,, and ...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (05/12/25)
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  • Manager, Compliance - Remote

    Prime Therapeutics (Phoenix, AZ)
    …Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop ... employee and leadership expectations + May oversee and support audit action plans and/or corrective action plans for the...manage annual conflict of interest and code of conduct programs + Other duties as assigned **Minimum Qualifications** +… more
    Prime Therapeutics (04/19/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Phoenix, AZ)
    …clinical nursing experience, with 1-3 years Managed Care Experience in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, ... Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, … more
    Molina Healthcare (05/10/25)
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