- Molina Healthcare (Omaha, NE)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives ... on-budget delivery. **Tools/Methods (examples):** Salesforce, QNXT (or similar core claims ), JIRA/Azure DevOps, MS Project /Smartsheet, Visio/Miro/Lucid, SQL,… more
- CVS Health (Lincoln, NE)
- …partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable Diagnostics, will leverage existing & new ... improvements across key provider journeys including self-service / digital transactions, claims management, dispute resolution, and more. They will directly support… more
- Otsuka America Pharmaceutical Inc. (Lincoln, NE)
- The Senior Manager , External Engagement Strategic Planning will play a critical role in shaping and executing strategic initiatives that enhance the impact of ... and reports to communicate progress, insights, and recommendations to senior leadership **Qualifications** **Education and Experience:** + Bachelors degree required,… more
- RxBenefits (Omaha, NE)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Otsuka America Pharmaceutical Inc. (Lincoln, NE)
- …associated regulatory challenges to the GRL, global regulatory team, assigned project teams, and internal/external functional business units as needed. Works ... regulatory challenges to the GRL, global regulatory team, assigned project teams, and internal/external functional business units as needed....you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Kiewit (Omaha, NE)
- …Field Operations **Market:** Building **Employment Type:** Full Time **Position Overview** The Project Manager will be responsible for overseeing the successful ... **Requisition ID:** 176812 **Job Level:** Senior Level **Home District/Group:** Kiewit Building Group **Department:**… more
- Molina Healthcare (Omaha, NE)
- …projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- Molina Healthcare (Omaha, NE)
- …Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. ... developer role but the candidate must be technically inclined and interface with IT, Claims , and Encounter Teams. Must be a self-starter willing to learn. Must be a… more
- Fujifilm (Lincoln, NE)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations of the company's compliance programs related to laws… more
- Otsuka America Pharmaceutical Inc. (Lincoln, NE)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more
- Zurich NA (Omaha, NE)
- …agents. The **Market Execution Team** within RCIS is seeking a **Market Execution Project Lead (6T)** or a **Market Execution Lead, AVP (7T).** The Market Execution ... culture. You will have the opportunity to work with a wide range of senior executives to drive the cross- functional key initiatives in RCIS, showcase your problem… more
- CenterWell (Lincoln, NE)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- HUB International (Omaha, NE)
- …plan review and renewal, assists with guiding and directing the Account Manager and Financial Analyst assigned to the case, resolving questions, and reviewing ... mid-year or quarterly meetings with client to review plan designs, rate history, claims experience, discuss client concerns and introduce new plan ideas. + Reviews… more