• Senior Manager , Reporting…

    CVS Health (Hartford, CT)
    …care more personal, convenient and affordable. **Position Summary** The ** Senior ** ** Manager , Reporting & Insights - Network Medicaid Ops** will apply ... as a key though-partner to stakeholders, proposing analytical solutions to complex challenges. The Senior Manager will serve as a technical SME leader within the… more
    CVS Health (11/12/24)
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  • Legal Compliance Senior Director- Express…

    The Cigna Group (St. Louis, MO)
    **Job Purpose/Description** The Legal Compliance Senior Director- Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... administration, and oversight of the Pharmaceutical Benefit Manager (PBM) Medicaid and Commercial Compliance Programs. This role reports directly to the Managing… more
    The Cigna Group (10/21/24)
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  • Medicare Technology Operations

    The Cigna Group (Bloomfield, CT)
    …cloud acumen, a strategic mindset, and demonstrated empathic collaboration. The Cloud Engineering Senior Manager will oversee a team dedicated to creating and ... The Medicare Technology Operations organization is looking for experienced, innovative and...ensure scalable, secure, and efficient solutions, collaborating with other senior leads. Operational Efficiency: + Implements DevSecOps to streamline… more
    The Cigna Group (11/13/24)
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  • Senior Manager of Reimbursement…

    State of Maine, Bureau of Human Resources (Augusta, ME)
    Senior Manager of Reimbursement and Fiscal Management Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Nov. 25, 2024 Apply ... - $105,809.60 per yearPosition Number:02000-4101Location: Augusta Core Responsibilities: The Senior Manager of Rate Setting supports the ongoing… more
    State of Maine, Bureau of Human Resources (11/14/24)
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  • Senior Manager , Claims…

    Centene Corporation (Tallahassee, FL)
    …a fresh perspective on workplace flexibility. **Position Purpose:** Oversee operations , and business strategy utilizing cross-functional departments to meet ... Business Administration, related field or equivalent experience. 6+ years of operations experience. Experience with managed care, insurance, Medicare or Medicaid more
    Centene Corporation (11/15/24)
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  • Senior Manager , State Health…

    Pew Charitable Trusts (Washington, DC)
    …and outcomes and scale the partnerships to additional states. Position Overview The senior manager oversees the execution of the project's objectives, develops ... aims to build data-driven partnerships between state public health and Medicaid agencies to more effectively address preventable, high-priority diseases that affect… more
    Pew Charitable Trusts (09/04/24)
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  • Senior Manager , Compliance

    Point32Health (Canton, MA)
    …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Compliance Senior Manager will report to the Government Programs Compliance ... healthcare activities. + Strong subject matter expertise in Medicare and/or Medicaid Operations and Compliance Requirements + Demonstrated effectiveness… more
    Point32Health (10/29/24)
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  • Business Continuity Planning Senior

    HCA Healthcare (Nashville, TN)
    …We care like family! Jump-start your career as a Business Continuity Planning Senior Manager today with Parallon. **Benefits** Parallon, offers a total rewards ... Come join our team as a Business Continuity Planning Senior Manager . We care for our community!...within the larger HCA Healthcare Enterprise BCP and Emergency Operations programs. + Works within the framework of the… more
    HCA Healthcare (10/26/24)
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  • Integrated Care Operations Manager

    State of Massachusetts (Boston, MA)
    …individuals eligible for Medicare and Medicaid (dual eligibles). The Integrated Care Operations Manager , reporting to the Special Projects and Operations ... and program initiatives for Integrated Care. The Integrated Care Operations Manager willassistin creating, manipulating, anddisseminatingseveral recurring… more
    State of Massachusetts (10/24/24)
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  • Senior Manager , Medical Policy

    Healthfirst (NY)
    …renewals/approvals + Assesses the impact of medical policies on the organizations operations and outcomes, and makes recommendations for adjustments as needed + ... presents reports on policy performance, trends, and outcomes to senior management and other stakeholders + Collaborates on policy...and concepts + Knowledge of Centers for Medicare and Medicaid Services (CMS) and/or New York State Department of… more
    Healthfirst (10/31/24)
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  • Senior RN Clinical Manager

    Gentiva (Chadds Ford, PA)
    …make a lasting difference in people's lives every day. **Overview** We're looking for a ** Senior Patient Care Manager ** to join our team. ** Senior Clinical ... Manager - Senior Patient Care Manager - Hospice - FT - Mon-Fri - 8a-5p**...You will be responsible for the day to day operations of your assigned hospice site, administering the clinical… more
    Gentiva (10/18/24)
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  • Product Management Senior Manager

    The Cigna Group (Bloomfield, CT)
    …managing client facing products, broad-based knowledge of Regulated Markets/Pharmacy Benefit Manager (PBM) operations , experience leading people, a strategic ... **Job Summary:** + Lead a team of Senior Advisors and Advisors responsible for the development...will ensure compliance with the Center for Medicare and Medicaid Services (CMS) guidance/regulations regarding M3P, provide subject matter… more
    The Cigna Group (10/04/24)
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  • Senior Manager Clinical Services

    Help at Home (Columbus, OH)
    …team, Help at Home may be a good fit for you._ **_Job Summary:_** The Senior Manager of Clinical Services ensures the quality and safe coordination and delivery ... and activities and is responsible for oversight of daily operations . This role reports to the Market Clinical Leader...and the organization as well as the community. The Senior Manager of Clinical Services may be… more
    Help at Home (10/15/24)
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  • RN Case Manager , Eddy Senior Care…

    Trinity Health (Latham, NY)
    …and regulations that govern our facility, and as may be required by the Nurse Manager of Clinical Operations , to ensure that the highest degree of quality care ... **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding… more
    Trinity Health (11/11/24)
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  • Senior Practice Manager - Urgent…

    VHC Health (Arlington, VA)
    Senior Practice Manager - Urgent Care Job Description Purpose & Scope: Responsible for the overall management of a physician office 3 plus providers and greater ... and support to physicians. Works closely with Director of Operations and Lead Physician to plan, direct, and coordinate...region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as… more
    VHC Health (10/17/24)
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  • CU Medicine Family Medicine Louisville Medical…

    University of Colorado (Aurora, CO)
    **CU Medicine Family Medicine Louisville Medical Director Open Rank - Senior Instructor Series** **Description** **University of Colorado Anschutz Medical Campus** ... **CU Medicine Family Medicine - Louisville Medical Director** **Open Rank - Senior Instructor Series** **Position #00825042 - Requisition #34358** **Job Summary:**… more
    University of Colorado (09/08/24)
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  • Manager of Accounting Operations

    New York eHealth Collaborative (Albany, NY)
    Manager of Accounting Operations Job Details Job Location Albany Office - Albany, NY Position Type Full Time Salary Range $115,000.00 - $130,000.00 Travel ... F 9am - 5pm Description New York eHealth Collaborative: Manager of Accounting Operations New York eHealth...provides services to support the State's public health and Medicaid efforts. Position Summary: NYeC is seeking a highly… more
    New York eHealth Collaborative (11/09/24)
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  • Regulatory Operations Project…

    LA Care Health Plan (Los Angeles, CA)
    Regulatory Operations Project Manager II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Regulatory Operations Project Manager II manages a portfolio of complex regulatory change… more
    LA Care Health Plan (08/29/24)
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  • Senior Business Systems Analyst

    VNS Health (Manhattan, NY)
    OverviewFunctions at the most senior level Business Systems Analyst role. Works directly with senior management on highly visible projects to understand business ... standards are followed. Collaborates with Business Unit and/or Project Manager on assigned projects. Works under general supervision. Compensation Range:$93,400.00… more
    VNS Health (11/15/24)
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  • Senior Compliance Analyst (Regulatory…

    Prime Therapeutics (Columbus, OH)
    …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The… more
    Prime Therapeutics (11/09/24)
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