- Molina Healthcare (AZ)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Phoenix, AZ)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Gilead Sciences, Inc. (Phoenix, AZ)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- CVS Health (Scottsdale, AZ)
- …position follows a hybrid working model of three days onsite per week The Sr . Manager , Medicaid Compliance Monitoring will lead a team of compliance ... role you must exhibit the following: *Proven experience communicating/presenting with senior leadership *Experience leading a small to medium-sized team to… more
- Prime Therapeutics (Phoenix, AZ)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- Banner Health (AZ)
- …benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package. Banner Health Network (BHN) is ... a direct interface with the Arizona Medicaid Agency (AHCCCS), Center of Medicare and Medicaid Services (CMS), Association for Community Affiliated Plans (ACAP), and… more
- Molina Healthcare (Tucson, AZ)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Prime Therapeutics (Phoenix, AZ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program ... and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations...Structure** + Reports to Sr Principal or Sr Director in the Clinical Program Management… more
- Prime Therapeutics (Phoenix, AZ)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Cardinal Health (Phoenix, AZ)
- …+ Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and policies, ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
- CenterWell (Phoenix, AZ)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Humana (Phoenix, AZ)
- …help us put health first** Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join ... market trends, and campaign performance. **Key Role Functions** + Works with Campaign Manager and Campaign Strategy roles to define the measurement approach for each… more
- Banner Health (Tucson, AZ)
- …meet the rigorous standards of the American Nurses Credentialing Center's Magnet Recognition Program (R) for nursing excellence. The hospital's physicians are ... World Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to...CORE FUNCTIONS 1. Under direction of PAS Director and/or Sr . Manager , provides mentoring and clear developmental… more
- Molina Healthcare (AZ)
- …Clinical Systems, Medical Economics, Market Engagement, etc. to ensure efficient and effective program delivery + Package material for senior leaders, up to and ... Economics and Finance teams, drive, plan and manage a comprehensive program focused on identifying, defining, designing, implementing and tracking performance for… more
- BAYADA Home Health Care (Tucson, AZ)
- BAYADA Home Health Care has an immediate opening for a **Client Services Manager ** in our Medicare -certified **Tucson Senior Living Home Health Office** . If ... career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...management of your caseload by monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.). + Client Services… more
- Humana (Phoenix, AZ)
- …the role for you. We are seeking a dynamic and experienced Lead Product Manager to lead our self-service and support product line encompassing both services and ... and other product teams as needed. A successful product manager is highly analytical, able to work effectively in...the success of solutions pursued. + Interact directly with senior management to advise on and obtain input for… more
- CenterWell (Sun City, AZ)
- …services within the Center. + Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Assures personal compliance with ... Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 300 centers across fifteen… more
- CenterWell (Phoenix, AZ)
- …services within the Center. + Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Assures personal compliance with ... Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 300 centers across fifteen… more
- CenterWell (Sun City, AZ)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating nearly 300 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more
- CenterWell (Sun City, AZ)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 290 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more