- Molina Healthcare (Omaha, NE)
- **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
- Cardinal Health (Lincoln, NE)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...authorizations, and appeals, preferred (2+ years) + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- Cardinal Health (Lincoln, NE)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- CVS Health (Lincoln, NE)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... 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 . In addition to your compensation, enjoy the rewards… more
- CVS Health (Lincoln, NE)
- …more compassionate. And we do it all with heart, each and every day. This Senior Manager , Regulatory Affairs position is a crucial contributor to the Medicare ... PBM business. This position reports directly to the Director of Medicare Regulatory Affairs. **Duties and Responsibilities:** *Abiity to provide comprehensive market… more
- Highmark Health (Lincoln, NE)
- …delivery of data to vendors and internal partners, supporting successful Medicare Advantage and Dual-Special Needs Plan member satisfaction strategies, including ... Medicare CAHPS and the Health Outcomes Survey. Additional responsibilities...Work with business and technical organizations to drive out program strategy and approach. Organize, plan, and maintain … more
- Prime Therapeutics (Lincoln, NE)
- …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
- CenterWell (Lincoln, NE)
- …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 (Lincoln, NE)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures;...supports one clinical platform for three Medicaid and two Medicare plans; integration between Clinical and 4+ other systems… more
- Gentiva (Lincoln, NE)
- …to join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a ... high performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care. This role is… more
- CVS Health (Lincoln, NE)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will ... support of business strategies across multiple lines of business, including Medicare Advantage, Medicaid, ACA, and Commercial. + Develops relationships with… more
- CenterWell (Lincoln, NE)
- …to execution, propose solutions, and drive results to meet organizational goals. ** Program Management & Delivery:** + Lead the design, development, and delivery of ... partners to ensure smooth running of educational programs. + Evaluate program effectiveness and recommend improvements based on feedback and outcomes.… more
- CenterWell (Omaha, NE)
- …equivalent + Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months + Must meet applicable state certification ... and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience...paid time off, 401(k) retirement savings plan, employee assistance program , business travel and accident. **About Us** About CenterWell… more