- Molina Healthcare (Mesa, 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
- CVS Health (Scottsdale, AZ)
- …Summary** We are seeking a dynamic and experienced leader to join our team as a Senior Manager , overseeing a team of 10 auditors. This role is pivotal in ... to the unique needs of our clients. As the Senior Manager , you will be responsible for...databases and querying skills -Strong understanding of the federal Medicare program and Medicare D… more
- Cardinal Health (Phoenix, AZ)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… 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
- CVS Health (Scottsdale, AZ)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Phoenix, AZ)
- …the strategic subject matter expert for all forecasting cycles with the approval of the Senior Manager and Health Plan CFO /CEO for reporting to the Enterprise ... make health care more personal, convenient and affordable. **Position Summary** As the Manager , FP&A, you will report directly to Director of Finance and will… more
- Molina Healthcare (Mesa, 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
- CVS Health (Phoenix, AZ)
- …manage the implementation of Medicare guidance and regulatory updates. As the Senior Manager , Regulatory Affairs, you must be able to work independently, as ... more personal, convenient and affordable. **Position Summary** As the Senior Manager , Regulatory Affairs for CVS Health,...Health, you will be a crucial contributor to the Medicare regulatory agenda of the Government Services division and… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Senior Portfolio Management Professional collaborates with the business portfolio team to align the ... IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex issues where the analysis of situations… 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
- Mathematica (Phoenix, AZ)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- The Cigna Group (Scottsdale, AZ)
- This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. The ... Part D Health Plans: PDP, MAPD, and Special Needs Program (SNPs) + Review Medicare Part D...D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager … more
- CenterWell (Phoenix, AZ)
- …of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that influence ... or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity… 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 ... Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 300 centers across… more
- CenterWell (Mesa, AZ)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 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