- CVS Health (Columbus, OH)
- …(FEP) is one of the largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business ... benefits, processes, and technology are deployed, the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects of the claims… more
- CVS Health (Sacramento, CA)
- …Summary** Establish and Maintain in collaboration with all segments and business units, consistent policies and procedures defining the administration and resolution ... of Medicare appeals from Aetna members and providers compliant with...responses are accessible to all operational resolution teams and business units and subject matter experts. **Required Qualifications** Manages… more
- CVS Health (Phoenix, AZ)
- …optimize program performance, and contribute to data-driven insights and improvements in business outcomes. **What you will do** + Leads a team of analysts ... to deliver high-quality insights and analytics to support business decisions ensuring organizational growth and industry advancement. + Develops and implements… more
- CVS Health (Hartford, CT)
- …and ensuring compliance with state regulations and contractual requirements. **Position Summary - Mgr , Business Compliance** As the Manger of Business ... + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members....company policies and procedures. + Familiarity with Medicaid and Medicare plans. **Education** + Bachelor's degree in Business… more
- Covenant Health Inc. (Louisville, TN)
- …and excel programs are a necessity. Licensing Requirement: None Apply/Share Job Title MGR BUSINESS OPERATIONS ID 4117418 Facility Peninsula, a Division of ... Overview Manager Business Operations Full Time, 80 Hours Per Pay...seniors with co-existing psychiatric and medical conditions at the Senior Behavioral Center located at Parkwest Medical Center (http://www.treatedwell.com/)… more
- Prime Healthcare (Joliet, IL)
- …Collections Connect With Us! (https://careers-primehealthcare.icims.com/jobs/186534/ mgr business -office/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Business Office Manager is responsible for planning, organizing and… more
- Molina Healthcare (Columbus, OH)
- …and implementation + Participation in meetings/calls with the State agencies + Strong business writing skills; proficient user of Microsoft Excel, Word. Business ... candidates are a fit for team in terms of business need and company objectives. Able to take appropriate...Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and… more
- Edwards Lifesciences (Irvine, CA)
- …is playing a key role in the success of our Transcatheter Heart Valve (THV) business at Edwards Lifesciences. As a Manager of Coverage and Payment policy, you will ... to address market access needs that support our THV business unit. This position is based at the corporate...detailed understanding and ability to navigate payers' (eg, central Medicare , Medicare contractors, and private insurers) coverage… more