• Sr Mgr , Medicare

    CVS Health (Providence, RI)
    …(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 (12/21/24)
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  • Sr Mgr , Regulatory Affairs

    CVS Health (Olympia, WA)
    …*Abiity to provide comprehensive market insights for key areas of priority for CVS Health's Medicare lines of business . * Support various business units and ... deliver solutions to make health care more personal, convenient and affordable. This Senior Manager, Regulatory Affairs position is a crucial contributor to the … more
    CVS Health (02/01/25)
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  • Mgr , Business Compliance (Aetna…

    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
    CVS Health (12/25/24)
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  • Mgr , Sales Analytics

    Medical Mutual of Ohio (Brooklyn, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... presents regular reports on sales performance and market insights to senior management. Communicates performance expectations and progress effectively to the sales… more
    Medical Mutual of Ohio (01/18/25)
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  • Mgr , Sales Reporting

    Medical Mutual of Ohio (Brooklyn, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... Generates regular and ad-hoc sales reports, dashboards, and presentations for senior management. + Performs other duties as assigned. **Qualifications** Education… more
    Medical Mutual of Ohio (01/18/25)
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  • Mgr Peninsula Outpt Svcs

    Covenant Health Inc. (Alcoa, TN)
    …Position Summary: Oversees the provision of services and the implementation of the business plan at designated service sites. Assures that services are provided by ... to staff as needed. + Accountable for developing and implementing the program's business plan that supports the strategic plan of Parkwest Medical Center. Assures… more
    Covenant Health Inc. (01/17/25)
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  • Prog Mgr , Provider Engagement - Remote…

    Molina Healthcare (Buffalo, NY)
    …alignment to business goals. * Mentors and assists Provider Engagement Sr . Specialists and Specialists with training and problem escalation. * Accountable for ... upon location. **Job Qualifications** **REQUIRED QUALIFICATIONS:** * Bachelor's degree in Business , Healthcare, Nursing or related field or equivalent combination of… more
    Molina Healthcare (02/05/25)
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  • Mgr , Health Economics Reimbursement…

    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
    Edwards Lifesciences (12/20/24)
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  • Mgr , Claims Research & Resolution

    Humana (Indianapolis, IN)
    …from Provider Claims Educators' root cause analyses and share recommendations with senior market leadership and other enterprise teams, on opportunities for process ... or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking… more
    Humana (01/30/25)
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