Manager, Program Management
Clinical Careers Page(21 days ago)
About this role
This role involves supporting Medicaid health plan operations by analyzing data, reviewing claims, and ensuring regulatory compliance. It focuses on process improvement, risk mitigation, and stakeholder collaboration to enhance healthcare delivery. The position plays a key part in ensuring operational efficiency and adherence to healthcare standards.
Required Skills
- Medicaid
- Claims Processing
- Medical Coding
- Regulatory Compliance
- Data Analysis
- Healthcare Billing
- Qnxt
- Claims Editing
- Provider Reimbursement
- Healthcare Standards
About Clinical Careers Page
cvshealth.comCVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.
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