Manager, Managed Care Directed Payments

Job not on LinkedIn

🕒 June 3

🌪️ Oklahoma – Remote

info

💵 $54.3k - $119.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Lead the development, execution, and optimization of Directed Payment Programs (DPPs) • Ensure compliance with SoonerSelect and OHCA regulatory requirements • Act as the primary point of contact for providers • Monitor program performance, identify risks, and implement process improvements

🎯 Requirements

• 5+ years of healthcare experience • Strong background in claims operations • Demonstrated experience partnering directly with healthcare providers • Solid understanding of Medicaid managed care • Proven leadership skills

🏖️ Benefits

• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs

Apply Now

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