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The Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.

YEAR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Mgr, Business Consultant

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Develop, maintain, and enhance working relationships with physicians/providers and local network and patient management teams in the markets with Aetna. Assists in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units.

Manager, Network Management (National Health Systems)

Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate's experience, education, certification/credentials, market data, internal equity, and geography. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test.

Alight Inc

Disability Case Manager (Temporary) - Virtual

Experience leading governance programs for large-scale service providers supporting claims, customer service, provider services, care management, or pharmacy operations. The individual acts as a trusted advisor to business leaders and supplier executives, ensuring vendor partnerships support Aetna's operational, regulatory, financial, and member experience objectives.

Sr Manager, Partner Relationship Manager

Experience: Required: Five (5) years of relevant experience delivering construction projects of like scale and complexity, including financial understanding and experience in project budget management principles and cost control; construction contract negotiations and claims management; risk management and mitigation. Mentorship and Technical Leadership: Train and mentor junior estimators and Construction Managers on estimating methods, software, and best practices to improve team capability and ensure department goals are met.

Bayhealth Medical Center Inc

Senior Estimator, Project Manager

Position Summary: The Content Specialist (m/f/d) acts as a critical BMS link between German brand teams, Agencies of Record (AORs), Business Insights & Technology (BIT), Commercialization AI Strategy & Analytics (CASA), and Mosaic to ensure BMS Germany's content libraries are accurate, searchable, compliant, and activation-ready. For roles based in Los Angeles County only: If you live in or expect to work from Los Angeles County if hired for this position, please visit this page for important additional information: https://careers.bms.com/california-residents/ .

Bristol Myers Squibb

Senior Manager, Content Specialist Germany (M/F/D)

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These include world-class licensed process technologies, differentiated advisory services, deep technical domain expertise, energy transition solutions, high-end design capabilities, and smart solutions to optimize planned and operating assets. KBR is seeking a Bioconjugate Construction Manager to provide construction oversight for all bioconjugate manufacturing facilities, containment systems, specialized process equipment, and associated infrastructure.

When you become part of the When you become part of the KBR team, your opportunities are endless. As a leading global technology, engineering, procurement and construction company serving the hydrocarbons and government services industries. For decades it has been the company that customers turn to for their most challenging assignments.
 
With operations in 40 countries, KBR has more than 25,000 people delivering services to customers in over 70 countries. Together they represent an unmatched reservoir of talent and experience in a wide range of markets.
 
Whatever the assignment, no matter how complex or demanding, KBR can marshal resources across every product line to respond quickly and effectively to changing markets and customer needs.
 
Whether it's providing the technology and consulting know-how to develop our customers' valuable assets; designing and constructing the infrastructure and facilities to develop energy resources in some of the world's more remote and challenging locations; providing support and services for men and women of their countries' armed forces; or navigating the intricacies of undertaking major projects in geopolitically or culturally sensitive environments, our clients depend on KBR because they know that We Deliver.
 
Join us and you'll be part of a dynamic, elite team of professionals who understand what it takes to get a job done and has the experience, knowledge and determination to succeed.”

KBR Inc

Bioconjugate Construction Manager

These include world-class licensed process technologies, differentiated advisory services, deep technical domain expertise, energy transition solutions, high-end design capabilities, and smart solutions to optimize planned and operating assets. Reporting to the Construction Lead, this role serves as the primary field coordinator for MAB-related construction activities to support successful commissioning, qualification, validation, and startup of the MAB manufacturing facilities.

MAB Construction Manager

Reporting to the Construction Lead, this role serves as the primary field integration point for warehouse, logistics, and utility-related construction activities, The position is responsible for supporting utility readiness, warehouse operational functionality, equipment turnover, and startup planning to ensure the successful delivery of critical campus support infrastructure. KBR is seeking a Warehouse & Central Utility Building (CUB) Construction Manager who provides oversight of construction activities associated with warehouse operations, logistics facilities, automated material handling systems, central utility building facilities, and campus utility infrastructure.

Warehouse and CUB Construction Manager

Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).

HOUR

Founded over a century ago in 1901, we have a rich and colorful history of continuous improvement and innovation at Walgreens. From inventing the world’s first chocolate malted milkshake to the creation of one of the most popular and sophisticated mobile applications in retail shopping today, we have transformed ourselves into a leader within the retail and drug industry.
Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health well being enterprise.
At Walgreens you'll find a team positively energized by the unique talents, ideas, experiences and aspirations of every individual. In other words, you can be your authentic self in our stores, offices and other workplaces, and be comfortable and confident that what matters most here is doing your best to make health and well-being within reach for everyone on a daily basis.
Walgreens has a proud legacy of valuing diversity and fostering inclusion more than 100 years-strong, and we're still living that commitment. We intend to be recognized as a “Next Practices” company for diversity and inclusion – one whose cultures, people, perspectives and workplaces reflect the current and future customers we serve while delivering superior business performance.
Walgreens has over 9,500 stores in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Walgreen Co

Pharmacy Manager

Pharmacy Manager - $ 50,000 Sign-On Bonus & Relocation Available

Assists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.

Pharmacy Operations Manager

The Account Manager, Small Business Unit manages the overall client relationship by providing strategic advice on coverage, risk management and business needs for small commercial accounts, ensuring that the client's insurance program aligns with long-term goals and growth plans. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Relation Insurance

Account Manager - Commercial Lines

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Our Total Rewards program includes industry-leading compensation and benefits plus additional incentives that are designed to meet your needs and those of your family so you can get the most out of your career and your life, including: Time Away: Program starts at 20 paid time off days in addition to 11 paid holidays and 8 hours of volunteer time off yearly (time off days are prorated based on start date and program varies based on full or part-time status and management level). Supporting your Health & Well-being: flexible health and insurance options including medical, dental and vision, employee, spouse and child life insurance, short- and long-term disability, pre-tax Health Savings Account with employer contributions, Healthcare FSA, critical illness, accident & hospital indemnity insurance, and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially.

Ally Financial Inc

Auto Mechanic, Service Manager or Service Technician - Bilingual French

Physical demands: The ability to walk around an office, warehouse, or neighborhood, climb and descend stairs, work in a seated position at a desk for hours at a time, stand at a trade/home show for hours at a time, drive to and from offsite meetings, operate computers and phones, open/close file cabinets, bend/stand as necessary, set up and use an extension ladder, safely climb on, navigate around, and descend from residential and commercial roofs, and lift and carry up to 80 pounds. Visits project sites, confirms measurements and materials provided by the Estimator, identifies issues that might affect the successful completion of the project, and clarifies any identified issues with the homeowner.

G. Fedale Roofing and Siding

Project Manager

Key Responsibilities: Product Leadership: Serve as the Product Manager for Smart Apps, DXC's AI-enabled applications that modernize and orchestrate insurance business processes, owning the end-to-end release lifecycle. In addition to the posters already identified, DXC provides access to prospective employees for the Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters.

DXC Technology Co

Product Manager, P&C Insurance Smart Apps

The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health Inc

Telephonic Nurse Case Manager II

Relation Insurance Services, Inc

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Statement of Work (SOW) Management - Update and finalize the upcoming year's SOW, including submission of all required ServiceNow (SNOW) tickets, completion of project scoping activities, and preparation of supporting documentation for associated change orders.

Valeris Inc

Program Manager, Copay

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The Account Manager manages the overall client relationship by providing strategic advice on coverage, risk management and business needs, ensuring that the client's insurance program aligns with long-term goals and growth plans.

Claims Manager Jobs in Delaware

Mgr, Business Consultant CVS Health Corp

Manager, Network Management (National Health Systems) CVS Health Corp

Disability Case Manager (Temporary) - Virtual Alight Inc

Sr Manager, Partner Relationship Manager CVS Health Corp

Senior Estimator, Project Manager Bayhealth Medical Center Inc

Senior Manager, Content Specialist Germany (M/F/D) Bristol Myers Squibb

Bioconjugate Construction Manager KBR Inc

MAB Construction Manager KBR Inc

Warehouse and CUB Construction Manager KBR Inc

Pharmacy Manager Walgreen Co

Pharmacy Manager - $ 50,000 Sign-On Bonus & Relocation Available Walgreen Co

Pharmacy Operations Manager Walgreen Co

Account Manager - Commercial Lines Relation Insurance

Auto Mechanic, Service Manager or Service Technician - Bilingual French Ally Financial Inc

Project Manager G. Fedale Roofing and Siding

Product Manager, P&C Insurance Smart Apps DXC Technology Co

Telephonic Nurse Case Manager II Elevance Health Inc

Account Manager - Commercial Lines Relation Insurance Services, Inc

Program Manager, Copay Valeris Inc

Account Manager Relation Insurance

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