Top 234 Medicare manager Jobs in Baltimore, Md

Program Manager - Pharmacy Supply Chain - (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $106,632 - $211,783 a year
- Full-time
- Remote
- Master's degree
- Analysis skills
- Bachelor's degree
- 401(k)
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Manager Programs 3
Northrop Grumman —Baltimore, MD
- $184,300 - $276,500 a year
- Overtime
- Engineering
- Data analysis skills
- 3 years
- Paid holidays
- Disability insurance
2d
ADMINISTRATIVE PROGRAM MANAGER I (Compliance and Privacy Manager)
State of Maryland - MD Health Benefit Exchange —Baltimore, MD
- $81,750 - $128,924 a year
- Full-time
- Bilingual
- Background check
- Microsoft Excel
13d
DIRECTOR, OFFICE OF ELIGIBILITY SERVICES (Program Manager Senior III)
State of Maryland - MDH Med Care Prgms - Ofc Medicaid Prgms/Operations —Baltimore, MD
- $120,722 - $156,171 a year
- Online Application
- Doctoral degree
- Office
- Master's degree
Case Managers-Adult Medical Day Program
Total Care Services, Inc. —Glen Burnie, MD
- $60,000 a year
- Full-time
- Hybrid work
- Background check
- Clean driving record
- Mid-level
- Travel reimbursement
- Mileage reimbursement
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12h
911 Clinician Program Manager
The Affiliated Sante Group —Timonium, MD
- $75,000 - $80,000 a year
- Weekends as needed
- Mid-level
- 403(b) matching
- AD&D insurance
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Case Managers-Adult Medical Day Program
Total Care Services, Inc. —Dundalk, MD
- $60,000 a year
- Full-time
- Hybrid work
- Background check
- Clean driving record
- Mid-level
- Travel reimbursement
- Mileage reimbursement
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12h
Liquid Cooling Program Manager
Tate Access Floors Inc —Columbia, MD
- $125,000 - $160,000 a year
- Full-time
- Hybrid work
- Background check
- Engineering
- Pass drug screening
- Health insurance
- Dental insurance
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Case Managers-Adult Medical Day Program
Total Care Services, Inc. —Ellicott City, MD
- $60,000 a year
- Full-time
- Hybrid work
- Background check
- Clean driving record
- Mid-level
- Travel reimbursement
- Mileage reimbursement
Quick Apply
12h
(ii) Technical Program Manager / Technical Delivery Manager – FACETS
System One —Baltimore, MD
- $78 - $84 an hour
- Management
- Bachelor of Science
- Bachelor's degree
- Health insurance
- Dental insurance
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(i) Program Manager – Core Consolidation / FACETS Transformation
System One —Baltimore, MD
- $75 - $91 an hour
- Bachelor of Science
- Agile
- 1 year
- Health insurance
- Dental insurance
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Compliance Program Manager
Johns Hopkins Health System —Baltimore, MD
- Full-time
- Management
- Hospital
- 5 years
Manager Programs 2
Northrop Grumman —Baltimore, MD
- $153,800 - $230,800 a year
- Overtime
- 3 years
- Master's degree
- Business development
- Paid holidays
- Disability insurance
Sr Program Manager
Textron Systems —Hunt Valley, MD
- $158,500 - $243,700 a year
- Full-time
- Engineering
- System design
- Office
- Wellness program
- Paid parental leave
PROGRAM MANAGER SENIOR IV (Chief Operating Officer / Chief Administrative Officer)
State of Maryland - LABOR - Family and Medical Leave Insurance —Baltimore, MD
- $150,935 - $203,150 a year
- Online Application
- Background check
- Office
- Military encouraged
- Paid holidays
- Health insurance
8d
Manager Programs 1
Northrop Grumman —Baltimore, MD
- $127,000 - $190,600 a year
- Overtime
- Office
- 3 years
- Master's degree
- Paid holidays
- Disability insurance
Program Manager IV
SOSi —Linthicum Heights, MD
- $150,329 - $278,254 a year
- Weekends as needed
- Hybrid work
- Office
- Master's degree
- Bachelor's degree
Quick Apply
Deputy Program Manager
DCCA —Columbia, MD
- $140,000 - $250,000 a year
- Mid-level
- Bachelor's degree
- Product management
- Disability insurance
- Health insurance
Deputy Director (PROGRAM MANAGER SENIOR II) (Compliance Division)
State of Maryland - COMP Compliance Division —Baltimore, MD
- $113,157 - $132,586 a year
- Online Application
- Bilingual
- 18 years or older
- Office
6d
Pre-Trial Program Manager
HealthCare Access Maryland —Baltimore, MD
- $71,500 - $73,645 a year
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Disability insurance
Quick Apply

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medicare manager jobs near baltimore, md

Program Manager - Pharmacy Supply Chain - (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

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Job Details

Full-time
$106,632 - $211,783 a year

Benefits

401(k)

Qualifications

Vendor relationship building
Medical claims processing
Contracts
Handling customer service requests

Full Job Description

Resp & Qualifications

PURPOSE:

Manages end-to-end oversight of Pharmacy initiatives. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decisions, communicates and coordinates activities internally and across departments. Facilitates process improvement and identifies and articulates stakeholders need to drive pharmacy strategies and maximize outcomes related to ROI, customer satisfaction, and organizational metrics and performance.

ESSENTIAL FUNCTIONS:

Manages complex pharmacy program(s) or strategic initiatives that span organizational boundaries and have a significant legal and/or financial impact to CareFirst Business. Identifies process improvement opportunities, evaluates impact, and takes action to implement enhancements to maximize outcomes and growth.
Coordinates with internal and external stakeholders to launch, maintain, and enhance complex pharmacy program(s). Provides direction and motivation to project teams in a matrixed environment. Drives outcomes by fostering a collaborative culture. Manages relationships with key stakeholders, including management and vendors. Develops and provides formal written and verbal presentations or other communication materials for appropriate management and various committees to support Pharmacy programs and initiatives. Leads innovative solutions to meet pharmacy and corporate goals.
Monitors PBM compliance, financial performance and reconciliations while identifying trends to support strategic decision-making.
Supports timely and accurate calculation of payments and reconciliations for pharmacy rebates, network discounts and medicate rebates for ASO/CFA accounts.
Partner with analysts and cross-functional teams to support invoice processing, audit activities and issue resolution while ensuring accuracy and compliance with organizational standards.
Measures, evaluates and reports on Pharmacy program(s) performance related to ROI, customer satisfaction, and other organizational metrics. Effectively forecasts and manages people, process and technology related resources to ensure successful achievement of corporate goals.
Guides stakeholders and leadership through key decisions and communicates and coordinates activities internally and across network of partners.

SUPERVISORY RESPONSIBILTY:

Leads a team utilizing a matrix management system.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business Management or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Preferred:

Certified Project Management Professional (PMP)-PMI.

Experience: 8 years project management or program management experience.

Preferred Experience: 8 years of progressive experience in pharmacy within one or more of the following areas: PBM, healthcare finance, medical rebates or analytics.

Preferred Qualifications:

Master's Degree
Project Management Professional Certification (PMP)

Knowledge, Skills and Abilities (KSAs)

Ability to synthesize large complex data and analysis into clear, concise, executive level presentations that allow for rapid grasp of business problem or opportunity and understanding of feasible solutions.
Effective understanding of how functions integrate within the division and the strategic concept behind the corporate goals.
Ability to translate business needs as it relates to technology, systems, and vendor platforms.
Ability to identify and shepherd strategic opportunities that have a significant impact on the organization.
Ability to establish working relationships and influence/persuade across all levels of leadership including C-Suite.
Knowledge and discipline of Process Improvement.
Use of Microsoft Applications.
Strong knowledge of PBM contracting, claims adjudication, pharmacy network management, formulary design, financial processes including rebates and discounts.
Experience in Medicare, Medicaid and or Commercial pharmacy operations.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $106,632 - $211,783

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LJ1

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Refine Your Search

medicare manager jobs in baltimore, md

Program Manager - Pharmacy Supply Chain - (Remote)

Manager Programs 3

ADMINISTRATIVE PROGRAM MANAGER I (Compliance and Privacy Manager)

DIRECTOR, OFFICE OF ELIGIBILITY SERVICES (Program Manager Senior III)

Case Managers-Adult Medical Day Program

911 Clinician Program Manager

Case Managers-Adult Medical Day Program

Liquid Cooling Program Manager

Case Managers-Adult Medical Day Program

(ii) Technical Program Manager / Technical Delivery Manager – FACETS

(i) Program Manager – Core Consolidation / FACETS Transformation

Compliance Program Manager

Manager Programs 2

Sr Program Manager

PROGRAM MANAGER SENIOR IV (Chief Operating Officer / Chief Administrative Officer)

Manager Programs 1

Program Manager IV

Deputy Program Manager

Deputy Director (PROGRAM MANAGER SENIOR II) (Compliance Division)

Pre-Trial Program Manager

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