Top 23 Medicare manager Jobs in Springfield Il

Program Integrity Manager
CVS Health —Springfield, IL
- $54,300 - $145,860 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
7d
Program Manager
Barrow Wise Consulting —Springfield, IL
- $90,000 - $145,000 a year
- Full-time
- Microsoft Outlook
- Computer Science
- 5 years
- Health insurance
- 401(k)
Quick Apply
PROGRAM ACCOUNTING MANAGER & RECONCILIATIONS UNIT SUPERVISOR
State of Illinois —Springfield, IL
- $8,300 - $9,050 a month
- Online Application
- Background check
- Microsoft Access
- CPA
Lead Compensation Program Manager – Market Strategy & Infrastructure
Unity Technologies SF —Springfield, IL
- $131,100 - $196,700 a year
- Full-time
- English
- Research
- Senior level
- Disability insurance
- Employee assistance program
Program Manager
Treatment Alternatives for Stronger Communities —Springfield, IL
- $55,000 - $57,000 a year
- Online Application
- Public speaking
- Analysis skills
- Travel
- Paid holidays
- Disability insurance
Quick Apply
Program Manager
Best Buddies Int. Inc —Springfield, IL
- $43,000 - $45,000 a year
- Weekends as needed
- Microsoft Outlook
- Public speaking
- Mid-level
Quick Apply
Senior Project Manager/Program Manager (PV) - (IL-2022-1)
Arora and Associates, P.C —Springfield, IL
- Email
- Civil engineering
- Management
- Construction site
Manager Supply Chain Programs 2
Northrop Grumman —United States
- $146,600 - $219,800 a year
- Overtime
- 3 years
- High school diploma or GED
- Bachelor's degree
- Paid holidays
- Disability insurance

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Based on your search for medicare manager jobs.

State Central Register Call Center Supervisor - PSA Opt 6 - DCFS Spfld - M-F 2pm-10:30pm shift
State of Illinois —Springfield, IL
Requires a master’s degree in social work or a related human services field (child, family, and community services, criminal justice, criminal justice…
$8,571 - $10,500 a month
13d
Phone Section Manager (PUBLIC SERVICE ADMINISTRATOR OPTION 2)
State of Illinois —Springfield, IL
Requires appropriate, valid driver’s license. Confers with taxpayers, their representatives and others and oversees prepared staff responses, answering…
$8,571 - $9,414 a month
11d

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Program Manager, Medicare Stars & Quality Improvement (Remote in Ohio)
Molina Healthcare —Columbus, OH
Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject…
$73,102 - $142,549 a year
Senior Program Manager - BRIDGE
The Ohio State University Wexner Medical Center —Upper Arlington, OH
This role leads programs from initial planning through implementation, evaluation, and continuous improvement, ensuring alignment with organizational strategy…
4d

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Program Integrity Manager

CVS Health -
Springfield, IL

Apply Now

Job Details

Full-time
$54,300 - $145,860 a year
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Cross-functional collaboration
Cross-functional communication

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Program Integrity Manager serves as a key leader supporting Medicaid Program Integrity, Payment Integrity, and Special Investigations Unit (SIU) activities. This role is responsible for ensuring compliance with state and federal requirements, supporting fraud, waste, and abuse (FWA) prevention efforts, overseeing regulatory and contractual obligations, coordinating reporting and audit activities, and partnering with internal and external stakeholders to promote operational effectiveness and program integrity. The position works closely with health plan leadership, compliance, SIU, payment integrity vendors, and operational teams to support initiatives that improve performance, strengthen oversight, and ensure compliance with applicable requirements.

Required Qualifications

5+ years experience in Program Integrity, Payment Integrity, Special Investigations, Healthcare Compliance, Fraud, Waste and Abuse (FWA), Claims Operations, Healthcare Operations, or a related field.
Knowledge of healthcare regulatory and compliance requirements.
Strong analytical, organizational, communication, and problem-solving skills.
Ability to manage multiple priorities and work effectively in a collaborative environment.
Experience building relationships and working with cross-functional teams and external stakeholders.

Preferred Qualifications

Experience supporting Medicaid managed care programs.
Experience with regulatory reporting, audits, compliance initiatives, or operational oversight activities.
Experience working with SIU investigations, fraud prevention programs, vendor management, or payment integrity operations.
Knowledge of healthcare claims, provider reimbursement, payment accuracy, and program integrity practices.

Education

Bachelor's degree or equivalent combination of education and experience.

**We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/15/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

medicare manager jobs in springfield il

Program Integrity Manager

Program Manager

PROGRAM ACCOUNTING MANAGER & RECONCILIATIONS UNIT SUPERVISOR

Lead Compensation Program Manager – Market Strategy & Infrastructure

Program Manager

Program Manager

Senior Project Manager/Program Manager (PV) - (IL-2022-1)

Manager Supply Chain Programs 2

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I want to receive the latest job alert for medicare manager in springfield il

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5+ years experience in Program Integrity, Payment Integrity, Special Investigations, Healthcare Compliance, Fraud, Waste and Abuse (FWA), Claims Operations, Healthcare Operations, or a related field.

Knowledge of healthcare regulatory and compliance requirements.

Strong analytical, organizational, communication, and problem-solving skills.

Ability to manage multiple priorities and work effectively in a collaborative environment.

Experience building relationships and working with cross-functional teams and external stakeholders.

Preferred Qualifications

Experience supporting Medicaid managed care programs.

Experience with regulatory reporting, audits, compliance initiatives, or operational oversight activities.

Experience working with SIU investigations, fraud prevention programs, vendor management, or payment integrity operations.

Knowledge of healthcare claims, provider reimbursement, payment accuracy, and program integrity practices.

Education

Bachelor's degree or equivalent combination of education and experience.

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