- CVS Health (Hartford, CT)
- …and executing formulary and manufacturer rebate contracting strategy across Aetna and Silverscript's Medicare Part D and other government services pharmacy ... to achieve desired results. Involvement with other projects dealing with pharmacy and Medicare Part D will also occur. The colleague will: - Take full… more
- CVS Health (Blue Bell, PA)
- …and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP ... PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure… more
- Walworth County (Elkhorn, WI)
- …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... it does not prescribe or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments by entering consumer's drug information into the… more
- CVS Health (Scottsdale, AZ)
- …Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering Medicare Part - D Pharmacy Audit Programs. In this role, you will ... summarizing audit results using SQL coding analytics. + Coordinating the correction of Medicare Part - D claims and PDEs These audit programs help keep CVS… more
- Prime Therapeutics (Columbus, OH)
- …projects simultaneously **Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D , Medicaid, and/or Affordable Care ... drives every decision we make. **Job Posting Title** Compliance Analyst - Medicare Part B- REMOTE **Job Description** Job Description The Compliance Analyst… more
- Kelly Services (Avon, CT)
- …and email with empathy, patience, and professionalism + Assist members with insurance claims, Medicare & Part D questions, and prescription issues + Serve ... **Now Hiring: Customer Service Representative ( Medicare Focused) | Temp-to-Hire Opportunity** **Location: Avon, CT...lunch benefit - up to $20/day covered + Be part of a mission-driven team focused on making a… more
- Corewell Health (Grand Rapids, MI)
- …adherence + Educate members on disease state and medication + Educate members on Medicare Part D benefits and drug coverage to increase understanding ... status through December. Job Summary Under the direct supervision of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare… more
- CVS Health (Buffalo Grove, IL)
- …. Pharmacy Practice or Managed Care residency . Demonstrated experience with formulary management, Medicare Part D , PBM and Managed Care, drug file and ... **Position Summary** The Clinical Pharmacist engages within the Medical Affairs - Medicare Formulary Administration team to support the creation and maintenance of… more
- US Tech Solutions (May, OK)
- …availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy ... of experience although 2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** + Bachelor's Degree Required, Pharm D … more
- Intermountain Health (Columbus, OH)
- …Calls (Inbound/Outbound) + Oral Communication + Written Communication + Group Problem Solving + Medicare Part D + Medicaid + Mentorship/Coaching + Decision ... Pocket (TrOOP) status, and the formulary transition process. + Assists Medicare and Medicaid members with grievances, coverage determination (including exceptions),… more
- US Tech Solutions (May, OK)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided ... where needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated… more
- The Cigna Group (Austin, TX)
- …is designed to provide a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with internal ... and supply teams. The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs,… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- City of New York (New York, NY)
- … Medicare 's preventive services. New York State certified counselors provide assistance with Medicare Part D prescription plan selection, Medicare ... (HIICAP) helps older adults navigate the complexities of all components of Medicare . HIICAP conducts public outreach presentations and workshops to older adults,… more
- City of New York (New York, NY)
- … Medicare 's preventive services. New York State certified counselors provide assistance with Medicare Part D prescription plan selection, Medicare ... (HIICAP) helps older adults navigate the complexities of all components of Medicare . HIICAP conducts public outreach presentations and workshops to older adults,… more
- City of New York (New York, NY)
- … Medicare 's preventive services. New York State certified counselors provide assistance with Medicare Part D prescription plan selection, Medicare ... (HIICAP) helps older adults navigate the complexities of all components of Medicare . HIICAP conducts public outreach presentations and workshops to older adults,… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- AON (San Francisco, CA)
- …actuarial models to support regulatory compliance needs, including HCSO, PCORI, ACA Affordability, Medicare Part D , and Credible Coverage. Organize actuarial ... models to support regulatory compliance needs, including HCSO, PCORI, ACA Affordability, Medicare Part D , and Credible Coverage; 4. Organizing actuarial data… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit ... necessity reviews for formulary exceptions and prior authorizations according to the Medicare Part D defined guidelines + Work with the Pharmacy Benefit… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary:** Responsible for managing the finances for the Medicare Part D Pharmacy contracts with PBMs and insurance companies. ... role will help create relevant Power BI dashboards to help summarize Medicare Part D reimbursement performance. **Job Responsibilities:** + Develops complex… more
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