- Novo Nordisk Inc. (Plainsboro, NJ)
- …accurately forecast gross to net components including but not limited to Managed Care, and Medicare Part D , Medicaid as well as current and future Healthcare ... forecasting of key rebate categories included but not limited to Commercial, Medicare Part D , Coverage Gap, and Medicaid Demonstrated analytical skills via… more
- BeOne Medicines (Emeryville, CA)
- …managed markets, hospital markets, various sites of care, IV medications, injectables, orals and Medicare Part D , etc. + Ability to measure and analyze ... key performance indicators (ROI and KPIs). + Familiarity with CRM software and proven track record of use. + Ability to actively engage in developing new business. + Proven track record of resilience in the face of challenges. **Supervisory Responsibilities:**… more
- Novo Nordisk Inc. (London, KY)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent egree, and/or Pharm D required Minimum one (1) year of experience working in one or more… more
- Commonwealth Care Alliance (Boston, MA)
- …management, (c) coordination of onboarding and training of related CBO staff, ( d ) data review, reporting and analysis, and (e)assistance to these external partners ... and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full...self-motivated, with the ability to work independently and as part of a team to meet departmental goals. -… more
- US Physical Therapy (Houston, TX)
- …referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment. **Job Description** We are seeking a ... Review denial trends + Financial Class determination + Update Medicare Expected Amounts Annually + Review and update state...Time Off. We are an Equal Opportunity Employer - M/F/ D /V We are proud to be an equal opportunity… more
- The Cigna Group (Bloomfield, CT)
- …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
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the ... **Strategic Finance & Leadership** + Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business leadership teams. +… more
- US Tech Solutions (May, OK)
- …06+ months contract **Note:** + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. + ... **Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy… more
- BlueCross BlueShield of North Carolina (NC)
- …Finance, Finance Strategy, Financial Modeling, Health Insurance, Leadership, Medicare Advantage, Medicare Part D , Medicare Plans, People Management, ... for pricing, forecasting, and strategic support of Medicare Advantage, Medicare Supplement, and Part D (PDP) products. + Oversee the Medicare … more
- Prime Therapeutics (Salem, OR)
- …cost effective delivery of service; design, develop, and implement annual operating budget and the Medicare Part D annual bid + Partner with stakeholders and ... healthcare industry and recognition for government program expertise; strong understanding of Medicare Part C and D rules and regulations + Exceptional… 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 ... Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist, will engage with Medicare ...licensed Medicare Quality pharmacist, will engage with Medicare members to improve medication adherence to Medicare… more
- CVS Health (Buffalo Grove, IL)
- …for drugs covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D . You will use and develop a strong knowledge ... - 3+ years of clinical pharmacy experience - 2+ years of experience with Medicare Part D - 2+ years experience of clinical therapeutics for specialty and/or… more
- CVS Health (Hartford, CT)
- …and member/nonparticipating providers). * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in ... **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on part...Management Strategy support * Develop subject matter expertise on Medicare policy for the enterprise * Provide ongoing education… more
- US Tech Solutions (May, OK)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... experience. **Education:** + Pharm D . required with at least two years' experience as a pharmacist in Managed care environment. + Must have an active license in the… more
- CVS Health (Scottsdale, AZ)
- …- 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
- Rhythm Pharmaceuticals (Boston, MA)
- …appropriate access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop ... of payer engagement and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the VP, Market… 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
- BlueCross BlueShield of North Carolina (NC)
- …3+ years of experience with Medicare Advantage, Medicare Supplement, and Medicare Part D financials is highly preferred + Strong communication skills ... market success. In this leadership position, you will empower Medicare and Federal Employee Program (FEP) business leaders with...other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes… 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
- 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
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