- CVS Health (Honolulu, HI)
- …affordable. Position Summary As a Rep II, Operations , you will be directly supporting Medicare Part D & B members and providers with requests related to ... information and completing timely and accurate documentation of all Medicare Part D & B...some holidays may be required. As a Rep II, Operations , you'll show a high level of attention to… more
- CVS Health (Hartford, CT)
- …Must be able to understand data sets and identify technological efficiencies within Medicare Part D bid development and submission processing. Position ... D subject matter expert supporting end to end Part D Product operations efforts...including bids, implementation, benefits, reporting and analysis. 2-3 Years Medicare Part D Experience; 1-2… more
- UCLA Health (Los Angeles, CA)
- …of member accounts, and issuance of invoices. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to ... Description As a member of the Medicare Advantage Operations team, the ...and billing regulatory requirements * In depth knowledge of Medicare Part D programs and… more
- UCLA Health (Los Angeles, CA)
- …enrollment, disenrollment, and cancellation requests. This position requires a deep understanding of Medicare Part D programs and meticulous attention to ... Description As a member of the Medicare Advantage Operations team, the Senior...workgroups and other meetings * Ability to work as part of a team, collaborating with colleagues * Ability… more
- CVS Health (Hartford, CT)
- …all types of pharmacy products including specialty drug, Medicare Part D and understanding of PBM operations + Working knowledge of Microsoft Office ... reprioritizing as needed + Knowledge of all types of health care products including HMO, PPO, Medicare Advantage and Medicare Part D + Knowledge of… 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
- Universal Health Services (Reno, NV)
- …in one or more of the following topics required: + Commercial HMO/PPO/POS + Medicare Part D + Retail/Mail Service/Specialty pharmacy + Pharmaceutical benefit ... 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and commercial payer… more
- InnovaCare (San Juan, PR)
- …members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to ... Job Description BUSINESS UNIT: MMM Holdings, LLC DEPARTMENT: Service Operations Department - Call Center POSITION: Customer Service Representative...their covered Part D drugs. Orlando Family Physicians, a… more
- BlueCross BlueShield of North Carolina (NC)
- … pharmacy program across Medicare Advantage, including DSNP. EGWP and the Medicare Prescription Drug Program ( Part D ) to include operational expense, ... Medicare Advantage, including DSNP, EGWP and the Medicare Prescription Drug Program ( Part D...to share and gain insights in all areas of Medicare work ( operations , quality, cost of care);… more
- Catholic Health Initiatives (Lexington, KY)
- …Knowledge, Skills, Abilities and Training** + Knowledge of Medicaid, Medicare Advantage plans, Medicare Part D + Knowledge of hospital revenue cycle. + ... in the community. **Responsibilities** **Job Summary / Purpose** The Pharmacy Operations Specialist is responsible for CHI Saint Joseph Health System's Medication… more
- Catholic Health Initiatives (Lexington, KY)
- …Knowledge, Skills, Abilities and Training** + Knowledge of Medicaid, Medicare Advantage plans, Medicare Part D + Knowledge of hospital revenue cycle. + ... **Responsibilities** **Job Summary / Purpose** The Patient Assistance Coordinator/Pharmacy Operations Specialist is responsible for CHI Saint Joseph Health System's… more
- Bristol Myers Squibb (Princeton, NJ)
- …partners about reimbursement/access landscape (ie, coding, reimbursement and payer polices related to Medicare , Medicare Part D , Medicaid, and Private ... Read more: careers.bms.com/working-with-us . **Summary:** The Senior Manager of Access Support Program Operations & Above Brand Strategy will play a key role in the… more
- Central Maine Medical Center (Lewiston, ME)
- …the Nursing Director, the Nurse Leader is responsible for the day-to-day operations of assigned responsibilities and is accountable for assuring the consistent use ... staff and other department managers.c) Creates and sustains a culture of safety. d ) Leads and manages change effectively.e) Responds to change productively, promotes… more
- CVS Health (Irving, TX)
- …infrastructure to establish a new department supporting invoicing and accounts receivable management for Medicare Part D members utilizing the Medicare ... a member of the Pharmacy Benefit Management (PBM) Finance Operations Department. The Advisor will play a critical role...a seamless and positive member experience. M3P is a Medicare Part D requirement effective… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …guidance regarding encounter data or prescription drug data in Medicare Advantage or Medicare Part D ; AND 3) Reviewing and evaluating established program ... (CM), Division of Encounter Data & Risk Adjustment Operations (DEDRAO) & Division of Payment Reconciliation (DPR) ....and impacts on the Medicare Advantage or Medicare Part D communication of… more
- CVS Health (Irving, TX)
- …ownership and accountability over activities related to invoicing and accounts receivable management for Medicare Part D members utilizing the Medicare ... and AR processes lead to a seamless and positive member experience. M3P is a Medicare Part D requirement effective January 1, 2025 and thus, the Sr. Manager… more
- Central Maine Medical Center (Lewiston, ME)
- …the Nursing Director, the Nurse Leader is responsible for the day-to-day operations of assigned responsibilities and is accountable for assuring the consistent use ... managers. c) Creates and sustains a culture of safety. d ) Leads and manages change effectively. e) Responds to...goals and objectives. o) Assumes other duties as assigned. Operations : a) Plans, directs, and coordinates operations … more
- AdventHealth (Winter Haven, FL)
- …for the NCLEX* **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in ... the community for over 50 years. - As a part of the AdventHealth network patients will have greater...who supports the Nurse Manager or Director in overall operations of their assigned unit.** **Is able to demonstrate… more
- American Institutes for Research (MA)
- …experience with federal agencies, including but not limited to the Centers for Medicare and Medicaid Services (CMS). Candidates hired for the position may work ... goes beyond legal compliance to its full integration in our strategy, operations , and work environment. At AIR, we define diversity broadly, considering everyone's… more
- Marshfield Clinic (Eau Claire, WI)
- …Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations **Scheduled Weekly Hours:** 4 **Time Type:** Part time ... service line physicians c. Annual review of Advanced Practice Clinicians d . Market share/specialty planning, including outreach e. Budget and financial performance… more