- Yale New Haven Health (Manchester, CT)
- Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - ... in status, unusual events and as required by regulatory agencies ie Medicare . Completes documentation related to the resident's admission, transfer or discharge. ie… more
- US Tech Solutions (May, OK)
- …**Note:** + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. + **Shift Timing:** ... service experience. **Experience:** + **Previous pharmacy experience in Medicare Part D , PBM, Prior Authorization is required.** + Appropriate… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and Experience: + Minimum 2-3 years of customer/member service experience + Medicare Part D and/or Pharmacy experience preferred + BS/BA or AS/AA degree ... team. You will work collaboratively with Pharmacists to provide high-touch, concierge-level pharmacy services to Medicare members. This role focuses on outreach… more
- US Tech Solutions (May, OK)
- …of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review… more
- Molina Healthcare (Ann Arbor, MI)
- …legal processes (Commercial insurance, Medicare , Medicare Advantage, Medicare Part D , Medicaid, Tricare, Pharmacy , etc.) + Experience with UNET, ... oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School… more
- US Tech Solutions (May, OK)
- …of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid, Commercial Prior Authorization and Case… more
- US Tech Solutions (May, OK)
- …of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital preferred. + Appropriate state license… 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 ... other quality measures. Under the direct supervision of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare members… 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 ... + Serve as the chief financial partner to the Medicare Part D and ...financial analysis. **Business Performance & Partnerships** + Partner with Pharmacy , Actuarial, Clinical, Network, and Trade teams to evaluate… more
- US Tech Solutions (May, OK)
- …**Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy experience in retail or hospital ... technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit. +...2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** +… 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 ... in the healthcare industry and recognition for government program expertise; strong understanding of Medicare Part C and D rules and regulations +… more
- Humana (Lincoln, NE)
- … Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements and ... first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work assignments involve… more
- CVS Health (Topeka, KS)
- …on behalf of Elevance Health/CarelonRx across all lines of business (Commercial, Medicaid, Medicare Part D , etc.). In addition, the manager works ... and every day. **Position Summary** As the Manager of Pharmacy Communications, you will serve as the main liaison...and contract-related documents, state and federal laws, Medicaid and Medicare Part D regulations. **Education**… more
- Martin's Point Health Care (Portland, ME)
- …or non-dispensing role (ambulatory care, managed care, quality management). Knowledge + Knowledge of Medicare Part D , Stars, and HEDIS quality measures. + ... to Work" since 2015. Position Summary The Primary Care Pharmacy Technician supports integrated clinical pharmacy services...reports to identify patients with care gaps related to Medicare Stars, HEDIS, or value-based care measures. + Conducts… more
- Adecco US, Inc. (San Francisco, CA)
- …the Pharmacy Technician:** + Make outbound phones to collect clinical information for Medicare Part D Appeal Requests + Demonstrate the ability to ... Adecco Healthcare & Life Sciences is hiring Pharmacy Technicians in California! This role is work...pharmacy technician experience required + Prior experience with Medicare preferred + Able to work a shift between… more
- Centene Corporation (Tallahassee, FL)
- …to create the new call flows/tools. **Desired skills:** + ** Pharmacy ** : Understanding Medicare Part D , particularly PDP is a plus. + **Technical ... and marketing issues. + The PDP Specialist will be part of PDP SWAT team. The ultimate goal of...related field preferred. 5+ years of combined experience in pharmacy , Medicare Prescription Drug Plan, customer service,… 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
- Penn Medicine (Lancaster, PA)
- …programs, committee activities, etc Responsibilities: + Minimum Required Qualifications: + Pharm. D . and ASHP-accredited Pharmacy Practice Residency required or ... week) Location: Various locations in the Lancaster area Department: Pharmacy and IV Solutions Summary: + Provide clinical ...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
- University of Southern California (Los Angeles, CA)
- …Government Service has been established by a historic gift from USC Trustee Leonard D . Schaeffer. It houses two existing programs under one umbrella-the Leonard D ... for Health Policy & Economics (https://healthpolicy.usc.edu/) and the Leonard D . Schaeffer Fellows in Government Service (https://schaefferfellows.org/) . The USC… 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 ... their pharmacy benefits. You will be responsible for ensuring cases...information and completing timely and accurate documentation of all Medicare Part D requests, in… more
