- The Cigna Group (Bloomfield, CT)
- …to provide a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with internal leadership within ... teams. The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs, drug expense… more
- CVS Health (Hartford, CT)
- …with heart, each and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial stewardship, ... Leadership** + Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business leadership teams. + Translate enterprise strategy… 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:** ... + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits.… more
- Nuvance Health (Norwalk, CT)
- …to patient side all equipment required, per policy) Clinical- Patient Care Criteria D : Brings all patient equipment (per P&P) with patient (on transport ambulance) ... same to patient/family, monitors and documents results. Clinical- Patient Care Criteria D : Provides patient care in the Department in consultation with the Emergency… more
- Henry Ford Health System (Jackson, MI)
- …Additional Information + Organization: Henry Ford Jackson Hospital + Department: L & D Triage + Shift: Night Job + Union Code: Not Applicable Additional Details ... health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …Specialty certification preferred IV skills BLS certification required ACLS in specialty areas (L& D , ED, ICU, PACU, ACU, CVC - required within 6 months) NRP (NICU, ... LDR, MIU, Nursery - required within 6 months PALS (ED, PACU 0 required within 6 months) Fetal monitor certification preferred for LDR (required within 1 to 2 years based on experience) 8 hours annual stroke education and NIH certification for Telemetry RNs 8… more
- Rhythm Pharmaceuticals (Boston, MA)
- …and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop and maintain ... engagement and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the VP, Market Access and… 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 benefits. ... information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a… more
- Veterans Affairs, Veterans Health Administration (Bath, NY)
- …in accordance with the provisions in chapter 3, section B, paragraph 16 of this part . d . Physical Standards. See VA Directive and Handbook 5019.A pre employment ... accordance with chapter 3, section A, paragraph 3g, this part .) b. Education. Graduate of a school of practical...spoken and written English as required by 38 USC 7402( d ), and 7407( d ). May qualify based on… more
- US Tech Solutions (May, OK)
- …could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy experience in retail ... although 2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** + Bachelor's Degree Required, Pharm D Preferred. **About… more
- US Tech Solutions (AZ)
- …**Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a… more
- Hospice of the Valley (Phoenix, AZ)
- …including, but not limited to, the processing of pharmaceutical override approvals, Part D claims, requests for new/updated facility contracts, respite requests, ... + Coordinates with Senior Vice President of Clinical Operations to process Part D claims. + Processes requests for donated funds/requests and processes requests… more
- Humana (Richmond, VA)
- … of the Medicare Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an option to pay $0 at the pharmacy for any ... **Become a part of our caring community and help us put health...qualified Part D medication and have their costs "smoothed" out over the remainder… more
- BlueCross BlueShield of North Carolina (NC)
- …for pricing, forecasting, and strategic support of Medicare Advantage, Medicare Supplement, and Part D (PDP) products. + Oversee the Medicare Advantage bid ... Finance Strategy, Financial Modeling, Health Insurance, Leadership, Medicare Advantage, Medicare Part D , Medicare Plans, People Management, Pricing Processes,… more
- Dartmouth Health (Lebanon, NH)
- …while being able to stay close to home. Come and join our new full and part time D -H System wide nursing float pool. Qualifications * Graduate from an accredited ... Float in-house Float - System Staffing Office, Medical/Surgical units Part time or Full time options with rotation to... time position, one would float to all six D -H system hospitals in the clinical settings in which… more
- CVS Health (Buffalo Grove, IL)
- …covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D . You will use and develop a strong knowledge of specialty ... years of clinical pharmacy experience - 2+ years of experience with Medicare Part D - 2+ years experience of clinical therapeutics for specialty and/or oncology… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …be proficient in spoken and written English in accordance with chapter 2, section D , paragraph 5a, this part . Education and Experience. (1) A master's degree, ... with the provisions in Chapter 3, section B, paragraph 16 of this part . d . Failure to Obtain Licensure. In all cases, graduate SLP must actively pursue… more
- Prime Therapeutics (Salem, OR)
- …delivery of service; design, develop, and implement annual operating budget and the Medicare Part D annual bid + Partner with stakeholders and staff to define ... recognition for government program expertise; strong understanding of Medicare Part C and D rules and regulations...strong understanding of Medicare Part C and D rules and regulations + Exceptional client relationship management… more
- CVS Health (Carson City, NV)
- …+ Medicare and/or Medicare-Medicaid Integrated Product Experience + Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary ... Administration regulatory requirements and audit management + Experience with Part C & D reporting requirements + 3+ years serving as project lead + Adept at… more
- Novo Nordisk (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D , Medicaid as well as current and future Healthcare Reform related ... of key rebate categories included but not limited to Commercial, Medicare Part D , Coverage Gap, and Medicaid + Demonstrated analytical skills via MS Excel… more
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