- CVS Health (Hartford, CT)
- …for executive level delivery. + Understands the complexities of a health system in addition to Medicare /SNP/LIS and Part D . + Has the ability to thrive in a ... convenient and affordable. Position Summary Works closely with the Executive Director , National SNP Sales Strategy, in the creation, refinement and delivery… more
- CVS Health (Buffalo Grove, IL)
- …license that is in good standing - Demonstrated experience with formulary management and Medicare Part D Demonstrated understanding of: + PBM and Managed ... development, creation, maintenance, and management of CVS Caremark's standard Medicare formularies, drug lists, utilization management, and other clinical programs… more
- CVS Health (Washington, DC)
- …The Director of Public Policy supports and enhances effective Federal advocacy related to Medicare Part D and drug pricing issues, as well as other ... & Responsibilities: * Identifies key policy issues and debates facing CVS Health's Medicare Part D and other PBM business, collaborates with business leaders… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …be responsible for strategic imperatives and tactical planning for targeted government channels: CMS, Medicare Part B MAC's, VA, DOD and Tricare East and West. ... evidence, and creating hope for all facing illness. The Director , Government Accounts will be responsible for the development...and experience in different access and reimbursement models, including Medicare Parts B and D , Medicare… more
- VIP Care (Tampa, FL)
- …and cost performance. Meet at least monthly assigned PCPs + Review drivers of off-track Part A, B, and D utilization with PCPs running higher than benchmark ... Summary/Objective: The Senior Medical Director is responsible for leading efforts to develop...performance improvement strategies to ensure success in our existing ( Medicare Advantage) as well as net new LOBs. They… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …SOCIAL SERVICES RESPONSIBILITY: ADMINISTRATOR JOB SUMMARY: The primary focus of the Director of Social Services is to assist in the resident's adjustment to ... c) record all significant events in resident's life and social service contacts. d ) monitor and assist psychosocial staff in maintaining psychosocial notes as well… more
- CareFirst (Baltimore, MD)
- …activities. + Experience with developing and implementing clinical programs. + Experience with Medicare Part D and Medicaid guidelines and requirements. + ... **Resp & Qualifications** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing...organization's pharmacy vision and strategic plan for government programs ( Medicare and Medicaid). This role has oversight of pharmacy… more
- AbbVie (Irvine, CA)
- …health care and pharmaceutical industry + Strong understanding of Commercial Insurance and Medicare Part D Additional Information Applicable only to ... Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description The Associate Marketing Director , US Eye Care, Ocular Surface Disease will partner with sales and… more
- Arvinas (New Haven, CT)
- …(HIPAA regulations), product reimbursement and product access. + Knowledge and experience in Medicare Part A- D , Medicaid, and private payer policies, ... with locally advanced or metastatic ER+/HER2- breast cancer. Arvinas, as part of its overall business strategy, selectively assesses opportunities for potential… more
- Arvinas (New Haven, CT)
- …regulations), product reimbursement and product access. + Knowledge and experience in FSS, Medicare Part D , Medicaid, and private payer policies, ... with locally advanced or metastatic ER+/HER2- breast cancer. Arvinas, as part of its overall business strategy, selectively assesses opportunities for potential… more
- Arvinas (New Haven, CT)
- …(HIPAA regulations), product reimbursement and product access. + Knowledge and experience in Medicare Part A- D , Medicaid, and commercial payer policies, ... with locally advanced or metastatic ER+/HER2- breast cancer. Arvinas, as part of its overall business strategy, selectively assesses opportunities for potential… more
- BeiGene (Emeryville, CA)
- …managed markets, hospital markets, various sites of care, IV medications, injectables, orals and Medicare Part D , etc. + Broad cross-functional experience in ... promotion, we have an opening for our North Central Regional Sales Director position._** **General Description:** Reporting to the Vice President of Sales, the… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while ... scope and complexity ranging from moderate to substantial. The Medicaid Pharmacy Director , internally known as a Clinical Pharmacy Lead, Plans, directs, and monitors… more
- Bausch Health (Bridgewater, NJ)
- …compliance in regulated government/federal programs and price calculations (Medicaid AMPs, BPs, Medicare Part B ASPs, PHS 340B pricing & Non-FAMPs). Strong ... knowledge of current government program statutes and regulations including Medicaid, Medicare Part B, Federal Supply Program, Public Health Services/340B… more
- Geisinger (Danville, PA)
- …and leads growth strategy for assigned Geisinger Health Plan Government Programs ( Medicare , D -SNP, Medicaid and CHIP) statewide. Builds annual marketing ... Highly Preferred Qualifications: + 10+ years of direct-to-consumer marketing, specifically in Medicare marketing + 7+ years of leadership and management experience +… more
- The Cigna Group (Bloomfield, CT)
- …These appeals will include requests for decisions regarding denials of medical services as well as Part B and Part D drug. The Appeals Specialist will be ... Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to differentiate...a written detailed clinical summary for the Plan Medical Director . + Determine whether additional pre service, appeal or… more
- Centerwell (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral… more
- Conviva (Sarasota, FL)
- **Become a part of our caring community and help us put health first** EliteHealth is committed to bringing high quality healthcare in the Florida Market and is ... proud to be a part of the largest Senior Primary Care Organization in...care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality… more
- Conviva (Port Orange, FL)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral… 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...registered professional nurse who supports the Nurse Manager or Director in overall operations of their assigned unit.** **Is… more