- Novo Nordisk Inc. (San Mateo, CA)
- …treatment of diabetes, obesity, and the reduction of adverse cardiovascular events. As part of the team, you will have frontline exposure to our portfolio vision, ... who want to do the same. In exchange, we offer the chance to be part of a truly global workplace, where passion and engagement are met with opportunities for… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …contracting, product development, operations, financing and revenue generating programs Knowledge of Medicare Part D program, operations and industry trends ... Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and...our Company Culture page. If this sounds like something you' d like to be a part of,… more
- Walgreens (Miami, FL)
- …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/ D , ACOs, GPOs, Hospitals, etc.). Job ... variety of tools, and internal resources as an integral part of the sales interaction. Leads cross functional teams...experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). Experience with… more
- CVS Health (Hartford, CT)
- …and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP ... PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure… 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 ... role will assist in development of actuarial analyses for Medicare Part D business, including...and digestible data driven takeaways to internal and external senior leadership teams preferred If you will be working… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … and its related financial models, including Medicare FFS, Medicare Advantage, Medicare Part D , and Medicare supplemental coverage. + Advanced ... to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This...Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something you' d like to be a part of,… more
- CVS Health (Boston, MA)
- …Key Responsibilities: + Lead the development and execution of actuarial analytics strategies for Medicare Advantage and Part D programs. + Inform and enhance ... The ideal candidate will have deep expertise in CMS Part C and D programs, Medicare...+ Represent the actuarial analytics function in discussions with senior leadership and external stakeholders. **Required Qualifications** + 8+… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …product development, operations, financing and revenue generating programs + Knowledge of Medicare Part D program, operations and industry trends ... The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage… more
- BrightSpring Health Services (Louisville, KY)
- …the benefits of Original Medicare (Parts A and B) with prescription drug coverage ( Part D ). The Signature Advantage Plan is a unique plan allowing members to ... for our Signature Advantage Plan who will work with senior care partners to assist in enrolling new residents...and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and… more
- Bristol Myers Squibb (Princeton, NJ)
- …reporting and analysis. **Responsibilities:** + Consolidate and maintain GTN projections for Commercial, Medicare Part D , and GPO contracted accounts + ... personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Commercial & Medicare Channel Lead will manage forecasting and analytics for the… more
- Molina Healthcare (Boise, ID)
- …sample universes, and submission of SOPs, training materials, and/or other evidence as part of regulatory audits. EX: DMHC, CMS active audits * Based on regulatory ... findings to management; Supports management with presenting results and recommendations to Senior Leadership and department staff. * Recommends new or updated job… more
- University of Southern California (Los Angeles, CA)
- Senior SAS Research Programmer - USC Schaeffer CenterApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA University-Park-Campus/ Senior ... established by a historic gift from USC Trustee Leonard D . Schaeffer. It houses two existing programs under one...health behavior research and related health policy topics. The Senior SAS Research Programmer will serve as lead programmer… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary:** Responsible for managing the finances for the Medicare Part D Pharmacy contracts with PBMs and insurance companies. ... This role will help create relevant Power BI dashboards to help summarize Medicare Part D reimbursement performance. **Job Responsibilities:** + Develops… more
- BeOne Medicines (San Mateo, CA)
- …(MDRP), 340B Drug Discount Program, Medicare Part B ASP Reporting, Medicare Part D Coverage Gap (Historical CGDP), Manufacturer Discount Program ... **General** **Description:** BeOne is seeking a Senior Manager, Government Pricing & Contracting, reporting to...drugs across all government programs, knowledge of Medicaid and Medicare Parts B and D inflation rebates,… more
- The Cigna Group (St. Louis, MO)
- …Capabilities: Inflation Reduction Act (IRA), Medicare Prescription Payment Plan, or Part D Vaccines + Strong strategic, analytical, problem solving, and ... **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of Position:** + The Product Management Senior Advisor provides… more
- Silicon Valley Power (Santa Clara, CA)
- ** Senior Engineering Technician** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4890016) ** Senior Engineering Technician** ... Santa Clara currently has three (3) openings in its Senior Engineering Technician classification. The current openings are within...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
- Stony Brook University (Stony Brook, NY)
- Senior Accounting Assistant **Position Summary:** At the Long...system and monthly closing functions. + Enroll residents in Medicare Part D plans. + ... Island State Veterans Home, our Senior Accounting Assistants are responsible for ensuring implementation of...following but are not limited to:** + Billing for Medicare ( Part A & B), Medicaid, Private,… more
- Martin's Point Health Care (Portland, ME)
- …incurred but not reported claims (IBNR). + Prepare and analyze monthly estimates for Medicare Part D settlement estimates. + Develop and maintain knowledge ... and support to the company, including responsibility for the actuarial support of Medicare product bids, US Family Health Plan (USFHP) rate negotiations with the… more
- Silicon Valley Power (Santa Clara, CA)
- ** Senior Electric Utility Engineer** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4679157) ** Senior Electric Utility ... Services (AWS), and NVIDIA. **The Positions** SVP is seeking dynamic and innovative Senior Electric Utility Engineer candidates to fill three (3) vacancies in the… more
- United Therapeutics (UT)
- … Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare ( Part B and Part D ) The salary for this position ranges from ... where you can showcase your knowledge and expertise. The Senior /Therapy Access Manager (TAM) is a customer-facing role that...Market Access and Field Reimbursement supporting specialty products + Senior TAM - Bachelor's Degree with 10+ years of… more
