- Medasource (Detroit, MI)
- …and operational processes for current and future Clinical Pharmacy Star Measures and Medicare Part D products. This includes executing member, provider ... *Create branch-tree logic for resolving claims issues and member complaints *Review calls between Medicare Part D members and CSRs *Maintain call logs in… more
- Centene Corporation (Queens, NY)
- …performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans ( D -SNPs). The Manager will serve as a subject matter expert in Medicare ... Act as a strategic advisor on contract structure and payment methodologies for Medicare Advantage and D -SNP providers, supporting new contract negotiations and… more
- Mount Sinai Health System (New York, NY)
- …Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS ,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working ... methodologies. c. Collects, organizes, integrates, analyzes and interprets data. d . Leverages advanced statistical analysis methods to create insightful… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence ... on-call in certain situations. + Bachelor's Science or Pharm D required + Active Pharmacist license in the state...Offerings: Be sure to consider our generous benefits as part of your overall compensation! Designed with your well-being… more
