- Lundbeck (Fort Wayne, IN)
- …internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic ... disease sales experience in both the Outpatient Infusion setting and Specialty Pharmacy channel with a strong understanding of pricing and reimbursement. Neurology… more
- KAI Partners, Inc. (Roseville, CA)
- …pharmacy background. 5-8 years of relevant experience in healthcare, pharmacy benefits, or Medicaid/ Medicare consulting environments. Demonstrated experience ... position with KAI Partners. C2C will not be considered at this time. Pharmacy Benefits Operation Consultant KAI Partners, Inc. (KAIP) is currently seeking … more
- OnePoint Patient Care (Lowell, MA)
- …is one of the pioneers in the hospice industry. Specializing in providing hospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint ... Responsibilities *Fills prescription items, as permitted by the State Board of Pharmacy , packaging medications for dispensing and for delivery, meeting the accuracy… more
- Corcept Therapeutics (Redwood City, CA)
- …where ambiguity may exist Working knowledge and experience with health insurance ( pharmacy benefit), Medicare Part D coverage, prior authorization processes, and ... prior authorizations and appeals, is required Familiarity of private payer, Medicare , and Medicaid structure, systems, and reimbursement processes is required… more
- Optum (San Antonio, TX)
- …years of experience in a customer service setting 1+ years of experience with Medicare Part D, particularly the pharmacy record review, claims, billing, and ... improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel...to internal staff, subcontractors and providers with respect to Medicare drug related issues May serve as a subject… more
- Optum (San Antonio, TX)
- …6+ months of experience with knowledge of medical terminology Knowledge of the Medicare Part D, particularly the pharmacy record review, claims, billing and ... improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel...to internal staff, subcontractors and providers with respect to Medicare drug related issues Participates in and contributes to… more
- Optum (San Antonio, TX)
- …years of experience in a customer service setting 6+ months of experience with Medicare Part D, particularly the pharmacy record review, claims, billing and ... improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel...to internal staff, subcontractors and providers with respect to Medicare drug related issues Participates in and contributes to… more
- LanceSoft (Detroit, MI)
- …names, therapeutic classes and claims processing Knowledge of Privacy Regulations Pharmacy Technician Certification (PTCB) preferred Medicare Part D Experience ... be in the office 2 times a week The pharmacy technician will assist in providing pharmacy ...The pharmacy technician will assist in providing pharmacy services. Required Skills/Experience: Ability to process Coverage Determination… more
- UnitedHealth Group (Eden Prairie, MN)
- …our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will ... Optum Care National Risk Adjustment Healthcare Economics team , we support Medicare Advantage Care Delivery organizations by ensuring the accuracy and reliability of… more
- FROEDTERT HEALTH (Menomonee Falls, WI)
- …Specialist is responsible for ensuring accurate billing, reimbursement, and compliance for pharmacy claims. The position will operate as a liaison between patient, ... pharmacy , insurance provider, and other involved third parties to...with third party insurances including, but not limited to, Medicare and Medicaid is required. A minimum of 7… more
- Optum (San Juan, PR)
- …our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will ... business hours of 7:00am - 10:00pm CST. Primary Responsibilities: Assist Medicare -eligible individuals telephonically in the following ways Answer incoming phone… more
- RVO Health (Charlotte, NC)
- AT A GLANCE RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and enhancing ... with match Employee Assistance Program Paid Parental Bonding Benefit Program Pharmacy Benefits Income Protection Plans Pet Services Plans Mental Health Support… more
- OnePoint Patient Care (Hollywood, FL)
- …is one of the pioneers in the hospice industry. Specializing in providing hospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint ... modifications in order tooptimize medication regimens using sound clinical pharmacy principles, accounting for pharmacodynamic andpharmacokinetic variations in drug… more
- LucyRx (Plano, TX)
- Job Type Full-time Description The role of the technician is to support pharmacy practice as allowed by the Board of Pharmacy and perform all duties as ... billing requirements for different payors, including commercial, Medicaid, and Medicare -D. Performs other duties and tasks as assigned by pharmacist-in-charge.… more
- Maxor National Pharmacy Services, LLC (Far Rockaway, NY)
- Overview Pharmacy Technician Per Diem (PRN) Applications are currently being accepted for Per Diem (PRN) customer service focused Pharmacy Technician to work ... within the St. John's Episcopal Hospital Outpatient Pharmacy . St. John's Episcopal Hospital is the only hospital...Remain free from exclusion under the OIG and SAMS Medicare /Medicaid lists. Complete required training, as assigned, within the… more
- Virtual Employee Services (Louisville, KY)
- …Private and Government payers Two (2) years of work experience in pharmacy , managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech ... manufacturer, insurance, medical office, or related field Six (6) months of work experience in a call center environment. Experience with HIPAA and patient services Bi-lingual, English and Spanish KNOWLEDGE, SKILLS & ABILITIES : Demonstrated empathy and… more
- Virtual Employee Services (Louisville, KY)
- …training in a related field *Two (2) years of work experience in pharmacy , managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech ... POSITION RESPONSIBILITIES: *Support inbound and outbound phone lines for the pharmacy *Answer calls, emails and/or other requests from patients and/or healthcare… more
- UPMC Senior Communities (Pittsburgh, PA)
- UPMC Mercy is hiring a Full Time Pharmacy Technician to support our Pharmacy ! This position works varied shifts during daylight/evening with rotating ... Sign on Bonus of $5,000 with a 2 year commitment to UPMC. Pharmacy Technician career advancement and certification opportunity available through completion of a free… more
- Optum (San Juan, PR)
- …our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will ... Federal and State Statues, Rules and Regulations Knowledge of Medicaid/ Medicare Reimbursement methodologies Working knowledge of the healthcare insurance/managed… more
- South Shore Health (Weymouth, MA)
- …insurance coverage requirements. Obtains physician written concurrence when necessary; eg, Medicare patients. Informs the patient and/or next of kin when insurance ... the current admission. Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when patient...and set up appropriate services or referrals; eg, SNF/VNA/Home Pharmacy c - Identifies need for new resources if… more
