- Novo Nordisk Inc. (Wichita Falls, TX)
- …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
- 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 ... and supply teams. The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs,… more
- Prime Therapeutics (Pierre, SD)
- …fuels our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs **Job Description** Manages the coordination ... of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful Part D pharmacy… 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 ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- CVS Health (Hartford, CT)
- …and executing formulary and manufacturer rebate contracting strategy across Aetna and Silverscript's Medicare Part D and other government services pharmacy ... to achieve desired results. Involvement with other projects dealing with pharmacy and Medicare Part D will also occur. The colleague will: - Take full… more
- CVS Health (Chicago, IL)
- …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
- CVS Health (Woonsocket, RI)
- …This critical role will serve as a key financial lead supporting the Medicare Part D and SilverScript Organization. Primary responsibilities for ... this position include coordination and execution of Medicare Part D Bid requirements including; several round of non-benefit expense (NBE), audit requests,… more
- Walworth County (Elkhorn, WI)
- …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... it does not prescribe or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments by entering consumer's drug information into the… more
- Centene Corporation (Jefferson City, MO)
- …+ 3+ years of experience in Managed Care/Health Insurance/Public Health/Health Care Administration/ Medicare Part D or related field required. + Some ... anywhere in the Continental United States **Position Purpose:** Supports the Medicare Sales Compliance team in the management of regulatory requirements associated… more
- BlueCross BlueShield of North Carolina (NC)
- …degree, 7+ years of experience in related field **Bonus Points:** + Strong knowledge of Medicare Part D regulations and CMS requirements for the M3P ... **Job Description** This role oversees the Medicare Prescription Payment Plan (M3P), working closely with...other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes… more
- US Tech Solutions (May, OK)
- …availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy ... of experience although 2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** + Bachelor's Degree Required, Pharm D … more
- CVS Health (Austin, TX)
- …and every day. **Position Summary** As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- Independent Health (Buffalo, NY)
- …and presentation skills with an ability to design and develop adult learning programs OR Medicare Advantage or Part D experience required. + Experience in ... be a) subject matter expert within product team in the review of Medicare Advantage and Part D operations and requirements. + Provide support in Medicare… 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 ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …(PDE), pharmacy performance guarantees, security audits, and other Production Operations duties + Oversee Medicare Part D Claims audits to ensure that all ... legislative, regulatory changes, and industry trends impacting Medicare including Medicare Part D program + Knowledge of health plan marketing and… 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 ... by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something you' d like to be a part of, we' d love… more
- City of New York (New York, NY)
- … Medicare 's preventive services. New York State certified counselors provide assistance with Medicare Part D prescription plan selection, Medicare ... (HIICAP) helps older adults navigate the complexities of all components of Medicare . HIICAP conducts public outreach presentations and workshops to older adults,… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit ... necessity reviews for formulary exceptions and prior authorizations according to the Medicare Part D defined guidelines + Work with the Pharmacy Benefit… 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. ... role will help create relevant Power BI dashboards to help summarize Medicare Part D reimbursement performance. **Job Responsibilities:** + Develops complex… more
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