- GEHA (Lee's Summit, MO)
- …+ Work in conjunction with the Vice President and Director of Pharmacy to align Medicare Part D / EGWP lines of business to organizational goals and ... experience, sustained by a nimble and efficient organization. The Medicare Part D Performance Management...D Performance Management Specialist will report to the Director of Pharmacy and will be responsible for monitoring… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary ... healthcare organization or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 5 years...**Reporting Structure** + Reports to Senior Principal or Senior Director in the Finance department Potential pay for this… more
- CVS Health (Harrisburg, PA)
- …Summary** Directs the formulation, implementation and milestone tracking for business plans as Part of the Medicare benefit and product cycle. Directs the ... experience in health plan and/or PBM roles 15+ years Medicare experience **Education** Pharmacist, BS or Pharm D... Medicare experience **Education** Pharmacist, BS or Pharm D with active, unrestricted license in good standing **Pay… more
- Central Maine Medical Center (Lewiston, ME)
- …and for each other every day. Position Summary: Reporting to the Nursing Director , the Nurse Leader is responsible for the day-to-day operations of assigned ... evaluating the operation of their assigned department. In conjunction with the Director , the Nurse Leader is responsible for overseeing implementation of patient… more
- Marshfield Clinic (Eau Claire, WI)
- …communication with referral network across system; work with regional specialty director (s) to address deficiencies d . Identify new services/service expansion; ... in the world!** **Job Title:** Assistant Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations **Scheduled Weekly… more
- Molina Healthcare (Starkville, MS)
- …and local laws and regulatory requirements affecting the medical and clinical staff. + Part Time Perinatal Medical Director , Based in MS **Job Duties** + ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- CareOregon (Portland, OR)
- …focus on achieving better quality of care for a special needs, dually eligible Medicare population by understanding and applying D -SNP Medicare regulatory ... Job Title Medical Director - Clinical Services Department Medical Management Administration...Aim. Direct support may be focused on Medicaid or Medicare lines of business in a Coordinated Care Organization… more
- Prime Therapeutics (Eagan, MN)
- …for new and emerging Government program projects related to Medicare , Medicaid, and Medicare Part D . + Finance lead for key government program ... drives every decision we make. **Job Posting Title** Finance Director - Government Programs - Remote **Job Description** The...initiatives including premium billing and Medicare Part D reporting and… more
- Molina Healthcare (Starkville, MS)
- …Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program ... State **(MS)** Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… 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
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Senior Director Regulatory and Accreditation? At HCA Healthcare, you come first. HCA Healthcare has ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...a difference. We are looking for a dedicated Senior Director Regulatory and Accreditation like you to be a… more
- AbbVie (Chicago, IL)
- …and/or managing Buy & Bill, Specialty Pharmacy, Medicare Part B, and Medicare Part D products is highly preferred + Experience selling and/or ... Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description The Regional Director , BOTOX(R) Therapeutic - Neurosciences leads the sales performance and… more
- Merck (North Wales, PA)
- …accounts + LTC + National and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D ) The US Market Access Contracting Team acts as ... **Job Description** The Director , US Market Access Contracting sits within the National Contract Operations and Supply Chain Team (NCOSC), which delivers… more
- Option Care Health (Peachtree Corners, GA)
- …Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B & D , Fee for Service Medicaid, ... a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a **thriving workforce that is as diverse… more
- Centene Corporation (Phoenix, AZ)
- …with Clinical Pharmacists or Regional Medical Director on related issues. + Prior Authorization Medicare Part D and Part B + Tracks and triage ... of the following areas: Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center, Medicare Part D / Part B, Appeals, Medicare Part… more
- Trinity Health (Philadelphia, PA)
- …with the Medical Director . + Ensure compliance with CMS regulations and manage Medicare Part D fraud, waste, and abuse programs. + Lead quality ... **Employment Type:** Full time **Shift:** **Description:** ** Director of Quality Improvement and Compliance** **Ministry Name:...communication skills. + Ability to work independently and as part of a collaborative team. + Proficiency in Microsoft… 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, ... member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the...Benefit Design & Economics associated with Commercial, Medicaid and Medicare reimbursement for oral drugs with Oncology Customers +… more
- State of Indiana (Richmond, IN)
- Clinical Director Date Posted: Sep 12, 2024 Requisition ID: 449523 Location: Richmond, IN, US, 47374 Work for Indiana Begin a fulfilling career with the State of ... Family and Social Services Administration Division of Mental Health and Addiction. As part of a newly integrated system of state psychiatric hospitals, we serve… more
- AbbVie (Mettawa, IL)
- …dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D , Medicaid and other Government channels + ... We are smart, fun, quirky, and innovative - and we' d love for you to join us. The individual...to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the… more
- Lumeris (IL)
- …information. Thank you for your interest in Lumeris. **Position:** Director Physician Partner Operations **Position Summary:** Oversees delivery management for ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more