- Insmed Incorporated (Louisville, KY)
- …hospital based, insurance company) Working knowledge and experience with health insurance, Medicare Part D coverage, prior authorization process, and ... experience for patients in your designated region. You will be an integral part of a collaborative team focused on delivering exceptional support to patients in… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …contract performance for all customer segments (eg, Managed Care, Non-Federal Hospitals, Long-Term Care, Medicare Part D , Medicaid (FFS & MM), Exchanges and ... Federal), including Diabetes, Biopharmaceutical and hormone therapy products. Relationships The position reports directly to a Assoc. Dir of Pricing & Policy Insights and provides analytical support to other Managers within Strategic Pricing. Provides periodic… more
- Novo Nordisk Inc. (Wilkes-Barre, PA)
- …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
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and accurate payment of rebate payments for Strategic and Non-Strategic customers for Commercial, Part D and Coverage Gap. Reviews and analyzes the results of ... and home office stakeholders. External relationships include Managed Care & Medicare customers, Market Access and System Vendors. Essential Functions Assists… more
- CVS Health (Blue Bell, PA)
- …skills - Solid technical/analytical skills and attention to detail **Preferred Qualifications** - Medicare Part D or pharmacy pricing experience preferred - ... team supporting CVS Health and Aetna's exciting and growing Medicare business. The colleague's primary focus will be on...colleague's primary focus will be on evaluating and projecting Part D trends and changes in drug… more
- CVS Health (Blue Bell, PA)
- …Financial Reporting + Experience with SAS, SQL, R, Python, and Power BI + Prior Group Medicare Part D experience **Pay Range** The typical pay range for this ... position will provide analytical and reporting support for the Part D Business, with a focus on...degree along with 3+ years related experience + Prior Medicare , Pharmacy, or Group Health Insurance experience + Experience… more
- CVS Health (Blue Bell, PA)
- …technical/analytical skills and attention to detail **Preferred Qualifications** + Previous Pharmacy or Medicare Part D experience + FSA designation + ... programs - all with an eye toward optimizing the cost structure of our Part D offerings including MAPD, SNP, and PDP products. The colleague will: + Take full… more
- Medical Mutual of Ohio (OH)
- …a fully remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** ... supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C… 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
- CVS Health (Salem, OR)
- …and member/nonparticipating providers). * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in ... of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily work on part...Management Strategy support. * Develop subject matter expertise on Medicare policy for the enterprise. * Provide ongoing education… more
- CVS Health (Atlanta, GA)
- …working in a fast-paced environment with constant change Preferred Qualifications + Prior Pharmacy, Medicare Part D , Medicare or Medicaid experience + ... actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business. The position...position will provide modelling and analytical support for the Part D Business, with a focus on… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …relevant work experience required with at least 2 years directly involved in Medicare Advantage or Part D auditing activities. **Professional Certification** ... Compliance Program and all compliance-related activities for the Company's Medicare Advantage ( Part C) and Prescription Drug... Advantage ( Part C) and Prescription Drug ( Part D ) health plan programs. Ensures that… more
- US Tech Solutions (May, OK)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided ... where needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated… more
- ChenMed (Miami, FL)
- …and experience with state and federal insurance programs, formulary inclusions, programs for Medicare /Medicaid, with Part D knowledge. + Familiarity with ... rapidly expanding and we need great people to join our team. The Part D Clinical Pharmacist Manager is a dynamic and experienced Pharmacist knowledgeable in… more
- The Cigna Group (Houston, TX)
- …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
- 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
- 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 ... healthcare coverage options, including Original Medicare , Medicare Advantage, and Medicare Part D plans. - Track outreach metrics, such as the number… more
- Takeda Pharmaceuticals (Exton, PA)
- …integrity, and timeliness of all monthly/quarterly rebate payments for all Commercial and Medicare Part D contracted customers. This thorough process ... + Works with Senior Analyst(s) in support of all Commercial and Medicare Part D internal/external audits by preparing and providing the necessary… 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
- 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
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