• Clinical Pharmacist Advisor

    US Tech Solutions (May, OK)
    …by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, ... more
    US Tech Solutions (04/18/25)
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  • Pharmacist

    US Tech Solutions (AZ)
    …by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, ... more
    US Tech Solutions (04/18/25)
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  • Senior Actuary - Medicare Part

    CVS Health (Blue Bell, PA)
    …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 ... more
    CVS Health (04/20/25)
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  • Compliance Analyst - Medicare

    Prime Therapeutics (Columbus, OH)
    …projects simultaneously **Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D , Medicaid, and/or Affordable Care ... more
    Prime Therapeutics (04/24/25)
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  • Senior Medicare Communications…

    Centene Corporation (Cheyenne, WY)
    …+ 5+ years of experience in Managed Care/Health Insurance/Public Health/Health Care Administration/ Medicare Part D or related field required. + Some ... more
    Centene Corporation (04/23/25)
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  • Clinical Pharmacist, Medicare

    CVS Health (Buffalo Grove, IL)
    …drug profiles, therapeutic guidelines, formulary management strategies, and coverage criteria for Medicare Part D . + Collaborates with the formulary ... more
    CVS Health (04/12/25)
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  • (RN) HCS- D , COS-C - Registered Nurse…

    Northwell Health (Westbury, NY)
    …coding rules and regulations to the validation review process. + Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. + ... more
    Northwell Health (03/04/25)
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  • Medicare Sales Account Executive

    BrightSpring Health Services (Louisville, KY)
    …the benefits of Original Medicare (Parts A and B) with prescription drug coverage ( Part D ). The Signature Advantage Plan is a unique plan allowing members to ... more
    BrightSpring Health Services (04/03/25)
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  • Nurse Leader RN, Maternity/L& D , NICU

    Central Maine Medical Center (Lewiston, ME)
    …staff and other department managers.c) Creates and sustains a culture of safety. d ) Leads and manages change effectively.e) Responds to change productively, promotes ... more
    Central Maine Medical Center (04/11/25)
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  • Prior Authorization Specialist - MED D

    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 ... more
    US Tech Solutions (04/18/25)
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  • Compliance Auditor, MAPD

    UCLA Health (Los Angeles, CA)
    …Triennial Review, pre-delegation reviews, and more. * Design and improve audit toolkits based on Medicare Advantage and Part D risk areas. * Collaborate with ... more
    UCLA Health (04/08/25)
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  • Compliance Auditor, MAPD

    UCLA Health (Los Angeles, CA)
    …Triennial Review, pre-delegation reviews, and more. + Design and improve audit toolkits based on Medicare Advantage and Part D risk areas. + Collaborate with ... more
    UCLA Health (04/08/25)
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  • Healthcare Actuary

    The Cigna Group (Austin, 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 ... more
    The Cigna Group (04/19/25)
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  • Manager, GMG Regulatory - Clinical Regulatory…

    Guthrie (Cortland, NY)
    …Provides leadership to the organization relative to the Clinical Regulatory Compliance program which assures the implementation and oversight of clinical ... more
    Guthrie (03/20/25)
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  • Bus Dvlp Ana/25/Sls201

    Robert Half Accountemps (Minneapolis, MN)
    …As a Bus Dvlp Ana/25/SLS201, your focus will be on managing and resolving complex Medicare Part D Pharmacy member inquiries. You will play a crucial ... more
    Robert Half Accountemps (04/09/25)
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  • Manager, Contracts Compliance

    Boehringer Ingelheim (Ridgefield, CT)
    …developing a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in order to ... more
    Boehringer Ingelheim (02/05/25)
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  • Compliance & Licensing Paralegal

    Robert Half Legal (Dallas, TX)
    …field + Knowledge of healthcare regulations, including but not limited to HIPAA, ACA, Medicare Part D , Medicaid, and state pharmacy laws and regulations ... more
    Robert Half Legal (04/06/25)
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  • Compliance Auditor

    CenterLight Health System (Rockaway, NJ)
    …to all relevant federal, state, and local laws, rules and regulations applicable PACE, Part D , LHCSA and Article 28 requirements, etc., through audits. The ... more
    CenterLight Health System (02/01/25)
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  • HIICAP Program Supervisor

    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 ... more
    City of New York (02/12/25)
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  • H&B Analyst - Actuarial

    AON (San Francisco, CA)
    …models to support regulatory compliance needs, including HCSO, PCORI, ACA Affordability, Medicare Part D , and Credible Coverage. Organize actuarial data ... more
    AON (04/23/25)
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