- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides ... oversight and management of Medicare Part D /EGWP program. **Job... + Support vendor relationships (eg Plan Sponsor), daily operations , and implementation of EGWP pharmacy programs + Understand… more
- Medical Mutual of Ohio (OH)
- …supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part ... administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical… more
- Elevance Health (Columbus, OH)
- … members. -Understanding of the benefit design and formularies, specifically for Part D . -Experience in a pharmacy benefit management organization leading ... member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked… more
- CVS Health (Scottsdale, AZ)
- …to establish a new department supporting member-facing financial operations activities for Medicare Part D members utilizing the Medicare ... The Sr. Financial Analyst is a member of the Pharmacy Benefit Management (PBM) Finance Operations Department. The Sr. Analyst will play a critical role in helping… more
- Trinity Health (Farmington Hills, MI)
- …Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as ... Vision, and Values in behaviors, practices, and decisions Performs daily activities as part of the billing and follow-up team in support of the revenue cycle… more
- Central Maine Medical Center (Lewiston, ME)
- …the Nursing Director, the Nurse Leader is responsible for the day-to-day operations of assigned responsibilities and is accountable for assuring the consistent use ... 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
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …also allow Medicare to negotiate prescription drug prices, implement improvements to Medicare Part D including a benefit redesign and new manufacturer ... Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare...discount program, impose inflation rebates for Part B and Part D … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …3. Support our Medicare Enrollment teams ( Medicare Advantage, Medex, and our Part D PDP teams) by cross training on other enrollment functions and assist ... 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
- Access Dubuque (Dubuque, IA)
- Director Clinic Operations **UnityPoint Health Finley Hospital** 1 Positions ID: 38830491 Posted On 11/15/2024 **Job Overview** **Overview** **Director of Clinic ... Operations ** **UnityPoint Health** **Monday-Friday 8:00AM-5:00PM** **Full Time Benefits** **The...department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings… more
- Novo Nordisk (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 ... organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence… more
- Sanofi Group (Bridgewater, NJ)
- …Specialist is responsible for contract management for various markets including Commercial Contracts, Medicare Part D and Managed Medicaid. This position ... **Job Title:** Specialist, Managed Care Operations **Location** : Bridgewater, NJ **About the Job**...diseases and blood disorders, cancers, and neurological disorders. From R& D to sales, our talented teams work together, revolutionizing… more
- Central Maine Medical Center (Bridgton, ME)
- …among all staff and shifts. c) Effectively manages change at a departmental level d ) Identifies readiness for change and involves staff in change process e) Responds ... methods to meet these goals and objectives l) Assumes other duties assigned Operations : a) Oversees day-to-day Unit level operations : Ensures consistent bedside… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …of business. + Develop, refine, implement, and pull through the MTPA contracting strategy for Medicare Part D , PBMs, GPOs and Commercial + Manage all Payer ... in Immunology and Oncology. MTPA is rapidly expanding its operations across all functional areas. MTPA's commitment to patients...and external groups including Commercial Payers, Medicare , Medicare Advantage plans, Part D ,… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …also allow Medicare to negotiate prescription drug prices, implement improvements to Medicare Part D including a benefit redesign and new manufacturer ... Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Information Technology...discount program, impose inflation rebates for Part B and Part D … more
- Humana (Stevens Point, WI)
- …Health Services will provide medical leadership and strategy for the Health Services Operations , which includes: Care Management for D -SNP, BadgerCare+, and SSI ... Health Services will provide medical leadership and strategy for the Health Services Operations , which includes: Care Management for D -SNP, BadgerCare+, and SSI… more
- American Institutes for Research (Rockville, MD)
- …related experience or Pharm. D . Degree. + Extensive familiarity with CMS, the ACA, Medicare Part D , and Medicare -specific value-based care policy and ... knowledge of medications, drug policy, and the requirements and operations of current health care policy priorities, including the...related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate… more
- Marshfield Clinic (Eau Claire, WI)
- …Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations **Scheduled Weekly Hours:** 4 **Time Type:** Part time ... service line physicians c. Annual review of Advanced Practice Clinicians d . Market share/specialty planning, including outreach e. Budget and financial performance… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …in a Medicare Advantage healthcare operations environment working with Medicare Part D (preferred). Knowledge, Skills, and Abilities * Exceptional ... innovative solutions to drive effective change. A subject matter expert in Medicare processes, the manager ensures services align with client goals and regulatory… more
- AdventHealth (Rome, GA)
- …+ Career Development + **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the ... the delivery of patient care services, including but not limited to Medicare , Managed care, Medicaid, third-party providers, challenges to current health care… more
- Walgreens (Deerfield, IL)
- …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/ D , ACOs, GPOs, Hospitals, etc.). **This ... variety of tools, and internal resources as an integral part of the sales interaction. + Leads cross functional...experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience… more