• Pharmacist

    General Dynamics Information Technology (Fairfax, VA)
    …to include weekends and holidays. Preferred Skills: + Familiarity with Medicaid, Medicare Part D , or PBM operations . Prior experience with call center ... more
    General Dynamics Information Technology (04/16/25)
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  • Nurse Leader RN, Maternity/L& D , NICU

    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 ... more
    Central Maine Medical Center (04/11/25)
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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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  • Director of Pharmacy Quality and Operations

    Martin's Point Health Care (Portland, ME)
    …and state laws and regulations and applicable accreditation standards + Expert knowledge of Medicare Part D regulations + Proven skills developing high ... more
    Martin's Point Health Care (04/16/25)
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  • Director Clinical Operations - UNC Rex…

    UNC Health Care (Holly Springs, NC)
    …the Centers for Medicare and Medicaid Services (CMS). In addition, as part of the UNC Health Rex network, Holly Springs Hospital benefits from the collective ... more
    UNC Health Care (03/27/25)
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  • Senior Analyst, Financial Operations

    CVS Health (Northbrook, IL)
    …(Prescription benefit Management) industry experience + Rx Claim Adjudication System experience + Medicare Part D experience + Experience with SQL ... more
    CVS Health (04/16/25)
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  • Senior Director, Partner Operations

    Lumeris (New York, NY)
    …create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. ... more
    Lumeris (03/04/25)
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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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  • Associate Actuary

    Humana (Columbus, OH)
    …Advantage risk adjustment experience - Medicare bid pricing, consulting, or other Medicare -specific experience, including part D - Proficiency in SAS ... more
    Humana (02/19/25)
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  • Regional Account Executive

    Walgreens (Deerfield, IL)
    …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/ D , ACOs, ASOs, GPOs, Hospitals, etc.). ... more
    Walgreens (03/27/25)
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  • Manager Mid-Market & Small Group Retiree Solutions

    Highmark Health (Camp Hill, PA)
    …and authority. + As a seasoned Group Retiree market expert ( Medicare Advantage, Medicare Supplement, Part D , Medicare Exchanges) this leader will ... more
    Highmark Health (03/05/25)
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  • Regional Account Executive - Birmingham, AL

    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.). **Job ... more
    Walgreens (04/15/25)
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  • Lead US Reimbursement Policy and Pipeline Planning

    Sanofi Group (Washington, DC)
    …public response to specific US Health and Human Services government program regulations for Medicare Part D . This requires deep analysis of the material ... more
    Sanofi Group (04/03/25)
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  • Investigator, Coding SIU-CPC/Cpma-Remote

    Molina Healthcare (IA)
    …& legal processes (Commercial insurance, Medicare , Medicare Advantage, Medicare Part D , Medicaid, Tricare, Pharmacy, etc.) + Experience ... more
    Molina Healthcare (04/12/25)
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  • Sr. Pricing Manager, Finance

    Convey Health Solutions (Fort Lauderdale, FL)
    …management firms. Convey's healthcare-focused teams help millions of Americans navigate the complex Medicare Advantage and Part D landscape. To learn more, ... more
    Convey Health Solutions (03/07/25)
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  • Field Reimbursement Manager (Nashville)

    Endo International (Nashville, TN)
    …in the biologic (injectable) market. + Possess a strong understanding of commercial payers, Medicare Part B and D and Medicaid; particularly in assigned ... more
    Endo International (01/30/25)
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  • Manager, Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D , or Select Health to ensure compliance ... more
    VNS Health (03/05/25)
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  • Clinical Pharmacist Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …to maintain compliance with all regulatory requirements. + Support product portfolio, including Medicare Part D which includes rotational weekend and holiday ... more
    Blue Cross Blue Shield of Massachusetts (04/03/25)
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  • Senior Electric Utility Engineer

    Silicon Valley Power (Santa Clara, CA)
    …b. Transmission & Distribution Design & Construction c. Transmission & Distribution Operations & Maintenance d . Generation Design & Construction e. Generation ... more
    Silicon Valley Power (04/10/25)
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  • Manager, Financial Planning & Analysis- Remote

    BrightSpring Health Services (Louisville, KY)
    …MOR, Sales, Key Strategic Operational changes, etc. + Assist with Member reconciliation, Part D Recon, LIS tracking, Rebate tracking, Claim subrogation, and ... more
    BrightSpring Health Services (02/12/25)
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