- Corewell Health (Grand Rapids, MI)
- Job Summary The Medicare Clinical Pharmacist will work with...Management (MTM), and CAHPS + Educate patients on their Medicare Part D benefits and ... Medicare Stars and quality measures + Certified Geriatric Pharmacist or BPS certified + MTM Experience with MTM...Power Point + Ability to work independently and as part of a team + Comfortable with change +… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... information and completing timely and accurate documentation of all Medicare Part D requests, in...Prior Authorization Call Handling. **Education:** **Bachelor's Degree Required, Pharm D & Pharmacist License of Current state… 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 ... information and completing timely and accurate documentation of all Medicare Part D requests, in...and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum… more
- Humana (Miami, FL)
- …commuting distance of an office in Tampa, Orlando, or Miami, Florida.** This dedicated Part D Stars Pharmacist will be facilitating effective communication ... feedback to the Corporate STARS Pharmacy team. + Developing and implementing market-specific Part D strategies in response to anticipated PPO growth among… more
- Elevance Health (Columbus, OH)
- …in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly desired. + Experience ... **Population Health Management Pharmacist - CarelonRx** **Location:** The ideal candidate will...and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within… more
- US Tech Solutions (May, OK)
- …6 months contract** **Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience.** **Job ... authorizations as per policy and procedure. **Skills:** Prior Authorization Medicare Part D Pharmacy Benefit...required with at least two years' experience as a pharmacist . Must have an active license in the state… more
- Cedars-Sinai (Beverly Hills, CA)
- …procedures and in compliance with applicable state and federal regulations, including CMS and/or Medicare Part D and Medi-Cal, as well as accreditation ... considered a hybrid role. As a Drug Use Policy Pharmacist (DUP) at the Cedars-Sinai Medical Network Foundation, you...a difference in people's lives?** The Drug Use Policy Pharmacist is responsible for the identification, execution, and follow-up… more
- AdventHealth (Columbus, NC)
- …Program + Pet Insurance **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in ... DR, Columbus, 28722** **The role you'll contribute:** The **Clinical Pharmacist ** is responsible for the effective implementation, integration, and coordination… more
- Lancaster General Health (Lancaster, PA)
- **Summary** Full-time Clinical Pharmacist Position - central and decentralized pharmacy services. Sign on Bonus w/ 2 -year commitment. Pharmacist Clinical Ladder ... patient care rounds), as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist… 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
- US Tech Solutions (TX)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Job Title:** **Prior Authorization Pharmacist ** **Location:Remote** **Duration: 6+ months contract** **Job Description:**...experience. **Education:** + Pharm D . required with at least two years experience as… more
- HCA Healthcare (Marion, NC)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Pharmacist with Mission Hospital McDowell you can be a part of an ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...in our organization. We are looking for an enthusiastic Pharmacist to help us reach our goals. Unlock your… more
- Centene Corporation (Honolulu, HI)
- …utilization review and medication therapy management programs at the assigned plan to meet Medicare Part D requirements and develop systematic reviews of ... in Hawaii and have a valid and active Hawaii Pharmacist license. There may be times that in-person meetings...medical pharmacy + Ability to handle pressure with being part of a small team and point person for… more
- Lancaster General Health (Lancaster, PA)
- …business. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** + BS Pharmacy or Pharm D required. + Current Pharmacist licensure (or eligible to ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to… more
- BrightSpring Health Services (Wallingford, CT)
- …other tasks as assigned Qualifications + Bachelor's Degree in Pharmacy; Pharm D preferred + One year experience in long-term care + Licenses/Certifications: As ... pharmacies to begin serving the hospice industry when the Medicare hospice benefit began in the 1980s. Today OnePoint...ID 2024-148045 Line of Business OnePoint Patient Care Position Type Part -Time Pay Min USD $60.00/Hr. Pay Max USD… 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 ... of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… 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 through ... of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other duties… 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 through ... of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other duties… 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 ... analyst will lead tasks related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate will be expected to… more
- Access Dubuque (Dubuque, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions ... believe equipping you with support and development opportunitiesis an essential part of delivering a + remarkable employment experience. + **Community Involvement**… more