- CVS Health (Hartford, CT)
- …Summary: Responsible for successful execution and delivery associated with leading large scale Medicare Part D product benefit implementation inclusive of ... experience coordinating pharmacy design builds and testing. + Minimum 3-5 years of solid Medicare Part D guidance & knowledge + Minimum 2 years Rx claims… more
- Banner Health (AR)
- …8:00 AM - 5:00 PM (AZ Time). In this position you will be monitoring Medicare Advantage Parts C & D operational control measures ensuring appropriate oversight ... that sounds like something you want to be a part of - apply today! Becker's Healthcare recently honored...is in place for accurate, complete, and compliant for Medicare Advantage Parts C & D . +… more
- Centene Corporation (Raleigh, NC)
- …+ 5+ years of experience in Managed Care/Health Insurance/Public Health/Health Care Administration/ Medicare Part D or related field required. + Some ... anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements… more
- Medical Mutual of Ohio (OH)
- …a fully remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and...oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited… more
- CVS Health (Hartford, CT)
- …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
- CVS Health (Blue Bell, PA)
- …focus on developing cost trend projections and evaluating the drivers of emerging results for Medicare Part D - including MAPD, SNP, and PDP products. The ... skills and attention to detail **Preferred Qualifications** + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience with SAS,… more
- CVS Health (Blue Bell, PA)
- …make health care more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on ... assets like cloud computing to streamline and modernize Aetna's Part D rating systems. As Senior...the creation of tools and models used by Aetna's Medicare Part D pricing processes… more
- Point32Health (Canton, MA)
- …needs for Medicare Supplement Products as well as the Forecasting and Reporting for Medicare Part D . This role will work closely with the Finance ... who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Senior Actuarial Analyst will support the financial Forecasting and Pricing… more
- Silicon Valley Power (Santa Clara, CA)
- ** Senior Electric Utility Engineer** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4679157) ** Senior Electric Utility ... Services (AWS), and NVIDIA. **The Positions** SVP is seeking dynamic and innovative Senior Electric Utility Engineer candidates to fill three (3) vacancies in the… more
- Arvinas (New Haven, CT)
- …(HIPAA regulations), product reimbursement and product access. + Knowledge and experience in Medicare Part A- D , Medicaid, and private payer policies, ... key member of the Market Access Leadership team, the Senior Director, US Pricing & Contracting Strategy will lead...Benefit Design & Economics associated with Commercial, Medicaid and Medicare reimbursement for oral drugs with Oncology Customers +… more
- BrightSpring Health Services (Louisville, KY)
- …+ Ensure the accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D , Medicaid, Hospice, and Private Insurance ... (pharmacy preferred) + Familiarization with online claims processing and Medicaid and Medicare billing practices + Proficient with Microsoft Word and Excel required… more
- Bausch Health (Bridgewater, NJ)
- …for branded and generic products, as assigned, + Chargebacks + Managed Care Commercial and Medicare Part D rebates, + Patient Rebates (Coupons), and + ... in it together to make a difference. Be a part of a culture that doesn't just wait for...Ability to interact with all levels of personnel, including senior management + Interested candidates must possess high ethical… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Oct 12,...analyze utilization data, process and pay Managed Care Commercial, Medicare Part D , Managed Medicaid, ... people to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for managing...disputes process. **How you'll spend your day** * The Senior Managed Care Rebate Analyst must interpret contract language… more
- Dr. Reddy's Laboratories (Remote, OR)
- …access strategies to assigned National Accounts. + Demonstrate knowledge and experience in Medicare Part A- D , Medicaid, and commercial payer policies, ... a less traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead the execution of market… more
- HUB International (Lafayette, LA)
- …addition to legislation and benefit laws such as HIPAA, COBRA, FMLA, PPACA, Mental Parity & Medicare Part D , etc. + Assist in the implementation of new ... offices throughout North America, HUB has grown substantially, in part due to our industry leading success in Mergers...all of us!** + **The ability to be a part of a motivated, winning team with the opportunity… more
- CVS Health (Phoenix, AZ)
- …Grievance resolutions address member concerns and are in accordance with Centers of Medicare & Medicaid Services (CMS) guidelines. This role is critical to ensuring ... department and CMS mandated TAT and mentoring caseworkers. As part of this role, you will be required to...Office products (Excel, Word, and Outlook). - Previous Med D grievance experience and advanced knowledge of grievance processes.… more
- Humana (Columbus, OH)
- …state relationship management, optimizing Medicaid performance and ensuring alignment with Medicare and other Enterprise leaders. **Unified D -SNP Market ... **Become a part of our caring community and help us put health first** The Senior Vice President (SVP), Medicaid Divisional Leader, will serve as the Divisional… more
- Humana (Columbus, OH)
- …to exercise independent judgment and thinking on complex issues **Preferred Qualifications** + Medicare Advantage and/or Part D experience + Demonstrated ... **Become a part of our caring community and help us...Senior Products Actuarial Compliance team focused on special Medicare Advantage programs, including Value Based Insurance Design (VBID),… more
- CenterWell (Durham, NC)
- **Become a part of our caring community and help us...Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare ... put health first** CenterWell Senior Primary Care, a subsidiary of Humana Inc., is...care team consists of doctors, advanced practice professionals, Pharm D , care coach nurses, MAs, behavioral health specialists, quality… more
- G-TECH Services, Inc. (Detroit, MI)
- …dashboard. * Assist with all functions related to Pharmacy Benefit Manager (PBM) oversight for Medicare Advantage Part D plans. * Receive and respond to plan ... issues that support prospective business decisions. Coordinate projects for senior management. Bachelor's Degree in Business Administration, Health Care,...Required Skills * Working knowledge of Medicare Part B and Part D … more