- Novo Nordisk Inc. (Plainsboro, NJ)
- …of contract profitability of customer segments (eg, Managed Care, Non-Federal Hospitals, Long-Term Care, Medicare Part D , Medicaid (FFS & MM), Exchanges and ... Biopharmaceutical and hormone therapy products. Relationships The position reports to a Senior Manager, an Associate Director, or a Director in Strategic Pricing and… more
- Novo Nordisk Inc. (Santa Rosa, CA)
- …treatment of diabetes, obesity, and the reduction of adverse cardiovascular events. As part of the team, you will have frontline exposure to our portfolio vision, ... who want to do the same. In exchange, we offer the chance to be part of a truly global workplace, where passion and engagement are met with opportunities for… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …relevant work experience required with at least 2 years directly involved in Medicare Advantage or Part D auditing activities. **Professional Certification** ... Compliance Program and all compliance-related activities for the Company's Medicare Advantage ( Part C) and Prescription Drug... Advantage ( Part C) and Prescription Drug ( Part D ) health plan programs. Ensures that… more
- Banner Health (TX)
- …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
- 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 (Scottsdale, AZ)
- …**Position Summary** As a Senior Financial Analyst, you will support the Medicare Part D Employer Group Waiver Plans billing/reconciliation team related ... multiple tasks at the same time. This opportunity is with the CVS Health Medicare Part D business and therefore will require a constant focus on maintaining… more
- Highmark Health (Pittsburgh, PA)
- …collaborative team responsible for the development, implementation, and maintenance of our organization's Medicare Part D formularies and Medicare ... to federal and CMS requirements. The role requires a deep understanding of Medicare Part D regulations, including the implications of the Inflation Reduction… 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
- Dr. Reddy's Laboratories (Salem, 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
- UNC Health Care (Smithfield, NC)
- **Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities ... to resolve credit balances through refunds or posting adjustments. Compiles Medicare /Medicaid Cash Reports and quarterly Credit Balance reports. 6. Payor Audits… more
- 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 ... as deceptive marketing practices or fraudulent billing. - Work with the Senior Medicare Patrol (SMP) to assist in identifying and reporting potential fraud or… 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
- Commonwealth of Pennsylvania (PA)
- …the completion of forms/applications (such as Programs of All-Inclusive Care for the Elderly; Medicare / Medicare Part D ; Property, Tax and Rent Rebates; ... and organized Aging Case Aide 2 for both the Senior Center and the Adult Daily Living Center in...included assisting them with the completion of forms/applications. + D . I have NO experience related to this work… more
- CenterWell (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... senior -focused primary care providers in the country, operating over...care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality… more
- CenterWell (Frankfort, KY)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... senior -focused primary care providers in the country, operating over...care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality… more
- CenterWell (Sun City, AZ)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... senior -focused primary care providers in the country, operating 300...care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality… more
- CenterWell (Las Vegas, NV)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... senior -focused primary care providers in the country, operating over...care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists,… more
