- Healthfirst (NY)
- … Medicare Clinical Programming and Operations, Provider Performance, Medical and Pharmacy Part D cost savings, and Medicare Star Ratings/member ... Clinical Programming and Operations + Provider performance + Medical and Pharmacy Part D cost savings + Medicare Star Ratings/member experience. **Compliance… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary ... and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of… more
- Medical Mutual of Ohio (OH)
- …general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare ... in internal and external audits and projects of the Medicare Part D (pharmacy) and...oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited… more
- CVS Health (Chicago, IL)
- …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 (Chicago, IL)
- …SNP and PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ... skills and attention to detail Preferred Qualifications + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience with SAS,… more
- CVS Health (Harrisburg, PA)
- …Summary** Directs the formulation, implementation and milestone tracking for business plans as Part of the Medicare benefit and product cycle. Directs the ... years of Managed Care experience in health plan and/or PBM roles 15+ years Medicare experience **Education** Pharmacist, BS or Pharm D with active, unrestricted… more
- Prime Therapeutics (Columbus, OH)
- …information, responding to questions and resolving complex problems and issues. + If supporting Medicare Part D , will be responsible for implementing CMS ... and drives every decision we make. **Job Posting Title** Senior Financial Analyst - Remote **Job Description Summary** This...Big 4 public accounting experience. + For roles supporting Medicare Part D : Medicare… more
- Humana (Columbus, OH)
- … of the Medicare Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an option to pay $0 at the pharmacy for ... caring community and help us put health first** The Senior Vendor Management Professional will work as liaison between...any qualified Part D medication and have their costs… more
- CVS Health (Hartford, CT)
- …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
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Director Regulatory and Accreditation? At HCA Healthcare, you come first. HCA Healthcare has ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...make a difference. We are looking for a dedicated Senior Director Regulatory and Accreditation like you to be… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Sep 13,...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...global organization with a brand of evolving success. Be part of it! We offer a competitive benefits package,… 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 (Columbus, OH)
- …to support analytics - Quantifying the impact of legislative and regulatory changes in the Medicare Part D landscape - Developing various ad hoc analyses for ... **Position Summary** Join CVS Health as an Actuarial Services Senior Manager, on the Medicare D...claims or other relevant data analysis * Experience with Medicare Part D , Medicare… more
- Takeda Pharmaceuticals (Boston, MA)
- … Part B regional carriers, Medicare Part C managed care, Medicare Part D drug plans, all third party commercial payer, including health ... to Takeda therapies. As a key member of the Senior US Oncology Leadership team, the Head of US...knowledge in obtaining reimbursement with third party commercial payers, Medicare Parts D and B, Medicaid, VA/DOD,… more
- Prime Therapeutics (Eagan, MN)
- …for new and emerging Government program projects related to Medicare , Medicaid, and Medicare Part D . + Finance lead for key government program ... of business areas; also, acting as a liaison between senior leadership and Finance. This position acts as a...initiatives including premium billing and Medicare Part D reporting and… 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; ... a patient, compassionate and organized individual who enjoys assisting senior citizens. As an Aging Case Aide 2, you...included assisting them with the completion of forms/applications. + D . I have NO experience related to this work… more
- NORC (Bethesda, MD)
- …and quality outcomes using relevant administrative data sets such as Medicare Advantage, Medicare Part D , Medicaid data as well as commercial data + ... of health care delivery, from private marketplaces and employer-sponsored insurance to Medicare and Medicaid; from large health care systems to small clinics; and… more
- CareOregon (Portland, OR)
- …focus on achieving better quality of care for a special needs, dually eligible Medicare population by understanding and applying D -SNP Medicare regulatory ... of the Quadruple Aim. Direct support may be focused on Medicaid or Medicare lines of business in a Coordinated Care Organization (CCO) environment. Work includes… more