- Humana (Columbus, OH)
- …of variable factors. The focus of this role is Medicare Pharmacy and Part D . The Senior Compliance Professional will analyze business requirements, ... **Become a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The … 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
- 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
- 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
- Prime Therapeutics (Columbus, OH)
- …applications for licensure **Preferred Qualifications** + PBM/health care experience + Commercial/ Medicare Part D /Medicaid/ACA experience + Certified ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Senior Social Worker practices in the dialysis program and serves a patient population with highly complex medical and mental health needs. The Senior ... as needed. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social Work: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf The Senior Social Worker provides case management and care… 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
- 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
- CVS Health (Columbus, OH)
- …is a market leader in mail order, retail and specialty pharmacy, retail clinics, and Medicare Part D Prescription Drug Plans. As a pharmacy innovation ... helping people on their path to better health as part of the largest integrated pharmacy company in the...support contract and legal adherence with all payers including Medicare and Medicaid. Identify and implement process efficiencies across… 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
- 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
- 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
- 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 (Savannah, GA)
- **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
- Prime Therapeutics (Columbus, OH)
- …skills including team leadership and collaboration + Understanding of Government Programs including Medicare , Part D , and Medicaid. + Demonstrated ability to ... Programs - Remote **Job Description** The Client Support Government Programs Senior Principal is responsible for leading strategy development and execution for… more
- Conviva (Boca Raton, FL)
- **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 multiple...care team consists of doctors, advanced practice professionals, pharm D , care coach nurses, medical assistants, behavioral health, specialists,… 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 nearly...care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists,… more