- U of C NORC (Bethesda, MD)
- …and quality outcomes using relevant administrative data sets such as Medicare Advantage, Medicare Part D , Medicaid data as well as private-sector dataA ... 5 years of policy project managementExpert knowledge of Traditional Medicare , Medicare Parts C & D...and benefits transparency helps to reduce wage gaps. As part of our commitment to pay equity and salary… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …drug benefit exception requests on behalf of as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided through ... requests on behalf of Aetna as the client and in accordance with Medicare Part D CMS Regulations. . Must apply information [provided through multiple… more
- A-Line Staffing Solutions (Pittsburgh, PA)
- …such as HIPAA * Understanding of Center for Medicare /Medicaid Services (CMS) guidelines for Medicare Part D and C * Basic to intermediate skills in MS ... 7-3:30 Medical Customer Service Rep. Job Overview: * Processing enrollment of Medicare members including first-time enrollment and member modifications * Manage work… more
- A-Line Staffing Solutions (Pittsburgh, PA)
- …overall related experience of Center for Medicare /Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience ... in regulatory environment Excellent spoken and written communication skills Confident in decision making ability within strict timelines Good organizational skills Attendance is mandatory for the first 90 days If you think this Medicaid Associate Eligibility… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …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
- Marion County (Salem, OR)
- …their families live vibrant and healthy lives? Are you interested in being part of a positive and strength-based team working together to provide quality behavioral ... communities. Provides intake mental health assessments including screening for A/ D issues.Documents services to meet contract, administrative rule and billing… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides ... oversight and management of Medicare Part D /EGWP program. **Job Summary:** The position will be the operational subject matter expert for administration of… more
- The Cigna Group (Philadelphia, PA)
- …This role is responsible for developing and executing enterprise strategies to improve Cigna's Medicare Part D Star measures and related quality measures. ... The Program Management Senior Advisor position is part of the Part D...will work closely with matrix partners within the Cigna Medicare Stars and Risk Adjustment organization as well as… more
- CVS Health (Hartford, CT)
- …skills + Solid technical/analytical skills and attention to detail Preferred Qualifications + Previous Medicare Part D or pharmacy experience a strong plus + ... and growing government services pharmacy business. The colleague's primary focus is Part D Low Income Benchmarks and Premium Subsidies. This role will focus on… more
- Walworth County (Elkhorn, WI)
- …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... it does not prescribe or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments by entering consumer's drug information into the… more
- Mathematica (Washington, DC)
- …administrative claims and other data sources. In particular, we are looking for individuals with Medicare Part D expertise who can apply data analytics to ... monitoring pharmaceutical access, efficacy, effectiveness, cost, and innovation within the Medicare Part D program and supporting the development of policies… more
- CVS Health (Hartford, CT)
- …Must be able to understand data sets and identify technological efficiencies within Medicare Part D bid development and submission processing. Position ... efforts including bids, implementation, benefits, reporting and analysis. 2-3 Years Medicare Part D Experience; 1-2 years reporting and/or data set… more
- CVS Health (Richmond, VA)
- …support staff working in the Therapeutic Duplication and Formulary Alternative Outreach Program for Medicare Part D Medications + Helping to support new or ... + 1-3 years Medicare managed care experience + Experience with Medicare STARS and Part D Formulary benefits + Knowledge of clinical program components,… more
- UCLA Health (Los Angeles, CA)
- …of member accounts, and issuance of invoices. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to ... and CMS enrollment and billing regulatory requirements + In depth knowledge of Medicare Part D programs and CMS contracted vendors, such as RPC + Working… more
- CVS Health (Hartford, CT)
- … Part D appeals.* Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the Second Look ... US.**Responsibilities of this Medical Director role are related to Medicare Appeals.* Direct daily work on part ...to Medicare Appeals.* Direct daily work on part C appeals (both provider and member/nonparticipating providers) and… more
- NORC (Bethesda, MD)
- …utilization and outcomes using relevant administrative data sets such as Medicare Advantage, Medicare Part D , Medicaid data + Expertise in data mining ... of policy project management + Expert knowledge of Traditional Medicare , Medicare Parts C & D...and benefits transparency helps to reduce wage gaps. As part of our commitment to pay equity and salary… more
- UCLA Health (Los Angeles, CA)
- …enrollment, disenrollment, and cancellation requests. This position requires a deep understanding of Medicare Part D programs and meticulous attention to ... Description As a member of the Medicare Advantage Operations team, the Senior Medicare...workgroups and other meetings + Ability to work as part of a team, collaborating with colleagues + Ability… more
- CVS Health (Pittsburgh, PA)
- …for drugs covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D . You will use and develop a strong knowledge ... residence- 3+ years of clinical pharmacy experience- 2+ years of experience with Medicare Part D - 2+ years experience of clinical therapeutics for specialty… more
- CVS Health (Buffalo Grove, IL)
- …license that is in good standing - Demonstrated experience with formulary management and Medicare Part D Demonstrated understanding of: + PBM and Managed ... development, creation, maintenance, and management of CVS Caremark's standard Medicare formularies, drug lists, utilization management, and other clinical programs… more
- CVS Health (Austin, TX)
- …ensuring member and client satisfaction. You will be performing all work in accordance with Medicare Part D guidelines. As a Rep II, Operations, you'll show ... a high level of attention to detail, verbal and written communications skills, and the ability to problem solve in this dynamic work environment. You'll be working various assignments that require demonstrated urgency and the ability to meet set timelines.… more
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