• Manager, Part D Clinical Pharmacist

    ChenMed (Miami, FL)
    …We're rapidly expanding and we need great people to join our team. The Part D Clinical Pharmacist Manager is a dynamic and experienced Pharmacist knowledgeable ... and other informative activities related to specialty practice, as well as Part D education for HEDIS measures. . + Represents the pharmacy department on… more
    ChenMed (01/07/25)
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  • Lead Director; Actuarial - Medicare Part

    CVS Health (Blue Bell, PA)
    …and clinical programs - all with an eye toward optimizing the cost structure of our Part D offerings including MAPD, SNP, and PDP products. The colleague will: + ... share results across teams + Act as a subject matter expert on Part D formularies, rebate structures, clinical program value, and integrate team's results with… more
    CVS Health (12/08/24)
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  • Actuarial Analyst - Medicare Part D

    CVS Health (Blue Bell, PA)
    …claims. The colleague will: + Apply quantitative skills and analytical methods to support Part D business needs. + Foster strong technical skills by manipulating ... suite; proficiency in Excel Preferred Qualifications + Prior Pharmacy or Medicare Part D experience + Experience with SQL, SAS, and/or Python + Comfortable… more
    CVS Health (01/19/25)
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  • Senior Analyst; Part D Actuarial

    CVS Health (Atlanta, GA)
    …Drug Plan business. The position will provide modelling and analytical support for the Part D Business, with a focus on pricing, modelling, and bid development ... environment with constant change Preferred Qualifications + Prior Pharmacy, Medicare Part D , Medicare or Medicaid experience + Successful completion of 2 or… more
    CVS Health (01/12/25)
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  • Actuary - Medicare Part D

    CVS Health (Blue Bell, PA)
    …and growing Medicare business. The colleague's primary focus will be on evaluating and projecting Part D trends and changes in drug mix. This role is focused on ... technical/analytical skills and attention to detail **Preferred Qualifications** - Medicare Part D or pharmacy pricing experience preferred - ASA or near-ASA… more
    CVS Health (12/26/24)
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  • Actuary - Medicare Part D

    CVS Health (Blue Bell, PA)
    …and monthly valuation. The position will provide analytical and reporting support for the Part D Business, with a focus on modelling and quantifying risks for ... + Experience with SAS, SQL, R, Python, and Power BI + Prior Group Medicare Part D experience **Pay Range** The typical pay range for this role is: $60,300.00 -… more
    CVS Health (12/06/24)
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  • Surgical Tech - Main OR - York Hospital…

    WellSpan Health (York, PA)
    Surgical Tech - Main OR - York Hospital - Part -Time - D /E/N Location: York Hospital, York, PA Schedule: Part Time Schedule Orientation: Day Shift ... Post-Orientation: Evening or Night Shift Sign-on Bonus Eligible Part Time - two shifts per week General Summary...Expected to complete 6 months of clinical training as part of the on-boarding process in Periop 101. within… more
    WellSpan Health (01/22/25)
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  • Prior Authorization Specialist - MED D

    US Tech Solutions (May, OK)
    …requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided through multiple ... + Acquiring and maintaining basic knowledge of relevant and changing Med D guidance + Effectively manage work volume by handling inbound calls/fax/ePA requests… more
    US Tech Solutions (01/17/25)
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  • Part Time Security Officer (Class D

    Securitas Security Services USA, Inc. (Melbourne, FL)
    ** Part Time Security Officer (Class D Security License Required)** + Part time, $18.00/hr, Weekly pay + Must have open availability + Must have a Florida ... Class D Security License + Must have a Valid Drivers...in the security industry. **Are you interested in being part of our Team?** * Apply quickly and efficiently… more
    Securitas Security Services USA, Inc. (11/24/24)
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  • Healthcare Actuary

    The Cigna Group (Houston, TX)
    …to provide a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with internal leadership within ... teams. The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs, drug expense… more
    The Cigna Group (01/18/25)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** **Medicare ... standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs.… more
    Medical Mutual of Ohio (12/20/24)
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  • Medicare Specialist (HHS)

    Walworth County (Elkhorn, WI)
    …position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage Plans) and ... prescribe or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments by entering consumer's drug information into the web-based… more
    Walworth County (01/11/25)
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  • Rebate Analyst II

    Takeda Pharmaceuticals (Exton, PA)
    …monthly basis, reconcile monthly transactional data submitted by multiple Commercial, and/or Part D entities by independent analysis of rebate data, independent ... timeliness of all monthly/quarterly rebate payments for all Commercial and Medicare Part D contracted customers. This thorough process includes the… more
    Takeda Pharmaceuticals (01/10/25)
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  • Clinical Pharmacist Advisor

    US Tech Solutions (May, OK)
    **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a… more
    US Tech Solutions (01/17/25)
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  • Aging Case Aide 2 (Local Government) - Wayne…

    Commonwealth of Pennsylvania (PA)
    …of forms/applications (such as Programs of All-Inclusive Care for the Elderly; Medicare/Medicare Part D ; Property, Tax and Rent Rebates; Low Income Home Energy ... included assisting them with the completion of forms/applications. + D . I have NO experience related to this work...of computer systems for my electronic case documentation. + D . I have NO experience related to this work… more
    Commonwealth of Pennsylvania (01/19/25)
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  • IT Specialist (Systems Analysis)

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …also allow Medicare to negotiate prescription drug prices, implement improvements to Medicare Part D including a benefit redesign and new manufacturer discount ... program, impose inflation rebates for Part B and Part D drugs, and other miscellaneous changes in Part B and Part D to improve the affordability… more
    Centers for Medicare & Medicaid Services (01/18/25)
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  • IT Specialist (Operating Systems)

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …also allow Medicare to negotiate prescription drug prices, implement improvements to Medicare Part D including a benefit redesign and new manufacturer discount ... program, impose inflation rebates for Part B and Part D drugs, and other miscellaneous changes in Part B and Part D to improve the affordability… more
    Centers for Medicare & Medicaid Services (01/18/25)
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  • Director, Corporate Accounts

    Mitsubishi Chemical Group (Jersey City, NJ)
    …customers and external groups including Commercial Payers, Medicare, Medicare Advantage plans, Part D , PBM's, GPOs, Commercial, FFS Medicaid, and Managed ... refine, implement, and pull through the MTPA contracting strategy for Medicare Part D , PBMs, GPOs and Commercial + Manage all Payer contracts and negotiations… more
    Mitsubishi Chemical Group (11/12/24)
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  • Senior Pharmacist - (Hybrid)

    Highmark Health (Pittsburgh, PA)
    …for the development, implementation, and maintenance of our organization's Medicare Part D formularies and Medicare Pharmacy Programs. Responsibilities include ... CMS requirements. The role requires a deep understanding of Medicare Part D regulations, including the implications of the Inflation Reduction Act, experience… more
    Highmark Health (01/09/25)
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  • Senior Medicare Compliance Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …for the Company's Medicare Advantage ( Part C) and Prescription Drug ( Part D ) health plan programs. Ensures that regulatory requirements and operational ... required with at least 2 years directly involved in Medicare Advantage or Part D auditing activities. **Professional Certification** . Certified Compliance and… more
    Medical Mutual of Ohio (11/27/24)
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