• CHRISTUS Health (La Cienga, NM)
    …Care Director or Manager ENVIRONMENT: Bloodborne pathogen C (OR, PACU, L & D ); Bloodborne pathogen B (other Patient Care areas). Exposure to infectious diseases and ... x-rays. Works in a clean, well lighted, ventilated smoke-free environment. Subject to stressful professional relationships. Working hours are varied, with flexibility due to unexpected changes in schedule and emergencies. PHYSICAL REQUIREMENTS: Must be able to… more
    JobGet (11/22/24)
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  • Manager of Medicare Part D and EGWP…

    KPH Healthcare Services, Inc. (East Syracuse, 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 EGWP… more
    KPH Healthcare Services, Inc. (08/30/24)
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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 (11/26/24)
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  • IV- D Establishment Attorney / Attorney…

    Allegan County (Allegan, MI)
    …of court cases under the provisions of the Social Security Act, Title IV, Part D . Conducts interviews and meetings with parents to gather information for ... volunteers is a strong desire to serve and be part of something meaningful. We were recently identified as...knowledge of statutes (state, national, and international), case law, IV- D policy, court rules, court memorandums, Michigan Child Support… more
    Allegan County (10/23/24)
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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 (10/18/24)
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  • Associate Actuary, Part D Pricing

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting ... bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans and benefit changes. Provides guidance to Product Development on new product/benefit cost impacts. Develops and… more
    Humana (11/19/24)
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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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  • 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 (09/20/24)
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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 (10/12/24)
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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 (10/18/24)
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  • Stars Clinical Pharmacist Lead

    Humana (Miami, FL)
    …distance of an office in Tampa, Orlando, or Miami, Florida.** This dedicated Part D Stars Pharmacist will be facilitating effective communication and ... the Corporate STARS Pharmacy team. + Developing and implementing market-specific Part D strategies in response to anticipated PPO growth among non-risk… more
    Humana (11/07/24)
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  • Operations Specialist

    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 (11/21/24)
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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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  • Data Science Analyst I-Geriatric and Palliative…

    Mount Sinai Health System (New York, NY)
    …**Responsibilities** 1. Manages longitudinal claims data, including Medicare Carrier file and medication ( Part D ) data, as well as Minimum Data Set (MDS) for ... technical assistance to others in the department using Medicare claims data, Medicare Part D data and MDS data 9. May participate in the development of… more
    Mount Sinai Health System (10/17/24)
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  • Pharmacist

    US Tech Solutions (AZ)
    …**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 (10/18/24)
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  • Pharmacist - Remote

    US Tech Solutions (May, OK)
    …**Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience.** **Job Description:** ... prior authorizations as per policy and procedure. **Skills:** Prior Authorization Medicare Part D Pharmacy Benefit Management (PBM) **Responsibilities:** Will be… more
    US Tech Solutions (10/18/24)
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  • Grievance Analyst (Caseworker)

    CVS Health (Phoenix, AZ)
    …or concerns our members have about their coverage and benefits provided through Medicare Part D . You will have the opportunity to work cross functionally with ... resolution of the issues. As you support our Med D members, we will support you by offering all...Management (PBM) or pharmaceutical related industry. - Previous Med D grievance experience. - Bachelors Degree Preferred. **Education** High… more
    CVS Health (11/23/24)
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  • Quality Improvement Professional

    CenterWell (Raleigh, NC)
    …strategies designed to improve Medicare quality measures (HEDIS) as well as Part D /Patient Safety and Patient Experience (CAHPS-HOS). The Quality Improvement ... quality measure specifications as well as updates to the measures (HEDIS/ Part D /CAHPS-HOS).** **Understand department, segment, and organizational strategy and… more
    CenterWell (11/21/24)
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  • Manager, Contract Development

    Sanofi Group (Cambridge, MA)
    …**Main responsibilities:** + Responsible for the management and development of Medicare Part D , Managed Medicaid, and Commercial health plan contract documents, ... Detailed understanding, review and negotiating of contract language for Medicare Part D , Managed Medicaid, and Commercial health plan contracts (eg definitions,… more
    Sanofi Group (09/29/24)
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  • Registered Nurse (RN) - System Float, Critical…

    Dartmouth Health (Lebanon, NH)
    …should have Level 1 experience to advance. Come and join our new full and part time D -H System wide nursing float pool. Qualifications Graduate from an ... System Staffing Office, Critical Care– FT and PT options Part time or Full time options with rotation to... time position, one would float to all six D -H system hospitals in the clinical settings in which… more
    Dartmouth Health (09/13/24)
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