- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare - part - d ... **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides… more
- 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
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic ... Medicare products with a particular emphasis on Medicare Part D . You will... topics + Manage relationship with external Pharmacy Benefits Manager as primary point of contact + Experience providing… 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 ... focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members...in internal and external audits and projects of the Medicare Part D (pharmacy) and… more
- Molina Healthcare (Detroit, MI)
- …RN license in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care team. This position will ... services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
- AdventHealth (Tavares, FL)
- …Clinical Ladder Program **Our promise to you:** **Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in ... 32778** **The role you'll contribute:** **GENERAL SUMMARY** **:** **The Assistant Nurse Manager is a registered professional nurse who supports the Nurse Manager… more
- AdventHealth (Tavares, FL)
- …Clinical Ladder Program* **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in ... WATERMAN WAY, Tavares, 32778** **The role you'll contribute:** The Assistant Nurse Manager is a registered professional nurse who supports the Nurse Manager… more
- CVS Health (Overland Park, KS)
- …make health care more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on ... computing to streamline and modernize Aetna's Part D rating systems. As Senior Manager of...the creation of tools and models used by Aetna's Medicare Part D pricing processes… more
- Sanofi Group (Cambridge, MA)
- …to get started? **Main responsibilities:** + Responsible for the management and development of Medicare Part D , Managed Medicaid, and Commercial health plan ... financial goals. + Detailed understanding, review and negotiating of contract language for Medicare Part D , Managed Medicaid, and Commercial health plan… more
- Harvard University (Cambridge, MA)
- …Public Health to support our mission of health research and education, and to be a part of the oldest institution of higher learning in the country! + The Harvard TH ... ManagementPre-Employment Screening:Education, IdentityJob Function:General Administration Position Description: The Project Manager will independently perform a wide range of project… more
- BrightSpring Health Services (Louisville, KY)
- …MOR, Sales, Key Strategic Operational changes, etc. + Assist with Member reconciliation, Part D Recon, LIS tracking, Rebate tracking, Claim subrogation, and ... support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying… more
- ACI Federal (Norfolk, VA)
- …will form the performance criteria for the annual performance evaluation. Full-Time/ Part -Time Full-Time Position Non-Medical Case Manager Position Requirements ... Case Manager - CM III ITCN EOE Statement We...for HIPAA, mandated reporting of abuse and/or neglect, Client Rights/ Part C Procedural Safeguards and Client Confidentiality. 5. Complies… 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 ... ability to adjust focus **Reporting Structure** + Reports to Manager or Sr Director in the Finance department **Responsibilities**...Big 4 public accounting experience. + For roles supporting Medicare Part D : Medicare… 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 ... 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
- VNS Health (Manhattan, NY)
- …one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D , or Select Health to ensure compliance ... following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA) or Select Health. Ensures compliance with state and federal… more
- ACI Federal (Norfolk, VA)
- …add or remove duties and assign other duties as necessary. Full-Time/ Part -Time Full-Time Position Non-Medical Case Manager Position Requirements Knowledge, ... Case Manager - CM III PATH EOE Statement We...settings including clinical and field. Ability to work as part of a team; respond to inquiries in a… more
- Adecco US, Inc. (Houston, TX)
- …email . Understand the overall business model of Medicare Part D products, CMS guidance, the Pharmacy Benefit Manager (PBM) claim adjudication system and ... to $ 30.90/hr **Responsibilities:** . Serve as dedicated resource to multiple complex Medicare Part D plans to manage first level response and resolution of… more
- Elevance Health (Woodbridge, NJ)
- …the individual and senior market segments including individual plans, Medicare Supplements, Medicare Advantage, and Part D programs. + Maintains a strong ... **Regional Sales Manager IS Lead** **Location** : The territory for...and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply MENTAL ... HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $128,265.84 -...concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum… more
- CareOregon (Portland, OR)
- …You must reside in one of the listed 9 states. This position will focus on Medicare Part D (pharmacy). Strong knowledge of CMS guidelines and Medicare ... Coordinator II Exemption Status: Exempt Department: Pharmacy Title of Manager : Pharmacy Medicare Manager Supervises:...course work + Strong knowledge of CMS guidelines and Medicare Part D are highly… more