- 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...client benefit. Aid internal teams to support clients and business partners. **Responsibilities** + Provide oversight of operational activities… 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. ... will work closely with matrix partners within the Cigna Medicare Stars and Risk Adjustment organization as well as...improvements in existing or potentially new Part D Stars measures. + Establishing business cases… more
- Prime Therapeutics (Columbus, OH)
- …members to ensure the financial viability of all contract terms for both commercial and Medicare Part D business . **Responsibilities** + Assist the ... code + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in Business or related area of study, or equivalent combination of education and/or… 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 + ... pharmacy business . The colleague's primary focus is Part D Low Income Benchmarks and Premium... business impacts of changes to the complex Part D market and completive landscape. The… more
- CVS Health (Washington, DC)
- …& Responsibilities: * Identifies key policy issues and debates facing CVS Health's Medicare Part D and other PBM business , collaborates with business ... Policy supports and enhances effective Federal advocacy related to Medicare Part D and drug...issues. This includes understanding the external environment and incorporating business priorities based on feedback from business … more
- CVS Health (Hartford, CT)
- …- 3 plus year of Coverage Determination & Appeals experience. - 1plus year of Medicare PART B experience - MHK, RxClaim, and People Safe proficient. - Meeting ... affordable. Position Summary - Learning the rework queues for each line of business - Working rework reports timely - Researching and troubleshooting failed claims -… more
- The Cigna Group (Denver, CO)
- …strong technical skills, financial acumen, familiarity with Medicare Part D and experience collaborating with business leadership. The person in this ... enterprise earnings and ongoing Medicare growth. The Medicare Part D Actuarial organization...Medicare segment, including Medicare Advantage and Medicare Supplement lines of business + Perform… 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 ... ability and attention to detail to identify and recommend business requirements , technical and process changes with focus...including bids, implementation, benefits, reporting and analysis. 2-3 Years Medicare Part D Experience; 1-2… 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 ... pilot programs, or lines of business as needed This is a remote role open... Medicare managed care experience + Experience with Medicare STARS and Part D … 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 ... policy and research community + Independently develop and implement business development strategies for business growth in...of policy project management + Expert knowledge of Traditional Medicare , Medicare Parts C & D… more
- The Cigna Group (Bloomfield, CT)
- …or related field or equivalent experience + 3 or more years of relevant Medicare Part C and/or Part D work experience + Understanding of Agile and ... is responsible for leading small, mid-sized and large projects supporting Medicare commissions. Understands and evaluates business specific objectives and… 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 ... required.Additionally, you will work in a matrix relationship with business partners and product teams to identify, develop, and...of clinical pharmacy experience- 2+ years of experience with Medicare Part D - 2+ years… more
- CVS Health (Hartford, CT)
- …for executive level delivery. + Understands the complexities of a health system in addition to Medicare /SNP/LIS and Part D . + Has the ability to thrive in a ... a well-rounded SNP subject-matter-expert in sales, distribution, marketing and Medicaid/ Medicare processes, contributing holistic support to any recommendation. +… 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 ... meet set timelines. You'll have the opportunity to project a professional business image through phone interactions as well as internal communication. Your… more
- InnovaCare (San Juan, PR)
- …members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to ... a conglomerate of companies that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries,...their covered Part D drugs. Orlando Family Physicians, a… more
- Wellpath (Pembroke Pines, FL)
- …and reconciling the Accounts Receivable report. + Manage the preparation of monthly Medicare Part D collections reports, reconciling collections to ... Do The Right Thing!", and to collectively do our part to heal the world, one patient at a...**How you make a difference** This position entails managing Medicare /Medicaid billing processes and processing medical claims, including CMS… more
- InnovaCare (Guayama, PR)
- …members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to ... a conglomerate of companies that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries,...their covered Part D drugs. Orlando Family Physicians, a… more
- InnovaCare (San Juan, PR)
- …members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to ... a conglomerate of companies that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries,...their covered Part D drugs. Orlando Family Physicians, a… more
