- Marion County (Salem, OR)
- …age youth in the Woodburn and surrounding communities. Provides intake mental health assessments including screening for A/ D issues.Documents services to meet ... vibrant and healthy lives? Are you interested in being part of a positive and strength-based team working together...Must not be excluded from participation in the federal health care programs (Medicaid, Medicare and other… more
- Humana (Louisville, KY)
- …Humana is seeking an associate for a Legal Counsel role to provide support to Humana's Medicare Part D health plan, pharmacy benefit manager, and ... **Become a part of our caring community and help us...years of law firm or in house experience + Health law background + Contract drafting experience + Strong… more
- Fairview Health Services (Minneapolis, MN)
- …clinical services, marketing/communications and project management. + Knowledge of Medicare Part D and Health Exchange operations and requirements for ... key strategic discussions around collaboration and initiatives related to population pharmaceutical health with Fairview Health Services. + Develop and foster… 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)
- Bring your heart to CVS Health . Every one of us at CVS ...skills and attention to detail Preferred Qualifications + Previous Medicare Part D or pharmacy ... purpose: Bringing our heart to every moment of your health . This purpose guides our commitment to deliver enhanced...government services pharmacy business. The colleague's primary focus is Part D Low Income Benchmarks and Premium… 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 ... Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose… 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 ... Bring your heart to CVS Health . Every one of us at CVS ...including bids, implementation, benefits, reporting and analysis. 2-3 Years Medicare Part D Experience; 1-2… more
- Walworth County (Elkhorn, WI)
- …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... Elkhorn, WI Job Type Casual Job Number 2021-00139 Department Health & Human Services Division Aging & Disability Resource...or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments… more
- CVS Health (Washington, DC)
- …coalition building. Duties & Responsibilities: * Identifies key policy issues and debates facing CVS Health 's Medicare Part D and other PBM business, ... Bring your heart to CVS Health . Every one of us at CVS ...Policy supports and enhances effective Federal advocacy related to Medicare Part D and drug… more
- CVS Health (Phoenix, AZ)
- …and monitoring activities used to evaluate the levels of compliance with the Medicare Part C and Part D regulations + Provide support for the elements ... In partnership with and under the direction of the health plan Medicare Compliance Officer and other... Advantage Managed Care Preferred Qualifications + Experience with Medicare Part C and D … 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 ... and monitoring pharmaceutical access, efficacy, effectiveness, cost, and innovation within the Medicare Part D program and supporting the development… 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 ... + Performing pharmacy reviews and making evidence-based recommendations regarding Medicare members + Identifying opportunities within the health... 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 ... Principal Research Scientist - Health Care Program Integrity and Oversight: Medicare...of policy project management + Expert knowledge of Traditional Medicare , Medicare Parts C & D… 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 ... of three or more years of experience in a Medicare health plan or Managed Care -...and billing regulatory requirements + In depth knowledge of Medicare Part D programs and… 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 ... based anywhere in the US.**Responsibilities of this Medical Director role are related to Medicare Appeals.* Direct daily work on part C appeals (both provider… more
- CVS Health (Pittsburgh, PA)
- Bring your heart to CVS Health . Every one of us at CVS ...pharmacy benefit. This specific role will focus significantly on Medicare Part D . You will ... purpose: Bringing our heart to every moment of your health . This purpose guides our commitment to deliver enhanced...of clinical pharmacy experience- 2+ years of experience with Medicare Part D - 2+ years… 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 ... Required a minimum of three years' experience in a Medicare health plan or Managed Care -...workgroups and other meetings + Ability to work as part of a team, collaborating with colleagues + Ability… more
- Northwell Health (Westbury, NY)
- …Job Description Seeking RN - BSN or MSN candidates with a HCS- D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts ... Home Health Resource Group (HHRG) Validation to ensure the diagnostic...the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards… more
- CVS Health (Hartford, CT)
- …delivery. + Understands the complexities of a health system in addition to Medicare /SNP/LIS and Part D . + Has the ability to thrive in a fast pace ... Bring your heart to CVS Health . Every one of us at CVS ...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 ... Bring your heart to CVS Health . Every one of us at CVS ...development, creation, maintenance, and management of CVS Caremark's standard Medicare formularies, drug lists, utilization management, and other clinical… more
