- CVS Health (Hartford, CT)
- …Solid technical/analytical skills and attention to detail Preferred Qualifications + Previous Medicare Part D or pharmacy experience a strong plus + ASA ... growing government services pharmacy business. The colleague's primary focus is Part D Low Income Benchmarks and Premium Subsidies. This role will focus on… more
- BlueCross BlueShield of North Carolina (NC)
- …the Cost Avoidance and Recoveries Project/Program Manager, you will focus on two key initiatives: Medicare Part D Pharmacy Compliance Program: You will ... have end-to-end ownership of our new Medicare Part D Pharmacy compliance program, partnering with a third-party vendor in all aspects of the program… more
- Universal Health Services (Reno, NV)
- …more of the following topics required: + Commercial HMO/PPO/POS + Medicare Part D + Retail/Mail Service/Specialty pharmacy + Pharmaceutical benefit ... 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and commercial payer… 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...the CMS Star Rating System, including Part D Measures + Extensive knowledge of pharmacy … more
- Humana (Louisville, KY)
- …an associate for a Legal Counsel role to provide support to Humana's Medicare Part D health plan, pharmacy benefit manager, and pharmacy legal ... **Become a part of our caring community and help us...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- TEKsystems (Mesa, AZ)
- …will be taking up to 80 calls a day from either Medicare Part D , Member or Physician/ Pharmacy About TEKsystems: We're partners in transformation. ... COMPANY: Been operating for 30 years and largest independent pharmacy benefit solutions company. PAY: $21/hour and $31.50 for...is a customer service call center position with a Pharmacy Benefit Management company. 90% inbound calls and 10%… 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 ... programs. This individual will be responsible for: + Performing pharmacy reviews and making evidence-based recommendations regarding Medicare... Medicare managed care experience + Experience with Medicare STARS and Part D … 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 ... Product operations efforts including bids, implementation, benefits, reporting and analysis. 2-3 Years Medicare Part D Experience; 1-2 years reporting and/or… more
- CVS Health (Honolulu, HI)
- …and affordable. Position Summary As a Rep II, Operations, you will be directly supporting Medicare Part D & B members and providers with requests related ... to their pharmacy benefits. You will be responsible for accurately setting...information and completing timely and accurate documentation of all Medicare Part D & B… more
- CVS Health (Pittsburgh, PA)
- …residence- 3+ years of clinical pharmacy experience- 2+ years of experience with Medicare Part D - 2+ years experience of clinical therapeutics for ... and maintain clinical content for drugs covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D . You will use… more
- BlueCross BlueShield of North Carolina (NC)
- … pharmacy program across Medicare Advantage, including DSNP. EGWP and the Medicare Prescription Drug Program ( Part D ) to include operational expense, ... accountability and performance, + Support growth of BC NC Medicare pharmacy program with innovative, high performing,... Medicare Advantage, including DSNP, EGWP and the Medicare Prescription Drug Program ( Part D… 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 ... paid holidays. Required Qualifications 6+ months of customer service Pharmacy , Healthcare or related experience Microsoft Suite Experience Preferred Qualifications… more
- CareFirst (Baltimore, MD)
- …activities. + Experience with developing and implementing clinical programs. + Experience with Medicare Part D and Medicaid guidelines and requirements. + ... pharmacy vision and strategic plan for government programs ( Medicare and Medicaid). This role has oversight of ...Medicare and Medicaid). This role has oversight of pharmacy staff and develops and maintains collaborative relationships with… more
- CenterWell (Columbus, OH)
- …improvement activities and align pharmacy services with improvement quality metrics and Medicare part D performance. + Collaborate with stakeholders to ... **Become a part of our caring community and help us...and promote age-friendly care + Maintain current knowledge of pharmacy /medical trends within ambulatory/primary care and Medicare … more
- Catholic Health Initiatives (Bismarck, ND)
- …training on an annual basis as required for Medicare Part B and Medicare Part D + Participates in dispensing of pharmaceutical products and supplies ... throughout western and central North Dakota. CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing… more
- Lancaster General Health (Lancaster, PA)
- …to be discussed further during on-site interview.** **The Drug Information Clinical Pharmacy Specialist is part -time position (0.5 FTE) responsible for ... quality assurance data. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** + Pharm. D . and ASHP-accredited Pharmacy Practice Residency required (or… more
- BrightSpring Health Services (Great Falls, MT)
- …related to facility ( Medicare A & Managed Care), commercial third party and Medicare Part D .* Demonstrate a clear understanding and commitment to the ... The ideal candidate will be a customer service focused Pharmacy Technician or someone who has worked in a... Technician or someone who has worked in a Pharmacy . This is an excellent opportunity to move from… more
- Catholic Health Initiatives (Lexington, KY)
- …Knowledge, Skills, Abilities and Training** + Knowledge of Medicaid, Medicare Advantage plans, Medicare Part D + Knowledge of hospital revenue cycle. + ... community. **Responsibilities** **Job Summary / Purpose** The Patient Assistance Coordinator/ Pharmacy Operations Specialist is responsible for CHI Saint Joseph… more
- AdventHealth (La Grange, IL)
- …controlled substance oversight, and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. * Serves as a resource for automation ... **Category:** Pharmacy **Organization:** UChicago Medicine AdventHealth La Grange **Schedule:** Part -time **Shift:** 1 - Day **Req ID:** 24017687 We are an equal… more