- 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 (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 ... Medicare Advantage organization + In partnership with other senior members of the team, assist with the oversight... Advantage Managed Care Preferred Qualifications + Experience with Medicare Part C and 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 ... of ongoing projects. + Manage multiple project teams of senior , mid-level, and junior staff, and bring in experts...of policy project management + Expert knowledge of Traditional Medicare , Medicare Parts C & D… 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 ... of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a...workgroups and other meetings + Ability to work as part of a team, collaborating with colleagues + Ability… more
- Bausch Health (Bridgewater, NJ)
- …is in Bridgewater, NJ and is responsible for managing and accounting for Commercial and Medicare Part D contracts and will oversee the daily operations of ... lives with our health care products. Reporting to the Senior Director, Finance (Revenue & GTN Accounting), the ...approve rebate claims data received for managed care contracts, Medicare Part D contracts, and… more
- Commonwealth of Pennsylvania (PA)
- …the completion of forms/applications (such as Programs of All-Inclusive Care for the Elderly; Medicare / Medicare Part D ; Property, Tax and Rent Rebates; ... 2 (LG) - Adult Daily Living Center / Hawley Senior Center - Wayne County AAA Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4524627) Apply … more
- VIP Care (Tampa, FL)
- …and cost performance. Meet at least monthly assigned PCPs + Review drivers of off-track Part A, B, and D utilization with PCPs running higher than benchmark ... Summary/Objective: The Senior Medical Director is responsible for leading efforts...performance improvement strategies to ensure success in our existing ( Medicare Advantage) as well as net new LOBs. They… more
- CVS Health (Woonsocket, RI)
- …of all types of health care products including HMO, PPO, Medicare Advantage and Medicare Part D + Knowledge of all types of pharmacy products including ... care more personal, convenient and affordable. Position Summary The Senior Analyst - Business Analytics will be a detail-oriented...specialty drug, Medicare Part D and understanding… more
- Arvinas (New Haven, CT)
- …(HIPAA regulations), product reimbursement and product access. + Knowledge and experience in Medicare Part A- D , Medicaid, and private payer policies, ... with locally advanced or metastatic ER+/HER2- breast cancer. Arvinas, as part of its overall business strategy, selectively assesses opportunities for potential… more
- Walgreens (Deerfield, IL)
- …data, IQVIA National Prescription data, CMS Medicare CCLF claims files, and Medicare Part D drug claims files. + Demonstrable, hands-on experience ... role will influence next generation solution design and roadmap decisions as part of Walgreens data productization and commercialization strategy. Role will serve as… more
- Precision Resource (Shelton, CT)
- …military and defense. Our Corporate office, located in Shelton, CT seeks a Senior Compensation and Benefits Specialist. Alternatively, this position can be based in ... an onsite position with flexibility to work from home. Summary The Senior Compensation and Benefits Specialist is responsible for managing, planning and… more
- UNC Health Care (Smithfield, NC)
- **Description** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique ... to resolve credit balances through refunds or posting adjustments. Compiles Medicare /Medicaid Cash Reports and quarterly Credit Balance reports. 6. Payor Audits… more
- Commonwealth of Pennsylvania (PA)
- …health care programs include self-insured Medicare supplement plans, an employer-direct Medicare Part D prescription drug plan, a pre-65 medical ... school employees. We are looking for a self-motivated, forward-thinking senior health plan management professional to become a member...years of professional experience with oversight responsibility of a Medicare Part D prescription drug… more
- The Cigna Group (Denver, CO)
- …is a critical driver of enterprise earnings and ongoing Medicare growth. The Medicare Part D Actuarial organization currently drives a wide range of ... that work to drive insights that span across the Medicare Part D landscape. As...for developing analytical outputs and communicating the results to senior business leaders. In particular, they will develop our… more
- CVS Health (Phoenix, AZ)
- …to support analytics - Quantifying the impact of legislative and regulatory changes in the Medicare Part D landscape- Developing various ad hoc analyses for ... Position 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
- Takeda Pharmaceuticals (Exton, PA)
- …usual methodology. + Work with Senior Analyst(s) to support all Commercial and Medicare Part D internal/external audits by preparing and providing the ... and timeliness of all monthly/quarterly rebate payments for all Commercial and Medicare Part D contracted customers. + Process includes the interpretation… more
- CenterWell (Phoenix, AZ)
- …in the appropriate state + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program. If selected for this ... **Become a part of our caring community and help us...one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over… more
- CenterWell (Gastonia, NC)
- **Become a part of our caring community and help us...Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare ... put health first** CenterWell Senior Primary Care, a subsidiary of Humana Inc., is...care team consists of doctors, advanced practice professionals, Pharm D , care coach nurses, MAs, behavioral health specialists, quality… more
- CenterWell (Las Vegas, NV)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... senior -focused primary care providers in the country, operating over...care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality… more
- Conviva (Alice, TX)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization (PCO) is the largest and fastest growing value-based care, ... senior -focused primary care network in the country, The Primary...care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists,… more