- U of C NORC (Bethesda, MD)
- …and outcomes using relevant administrative data sets such as Medicare Advantage, Medicare Part D , Medicaid dataExpertise in data mining and application ... 5 years of policy project managementExpert knowledge of Traditional Medicare , Medicare Parts C & D...and benefits transparency helps to reduce wage gaps. As part of our commitment to pay equity and salary… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …drug benefit exception requests on behalf of as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided through ... requests on behalf of Aetna as the client and in accordance with Medicare Part D CMS Regulations. . Must apply information [provided through multiple… more
- Novo Nordisk Inc. (Suffern, NY)
- …treatment of diabetes, obesity, and the reduction of adverse cardiovascular events. As part of the team, you will have frontline exposure to our portfolio vision, ... who want to do the same. In exchange, we offer the chance to be part of a truly global workplace, where passion and engagement are met with opportunities for… more
- Marion County (Hillsboro, 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
- 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 ... all Blue Cross NC Medicare products with a particular emphasis on Medicare Part D . You will identify and evaluate risks and strategic opportunities… 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 + ... and 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
- Walworth County (Elkhorn, WI)
- …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... it does not prescribe or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments by entering consumer's drug information into the… 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 ... monitoring pharmaceutical access, efficacy, effectiveness, cost, and innovation within the Medicare Part D program and supporting the development of policies… 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 ... efforts including bids, implementation, benefits, reporting and analysis. 2-3 Years Medicare Part D Experience; 1-2 years reporting and/or data set… 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 ... + 1-3 years Medicare managed care experience + Experience with Medicare STARS and Part D Formulary benefits + Knowledge of clinical program components,… 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 ... and CMS enrollment and billing regulatory requirements + In depth knowledge of Medicare Part D programs and CMS contracted vendors, such as RPC + Working… 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 ... US.**Responsibilities of this Medical Director role are related to Medicare Appeals.* Direct daily work on part ...to Medicare Appeals.* Direct daily work on part C appeals (both provider and member/nonparticipating providers) and… more
- NORC (Bethesda, MD)
- …and quality outcomes using relevant administrative data sets such as Medicare Advantage, Medicare Part D , Medicaid data as well as private-sector data + ... of policy project management + Expert knowledge of Traditional Medicare , Medicare Parts C & D...and benefits transparency helps to reduce wage gaps. As part of our commitment to pay equity and salary… 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 ... company by reviewing information and completing timely and accurate documentation of all Medicare Part D & B requests, in compliance with Medicare … 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 ... Description As a member of the Medicare Advantage Operations team, the Senior Medicare...workgroups and other meetings + Ability to work as part of a team, collaborating with colleagues + Ability… 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 ... residence- 3+ years of clinical pharmacy experience- 2+ years of experience with Medicare Part D - 2+ years experience of clinical therapeutics for specialty… 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 (Phoenix, AZ)
- …analyzing submitted documentation, making outbound calls to obtain required information, and processing Medicare Part D claims per CMS regulations. This ... - 2+ years of claims processing experience. - 2+ years of overall experience within Medicare Part D or in a PBM setting. - 2+ years of professional work… more
- CVS Health (Phoenix, AZ)
- …activities used to evaluate the levels of compliance with the Medicare Part C and Part D regulations + Provide support for the elements and compliance ... in Medicare Advantage Managed Care Preferred Qualifications + Experience with Medicare Part C and D regulations and Medicare Advantage Managed… more
- CVS Health (Austin, TX)
- …a PGY1 Managed Care residency + Certified in MTM + Bilingual + Experience with Medicare STARS and Part D formulary benefit Education Registered Pharmacist or ... Medicare programs. Provide clinical pharmacy support to programs targeted toward the Medicare membership. Actively participate and collaborate as part of the… more
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