- CVS Health (Nashville, TN)
- …Key Responsibilities: + Lead the development and execution of actuarial analytics strategies for Medicare Advantage and Part D programs. + Inform and enhance ... and pricing. The ideal candidate will have deep expertise in CMS Part C and D programs, Medicare Advantage bid cycle management, and pricing strategies.… more
- Prime Therapeutics (Nashville, TN)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... and drives every decision we make. **Job Posting Title** Director of Service Delivery **Job Description** The Director...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- ChenMed (Memphis, TN)
- …to give them feedback on their referring trends and practice patterns as it relates to part B & D . + Attends center meetings such as Transforming Care Meetings ... individual will report to and work with the Network Director to develop the CPL and serve as the...CPL and provide targeted education about medical cost opportunities (A/B/ D ). + Collaborates with Center Dyads to analyze, identify… more
- CenterWell (La Vergne, TN)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- CenterWell (Hermitage, TN)
- **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, ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- Prime Therapeutics (Nashville, TN)
- …+ Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
- CVS Health (Nashville, TN)
- …Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D , and Public Exchange lines of business. ... an exciting opportunity to join it's CVS Health's leadership team as a Director , Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role,… more
- Prime Therapeutics (Nashville, TN)
- …PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract language and risk mitigation concepts Every employee must ... Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for medical and… more