- CVS Health (Phoenix, AZ)
- …care they need. **Required Qualifications** **Knowledge of:** + 3+ years of Pharmacy Benefit Management, Medicare Part D or Medicaid experience + 2 + years ... currently include End-Stage Renal Disease (ESRD), Hospice, Transplant, Transition Fill and Part D Vaccine Administration. You will support CMS program audits… more
- Humana (Phoenix, AZ)
- …Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements ... first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work assignments involve… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- CVS Health (Phoenix, AZ)
- …Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part - D Compliance Audit Programs, review pharmacy submitted ... experience in PBM or pharmacy claim processing systems. -Familiarity with current CMS Medicare Part - D compliance regulations. -Advanced level of technical… more
- Prime Therapeutics (Phoenix, AZ)
- …and all related partner/customer relationships including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as… more
- Banner Health (Phoenix, AZ)
- …reduce costs that is consistent with acceptable standards of pharmacy practice and CMS Medicare Part D regulations and guidance. Analyzes and interprets ... deadlines. PREFERRED QUALIFICATIONS Geriatric certification is a plus; experience with Medicare Part D is a plus. Additional related education and/or… more
- CenterWell (Phoenix, AZ)
- …the delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D . + Experience with contact center platforms and CRM… more
- Prime Therapeutics (Phoenix, AZ)
- …(CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience ... Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** +… more
- Prime Therapeutics (Phoenix, AZ)
- …(CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in "Buy and Bill" reimbursement ... environment + Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite **Skills and Abilities** + Excellent verbal and written communication skills + Strong… more