- CVS Health (Blue Bell, PA)
- …role is primarily responsible for modeling pharmacy network contracting arrangements for Aetna's Medicare Part D business and providing actuarial support to ... financial projections/modeling. + Support development of pharmacy network assumptions for Aetna's Medicare Part D bids and forecasts. + Partner with the… more
- Prime Therapeutics (Harrisburg, PA)
- …cost effective delivery of service; design, develop, and implement annual operating budget and the Medicare Part D annual bid + Partner with stakeholders and ... healthcare industry and recognition for government program expertise; strong understanding of Medicare Part C and D rules and regulations + Exceptional… more
- CVS Health (Harrisburg, PA)
- …for internal and external stakeholders. + Become a subject matter expert on select Medicare Part D Star measures. **Ideal Candidate Profile:** + Strong ... Medicare Product** to support the development, launch, and optimization of our Medicare Part - D product suite. This role is ideal for a strategic thinker… more
- Humana (Harrisburg, PA)
- …the ability to multi-task and meet deadlines with minimal supervision. + General understanding of Medicare Part D & CMS guidelines + Must be passionate about ... **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
- Sumitomo Pharma (Harrisburg, PA)
- …in pharmaceutical secondary analytics and financial modeling + Understanding of Commercial and Medicare Part D pharmacy benefit designs + Understanding of ... base salary range for this role is $183,360 to $229,200. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- …and execute escalated client issues or questions. + Facilitate compliance activities such Medicare Part D Notices, 5500 filings, RxDC reporting, etc. ... + Expand and maintain working knowledge of benefit plans and regulatory compliance by attending meetings, education sessions, research, and formal continuing education programs. + Assist in marketing process and internal benefits administration system… more
- CenterWell (Harrisburg, PA)
- …+ Ability to participate in federal prescription programs + Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18) + ... **Become a part of our caring community and help us...physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability,… more
- Penn Medicine (Lancaster, PA)
- …care rounds , as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist interdepartmental ... quality assurance data. + . Responsibilities: + Minimum Required Qualifications: + Pharm. D . or BS Pharmacy with equivalent relevant experience required. + Current… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... an impact** **Required Qualifications:** + **Bachelor's degree or Doctor of Pharmacy (Pharm. D .) from an accredited college of pharmacy** + Active pharmacist license… more
- Centene Corporation (Harrisburg, PA)
- …Develop and implement programs designed to impact DUR for both Medicaid and Medicare + Develop, implement, and maintain policies and procedures for the pharmacy ... department + Participate in the coordination of the Medicare MTM program + Assist case management team with members including clinical rounds presentations… more