- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** ... Manages the coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful … more
- CVS Health (Austin, TX)
- …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
- Apex Health Solutions (Houston, TX)
- …and technicians) in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination ... experience or other work experience in an equivalent background such as Medicare Part D program. Certificates and Licenses: Current, unrestricted Certified… more
- Prime Therapeutics (Austin, TX)
- …(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
- US Tech Solutions (TX)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... experience. **Education:** + Pharm D . required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the… more
- Prime Therapeutics (Austin, TX)
- …+ Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including ... related advanced degree + Extensive experience within the PBM industry, Medicaid, Medicare , and health plans + Familiarity with contract language and risk mitigation… more
- Prime Therapeutics (Austin, TX)
- …(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
- CVS Health (Austin, TX)
- …Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D , and Public Exchange lines of business. ... of different lines of business (ex. fully insured, ASO, Medicaid, Medicare , Exchanges) to provide relevant recommendations and to influence client adoption… more
- Amazon (Austin, TX)
- …in PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D , and commercial innovation. - Bachelor's ... Pharmacy About the team Payer relations business development is part of Amazon Pharmacy Partener Services, representing Amazon pharmacy...and other forms of compensation may be provided as part of a total compensation package, in addition to… more
- CVS Health (Irving, TX)
- …will impact not only the federal and state programs that we participate in, such as Medicare Part D and Medicaid, but also the members we provide service ... every day. **Position Summary** As a Representative II Benefits Setup, you will be part of an extremely talented team within our Aetna Benefits and Testing Client… more