- CVS Health (Austin, TX)
- …and every day. **Position Summary** As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
- Humana (Austin, TX)
- …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
- Prime Therapeutics (Austin, TX)
- …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
- CenterWell (Austin, TX)
- …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
- 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)
- …(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