- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** ... the coordination of benefits in the pharmacy program with Medicare Part D plans. Provides...and leadership skills that ensure successful Part D pharmacy operations and program compliance within… more
- Prime Therapeutics (Harrisburg, PA)
- …(CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience ... fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is… more
- Prime Therapeutics (Harrisburg, PA)
- …(CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience ... fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The … more
- Humana (Harrisburg, PA)
- …Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements ... Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D ...policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included… more
- Highmark Health (Camp Hill, PA)
- …and authority. + As a seasoned Group Retiree market expert ( Medicare Advantage, Medicare Supplement, Part D , Medicare Exchanges) this leader will ... Continuously monitor and maintain knowledge of the Commercial, Group Retiree and Medicare markets and competition. + Develop strategies and tactics to optimize… more
- NTT DATA North America (Pittsburgh, PA)
- …& Skills:** + Minimum of 1 year of experience related to CMS guidelines and Medicare Part D enrollment processes. + Basic proficiency in Microsoft Excel, ... for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA Services...member clients to process enrollments and related requests, ensuring compliance with the Center for Medicare &… more
- CenterWell (Harrisburg, PA)
- …the delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers ... or a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D . + Experience with contact center platforms… more
- Organon & Co. (Plymouth Meeting, PA)
- …and state government pricing programs, including Medicaid Drug Rebate Program (MDRP), 340B, Medicare Part B/ D , and the Veterans Affairs (VA)/Department of ... government pricing metrics (AMP, BP, URA, NFAMP, FCP) in compliance with applicable regulations. + Support monthly, quarterly, and...the pharmaceutical industry. + Strong knowledge of Medicaid, 340B, Medicare Part B, and VA pricing rules… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... have comprehensive knowledge of processes, policies and procedures as well as compliance guidelines. Will support achieving operational and compliance key… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for ... an impact** **Required Qualifications:** + **Bachelor's degree or Doctor of Pharmacy (Pharm. D .) from an accredited college of pharmacy** + Active pharmacist license… more