- BrightSpring Health Services (Knoxville, TN)
- …the benefits of Original Medicare (Parts A and B) with prescription drug coverage ( Part D ). The Signature Advantage Plan is a unique plan allowing members to ... approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards. + Conduct… more
- Prime Therapeutics (Nashville, TN)
- …(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 (Nashville, TN)
- …(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 (Nashville, TN)
- …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
- CenterWell (Nashville, TN)
- …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
- CenterWell (La Vergne, TN)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- Humana (Nashville, TN)
- **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 (Nashville, TN)
- **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
- CVS Health (Nashville, TN)
- …Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D , and Public Exchange lines of business. ... pricing consultation and strategy in an evolving regulatory environment to ensure compliance . + Exercising sound business judgment to achieve proper balance between… more
- Covenant Health Inc. (Knoxville, TN)
- …documentation, contacts MD, contact note, mileage, etc. + Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines. + ... Must be able to work independently yet function as part of a team. Licensure Requirement: Must have and...Employee must have a valid Tennessee driver's license Class D and state mandated minimum insurance coverage. Driving record… more