- Prime Therapeutics (Springfield, IL)
- …department. Works to ensure established rules, policies, and procedures are implemented so that Medicare Part D operations are successful, efficient, ... drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs...Provides the technical and leadership skills that ensure successful Part D pharmacy operations and… more
- CVS Health (Springfield, IL)
- …years of experience in Medicare Advantage actuarial pricing, bid development, and CMS Part C/ D operations . + 5+ years' experience working with CMS ... on enhancing pricing accuracy, optimizing bid strategies, and supporting Medicare operations through advanced analytics and actuarial...the development and execution of actuarial analytics strategies for Medicare Advantage and Part D … more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us...as we prepare for the launch of Fully Integrated D -SNP (FIDE) plan in 2026. This individual will focus ... put health first** The MBA Intern - Illinois Medicaid ( Part -time, Fall 2025) will contribute as a team member...on driving scalable, innovative initiatives with local market operations , clinical, and finance leaders that improve members health… more
- Walgreens (Deerfield, IL)
- …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/ D , ACOs, ASOs, GPOs, Hospitals, etc.). ... serves as a resource for other Account Managers, Field Operations , and plays a lead role on key region...experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience… more
- WelbeHealth (Springfield, IL)
- …of capitation payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D ) along with PACE rates and regulatory ... all aspects of our revenue recognition model under ASC 606, revenue operations , control environment, and all required state and federal reporting requirements.… more
- Prime Therapeutics (Springfield, IL)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... responsible for the strategic leadership and operational direction of Member Operations solutions related to interaction with Prime Therapeutics clients to… more
- Astellas Pharma (Northbrook, IL)
- …capacity. + Operational knowledge of retina billing workflows, IVT injection economics, and Medicare Part B/ D intersection points. + Expertise in launching ... **Head, Account Engagement - Retina** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven… more