- CVS Health (Scottsdale, AZ)
- …our operations-supporting members, ensuring accurate billing, and helping us stay compliant with Medicare Part D regulations. You'll work closely with ... heart, each and every day. **Position Summary** As a Senior Coordinator in the NEJE Premium Billing team, you'll...significant life events. Reinstate eligible members in accordance with Medicare Part D guidelines, ensuring… more
- CVS Health (Scottsdale, AZ)
- …Coordinator determines eligibility and performs various enrollment and disenrollment processes for Medicare Part D individual plan members and employer ... heart, each and every day. **Position Summary** As a Senior Enrollment Coordinator, you will be supporting Caremark's largest...+ 2-3+ years of healthcare industry experience, preferably with Medicare Part D , including patient/beneficiary… more
- CenterWell (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... senior -focused primary care providers in the country, operating over...care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists,… more
- CenterWell (Peoria, AZ)
- **Become a part of our caring community and help us put health first** Job Description Summary The Primary Care Physician (PCP) works as a lead in our team-based ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- Humana (Phoenix, AZ)
- …or other pharmacy related field + Experience in Formulary strategy/development and CMS Part D guidance + Experience in analysis and problem-solving + Excellent ... **Become a part of our caring community and help us...methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of… more
- CVS Health (Phoenix, AZ)
- …Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D , and Public Exchange lines of business. ... times, and client satisfaction. Provide regular reports and insights to senior management to inform strategic decision-making and drive continuous improvement in… more
- Prime Therapeutics (Phoenix, AZ)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... objectives. This role is responsible for partnering across Member Operations senior leadership, Client Engagement, and the Business Integration Teams to influence… more
- Molina Healthcare (Chandler, AZ)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the...Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS… more
- Prime Therapeutics (Phoenix, AZ)
- …PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract language and risk mitigation concepts Every employee must ... Relations Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for… more