• Senior Product Owner

    CenterWell (Sacramento, CA)
    …of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to ... field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D . + Experience with contact center platforms and CRM integrations.… more
    CenterWell (08/23/25)
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  • Medical Director -Pharmacy Appeals

    Humana (Sacramento, CA)
    …The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work assignments involve moderately ... and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements and will understand how… more
    Humana (08/22/25)
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  • Medicare Advantage Staff Pharmacist

    UCLA Health (Los Angeles, CA)
    …Staff Pharmacist, supporting the pharmacy department in managing the Medicare Advantage Part D Prescription Benefit. You'll ensure compliance with Medicare ... cross-department collaboration as a subject matter expert in Medicare Part D and pharmacy topics. Salary Range:...a subject matter expert in Medicare Part D and pharmacy topics. Salary Range: $86.32/hour-$107.31/hour Qualifications We're… more
    UCLA Health (08/13/25)
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  • Manager, Long Term Care (West Region)

    Teva Pharmaceuticals (Los Angeles, CA)
    …of business (CMHC, specialty pharmacy, long term care) + Strong understanding of payer dynamics, Part A and Part D access and LTC profitability parameters + ... our US sales teams. Sales professionals at Teva are part of a purpose-driven organization with a uniquely diverse...for our psychiatry sales team. This position will be part of the newly created Long Term Care (LTC)… more
    Teva Pharmaceuticals (08/14/25)
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  • Billing Specialist

    Polaris Pharmacy Services, LLC (Covina, CA)
    …payor verification * Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D , and Commercial Plans related to Long-Term Care * Address ... Vision and Life insurance * 401(k) (available to both Part -Time & Full-Time employees) * Short-term and Long-term Disability...referral bonus program Join Polaris Pharmacy Services and be part of a team committed to excellence in long-term… more
    Polaris Pharmacy Services, LLC (08/13/25)
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  • Formulary Strategy Pharmacist Lead

    Humana (Sacramento, CA)
    …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 put health first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed… more
    Humana (08/15/25)
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  • Senior/Therapy Access Manager (Southern…

    United Therapeutics (CA)
    …of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare ( Part B and Part D ) The salary for this position ranges ... from $151,000 to $220,000 per year. In addition, this role is eligible for the Company's short-term and long-term incentive programs. The salary range is the range United Therapeutics Corporation in good faith believes is the range of possible compensation for… more
    United Therapeutics (08/10/25)
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  • Sr. Benefits Analyst

    Sunrun (CA)
    …employees + Experience with annual plan filings and disclosures (eg 5500s, Medicare Part D , Summary Annual Report, 401k annual audits, Non-discrimination test ... other solar company. Our vertically integrated model gives us total control over every part of the energy lifecycle - from sale through installation and beyond - so… more
    Sunrun (08/09/25)
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  • Registered Nurse D /CF (Level I/II)

    Sacramento County (Sacramento, CA)
    Registered Nurse D /CF (Level I/II) Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/454059) Apply  Registered Nurse D /CF (Level I/II) ... filing cut-offs are at 5:00 pm on: 5/8/2025, 7/3/2025, 9/4/2025, 11/6/2025 Registered Nurse D /CF Level I: $61.27 - $74.48 hourly Registered Nurse D /CF Level II:… more
    Sacramento County (07/22/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    …of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in "Buy and Bill" reimbursement environment + ... Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite **Qualifications Preferred** + Bachelor's degree **Skills and Abilities** + Excellent verbal and written… more
    Otsuka America Pharmaceutical Inc. (08/16/25)
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