- 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
- 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
- Gilead Sciences, Inc. (Foster City, CA)
- …managing Gilead's day-to-day administration and processing of all Managed Care Commercial/Medicare Part D contract payments, in support of the contract ... rebate payment processing across channels and customers, including Commercial plans, Medicare Part D , Medicaid and Health Exchanges, with limited supervision to… more
- 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
- Deloitte (Fresno, CA)
- …plans + Prepare SQL models to price health plan benefit changes + Review MA and Part D bid submissions for accuracy and consistency + Model lapse and retention ... better for humans and humans better at work. Be part of this exciting era of change and join...governments, PBMs, etc. At Deloitte, you can be a part of the transformation of the health care sector.… more
- 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
- Elevance Health (Costa Mesa, CA)
- …+ Project management certification preferred. + Marketing experience preferred. + Medicare Part D experience preferred. + Fraud waste and abuse experience ... per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a… more
- 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
- 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
- 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 **Skills and Abilities** + Excellent verbal and written communication skills + Strong interpersonal and… more