• Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Raleigh, NC)
    …partner/customer relationships including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as… more
    Prime Therapeutics (08/08/25)
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  • Senior Product Owner

    CenterWell (Raleigh, NC)
    …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 (Raleigh, NC)
    …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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  • Manager, Long Term Care (Mid-Atlantic Region)

    Teva Pharmaceuticals (Charlotte, NC)
    …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 (08/15/25)
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  • Health Actuary Consulting Senior Consultant

    Deloitte (Charlotte, NC)
    …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
    Deloitte (08/27/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Raleigh, NC)
    …Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience **Physical ... are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ### or email… more
    Prime Therapeutics (07/25/25)
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  • Compliance Analyst Principal - Remote

    Prime Therapeutics (Raleigh, NC)
    …Advanced degree in related area of study, such as Juris Doctor + Medicare Part D , Medicaid, and/or Affordable Care Act knowledge and experience **Physical ... are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ### or email… more
    Prime Therapeutics (07/07/25)
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  • Director of Service Delivery

    Prime Therapeutics (Raleigh, NC)
    …constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or call center ... are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ### or email… more
    Prime Therapeutics (06/24/25)
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  • Field Reimbursement Manager

    Otsuka America Pharmaceutical Inc. (Raleigh, NC)
    …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
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Consulting EHR Support Analy -Cerner -Pharm…

    HCA Healthcare (Asheville, NC)
    …Support Analy -Cerner -Pharm D with Mission Hospital you can be a part of an organization that is devoted to giving back! **Benefits** Mission Hospital, offers a ... **Description** **To Qualify; You will need CERNER experience with a PHARM- D .** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours… more
    HCA Healthcare (06/21/25)
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