• Licensed Vocational Nurse (Medical Specialty…

    Veterans Affairs, Veterans Health Administration (Temple, TX)
    …in accordance with the provisions in chapter 3, section B, paragraph 16 of this part . d . Physical Standards. See VA Directive and Handbook 5019. e. English ... accordance with chapter 3, section A, paragraph 3g, this part .) b. Education. Graduate of a school of practical...spoken and written English as required by 38 USC 7402( d ), and 7407( d ). Grade Determinations: (1) GS-3.… more
    Veterans Affairs, Veterans Health Administration (08/27/25)
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  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Austin, TX)
    …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 (Austin, TX)
    …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 (Austin, TX)
    …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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  • Pharmacy Services Specialist

    Apex Health Solutions (Houston, TX)
    …in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination (appeal) process, ... or other work experience in an equivalent background such as Medicare Part D program. Certificates and Licenses: Current, unrestricted Certified Pharmacy… more
    Apex Health Solutions (07/19/25)
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  • Pharmacist

    US Tech Solutions (TX)
    …months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... **Education:** + Pharm D . required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state of… more
    US Tech Solutions (08/20/25)
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  • Health Actuary Consulting Senior Consultant

    Deloitte (San Antonio, TX)
    …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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  • Program Manager - Pharmacy Network and Fraud…

    Elevance Health (Houston, TX)
    …+ 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
    Elevance Health (08/26/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Austin, TX)
    …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 (Austin, TX)
    …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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