- BrightSpring Health Services (Louisville, KY)
- …PBM and 3rdParty Payor contracting process for LTC PharMerica business unit. This includes Medicare Part D , Commercial and Managed Medicaid. + Manage and ... negotiate national 3rdParty Payor and PBM contracts to ensure company's objectives are met in a timely manner. + Develops and executes a dynamic and strategic PBM and Payor strategy to support annual plan and business objectives. This includes effectively… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit ... with other constituents, including but not limited to: Pharmacy Director , Chief Medical Officer, Medical Director , Pharmacy...for formulary exceptions and prior authorizations according to the Medicare Part D defined guidelines… more
- BAYADA Home Health Care (Orlando, FL)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...productivity maintained at the quarterly target set by the Director of MCM. + Prevent or decrease the occasion… more
- Central Maine Medical Center (Bridgton, ME)
- …and for each other every day. Position Summary: Reporting to the Nursing Director , the Nurse Leader is responsible for the day-to-day operations of assigned ... evaluating the operation of their assigned department. In conjunction with the Director , the Nurse Leader is responsible for overseeing implementation of patient… more
- BAYADA Home Health Care (Austin, TX)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review...productivity maintained at the quarterly target set by the Director of MCM. + Prevent or decrease the occasion… more
- Walgreens (Deerfield, IL)
- …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/ D , ACOs, ASOs, GPOs, Hospitals, etc.). ... variety of tools, and internal resources as an integral part of the sales interaction. + Leads cross functional...experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience… more
- State of Colorado (Denver, CO)
- …This experience must be clearly documented on your application. Part -time experience will be pro-rated. Substitutions: Additional appropriate experience will ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
- BeOne Medicines (San Mateo, CA)
- …(MDRP), 340B Drug Discount Program, Medicare Part B ASP Reporting, Medicare Part D Coverage Gap (Historical CGDP), Manufacturer Discount Program ... successfully launching new drugs across all government programs, knowledge of Medicaid and Medicare Parts B and D inflation rebates, line extension modeling, and… more
- CenterWell (San Antonio, TX)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- CenterWell (Deerfield Beach, FL)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more