• Actuary - Medicare Part D

    The Cigna Group (Bloomfield, CT)
    …is designed to provide a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with internal ... and supply teams. The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs,… more
    The Cigna Group (08/04/25)
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  • Mgr Medicare Part D Pharmacy…

    Prime Therapeutics (Harrisburg, PA)
    …fuels our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** ... Manages the coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful … more
    Prime Therapeutics (07/24/25)
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  • Pharmacist - Clinical Pharmacist Advisor…

    US Tech Solutions (May, OK)
    …months Contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
    US Tech Solutions (08/15/25)
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  • Senior Medicare Markets Pricing Consultant…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    … and its related financial models, including Medicare FFS, Medicare Advantage, Medicare Part D , and Medicare supplemental coverage. + Advanced ... by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something you' d like to be a part of, we' d love… more
    Blue Cross Blue Shield of Massachusetts (07/30/25)
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  • Medicare Advantage Staff Pharmacist

    UCLA Health (Los Angeles, CA)
    …on PBM coordination and cross-department collaboration as a subject matter expert in Medicare Part D and pharmacy topics. Salary Range: ... Advantage Staff Pharmacist, supporting the pharmacy department in managing the Medicare Advantage Part D Prescription Benefit. You'll ensure compliance with … more
    UCLA Health (08/13/25)
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  • RPh Operations Advisor - Med D

    CVS Health (Austin, TX)
    …and every day. **Position Summary** As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
    CVS Health (08/22/25)
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  • Regulatory Analyst, Medicare

    Healthfirst (NY)
    …and following up on outstanding deliverables as needed. + Assists in the preparation of Medicare Part C and D reporting via HPMS, including tracking ... reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal...knowledge of Microsoft Office Suite applications. + Knowledge of Medicare and CMS guidelines as it relates to member… more
    Healthfirst (06/27/25)
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  • National Account Director

    Rhythm Pharmaceuticals (Boston, MA)
    …appropriate access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The NAD will develop and ... of payer engagement and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the VP, Market… more
    Rhythm Pharmaceuticals (07/31/25)
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  • Clinical Pharmacist Advisor

    US Tech Solutions (May, OK)
    **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines,… more
    US Tech Solutions (07/18/25)
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  • Medical Director -Pharmacy Appeals

    Humana (Olympia, WA)
    …Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements ... first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work assignments involve… more
    Humana (08/22/25)
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