• Senior Actuary - Medicare Part

    CVS Health (Hartford, CT)
    …and executing formulary and manufacturer rebate contracting strategy across Aetna and Silverscript's Medicare Part D and other government services pharmacy ... to achieve desired results. Involvement with other projects dealing with pharmacy and Medicare Part D will also occur. The colleague will: - Take full… more
    CVS Health (04/16/25)
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  • Senior Actuary - Medicare Part

    CVS Health (Blue Bell, PA)
    …and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP ... PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure… more
    CVS Health (04/20/25)
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  • Medicare Specialist (HHS)

    Walworth County (Elkhorn, WI)
    …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... it does not prescribe or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments by entering consumer's drug information into the… more
    Walworth County (04/12/25)
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  • Medicare Pharmacy Audit Programs Project…

    CVS Health (Scottsdale, AZ)
    Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering Medicare Part - D Pharmacy Audit Programs. In this role, you will ... summarizing audit results using SQL coding analytics. + Coordinating the correction of Medicare Part - D claims and PDEs These audit programs help keep CVS… more
    CVS Health (04/25/25)
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  • Compliance Analyst - Medicare Part

    Prime Therapeutics (Washington, DC)
    …projects simultaneously **Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D , Medicaid, and/or Affordable Care ... drives every decision we make. **Job Posting Title** Compliance Analyst - Medicare Part B- REMOTE **Job Description** Job Description The Compliance Analyst… more
    Prime Therapeutics (04/24/25)
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  • Customer Service Representative- Medicare

    Kelly Services (Avon, CT)
    …and email with empathy, patience, and professionalism + Assist members with insurance claims, Medicare & Part D questions, and prescription issues + Serve ... **Now Hiring: Customer Service Representative ( Medicare Focused) | Temp-to-Hire Opportunity** **Location: Avon, CT...lunch benefit - up to $20/day covered + Be part of a mission-driven team focused on making a… more
    Kelly Services (04/25/25)
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  • Intern Priority Health Medicare Quality…

    Corewell Health (Grand Rapids, MI)
    …adherence + Educate members on disease state and medication + Educate members on Medicare Part D benefits and drug coverage to increase understanding ... status through December. Job Summary Under the direct supervision of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare more
    Corewell Health (03/27/25)
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  • Clinical Pharmacist Advisor - Med D Prior…

    US Tech Solutions (May, OK)
    …availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy ... of experience although 2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** + Bachelor's Degree Required, Pharm D more
    US Tech Solutions (02/15/25)
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  • Prior Authorization Specialist - MED D

    US Tech Solutions (May, OK)
    …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided ... where needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated… more
    US Tech Solutions (04/18/25)
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  • Healthcare Actuary

    The Cigna Group (Austin, TX)
    …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 (04/19/25)
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