• Mgr Medicare Part D

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

    The Cigna Group (Bloomfield, CT)
    D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / ... will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM)...a designated full time support to Express-Script's external client's Medicare Part D business. This… more
    The Cigna Group (08/04/25)
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  • Medicare Advantage Staff Pharmacist

    UCLA Health (Los Angeles, CA)
    …and cross-department collaboration as a subject matter expert in Medicare Part D and pharmacy topics. Salary Range: $86.32/hour-$107.31/hour ... 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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  • Senior Financial Analyst - Pharmacy

    Walgreens (Deerfield, IL)
    **Job Description:** **Job Summary:** Responsible for managing the finances for the Medicare Part D Pharmacy contracts with PBMs and insurance companies. ... This role will help create relevant Power BI dashboards to help summarize Medicare Part D reimbursement performance. **Job Responsibilities:** + Develops… more
    Walgreens (06/10/25)
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  • REMOTE Pharmacy Technician

    Actalent (Remote, OR)
    …license. + Experience with prior authorization processes. + Familiarity with Medicare Part D . + Experience with pharmacy benefits system (PBS system) ... Job Title: REMOTE Pharmacy Technician 1 ** if you are interested...and triaging coverage determination requests for prior authorizations and Medicare Part D recipients. Your… more
    Actalent (08/13/25)
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  • Pharmacist Operations Advisor

    US Tech Solutions (May, OK)
    …of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review… more
    US Tech Solutions (07/27/25)
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  • Pharmacist - Remote

    US Tech Solutions (May, OK)
    …of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital preferred. + Appropriate state license… more
    US Tech Solutions (07/18/25)
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  • Pharmacist - Prior Authorization

    US Tech Solutions (May, OK)
    …**Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy experience in retail or hospital ... technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit. +...2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** +… more
    US Tech Solutions (08/15/25)
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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 ... healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare more
    US Tech Solutions (08/15/25)
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  • Program Delivery Lead - Part D Risk…

    Humana (Louisville, KY)
    …moderate to substantial. The Risk Adjustment Organization seeks a Program Delivery Lead for Part D Risk Adjustment. This role will partner with leaders to ... improve existing programs and develop next-generation initiatives to ensure Part D risk score documentation is timely, complete, and accurate, while promoting… more
    Humana (08/08/25)
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