• Mgr Medicare Part D

    Prime Therapeutics (Harrisburg, PA)
    …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 (08/26/25)
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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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  • Actuary - Medicare Part D

    CVS Health (Chicago, IL)
    …manage multiple priorities. **Preferred Qualifications:** + ASA + Prior pharmacy or Medicare Part D experience + Prior health pricing experience + ... remote.** Join a high-performing actuarial team supporting Aetna & SilverScript's Group Medicare Part D business. The primary responsibility of this role… more
    CVS Health (08/24/25)
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  • Pharmacist - Prior Authorizations

    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 Medicaid, Commercial Prior Authorization and Case… more
    US Tech Solutions (08/20/25)
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  • Pharmacist

    US Tech Solutions (TX)
    …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 (08/20/25)
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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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  • PBM Data Analyst - Network Pricing

    Insight Global (Eagan, MN)
    …is accurate based upon analysis and interpretation for Commercial, Medicare Part D , and Specialty Pharmacy programs Represent Network Operations ... or GED required 2 years of work experience in network operations, pharmacy benefit management operations or and/or healthcare operations inclusive of experience… more
    Insight Global (08/20/25)
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  • Network Management - Analyst

    CVS Health (Phoenix, AZ)
    …division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part - D Compliance Audit Programs, review pharmacy submitted ... in PBM or pharmacy claim processing systems. -Familiarity with current CMS Medicare Part - D compliance regulations. -Advanced level of technical skillsets… more
    CVS Health (08/27/25)
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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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