- Marion County (Salem, OR)
- …their families live vibrant and healthy lives? Are you interested in being part of a positive and strength-based team working together to provide quality behavioral ... communities. Provides intake mental health assessments including screening for A/ D issues.Documents services to meet contract, administrative rule and billing… more
- The Cigna Group (Philadelphia, PA)
- …This role is responsible for developing and executing enterprise strategies to improve Cigna's Medicare Part D Star measures and related quality measures. ... The Program Management Senior Advisor position is part of the Part D...will work closely with matrix partners within the Cigna Medicare Stars and Risk Adjustment organization as well as… more
- CVS Health (Hartford, CT)
- …skills + Solid technical/analytical skills and attention to detail Preferred Qualifications + Previous Medicare Part D or pharmacy experience a strong plus + ... and growing government services pharmacy business. The colleague's primary focus is Part D Low Income Benchmarks and Premium Subsidies. This role will focus on… more
- 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
- Mathematica (Washington, DC)
- …administrative claims and other data sources. In particular, we are looking for individuals with Medicare Part D expertise who can apply data analytics to ... monitoring pharmaceutical access, efficacy, effectiveness, cost, and innovation within the Medicare Part D program and supporting the development of policies… more
- CVS Health (Hartford, CT)
- …Must be able to understand data sets and identify technological efficiencies within Medicare Part D bid development and submission processing. Position ... efforts including bids, implementation, benefits, reporting and analysis. 2-3 Years Medicare Part D Experience; 1-2 years reporting and/or data set… more
- CVS Health (Richmond, VA)
- …support staff working in the Therapeutic Duplication and Formulary Alternative Outreach Program for Medicare Part D Medications + Helping to support new or ... + 1-3 years Medicare managed care experience + Experience with Medicare STARS and Part D Formulary benefits + Knowledge of clinical program components,… more
- UCLA Health (Los Angeles, CA)
- …of member accounts, and issuance of invoices. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to ... and CMS enrollment and billing regulatory requirements + In depth knowledge of Medicare Part D programs and CMS contracted vendors, such as RPC + Working… more
- CVS Health (Hartford, CT)
- … Part D appeals.* Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the Second Look ... US.**Responsibilities of this Medical Director role are related to Medicare Appeals.* Direct daily work on part ...to Medicare Appeals.* Direct daily work on part C appeals (both provider and member/nonparticipating providers) and… more
- NORC (Bethesda, MD)
- …utilization and outcomes using relevant administrative data sets such as Medicare Advantage, Medicare Part D , Medicaid data + Expertise in data mining ... of policy project management + Expert knowledge of Traditional Medicare , Medicare Parts C & D...and benefits transparency helps to reduce wage gaps. As part of our commitment to pay equity and salary… more
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