- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare - part - d ... **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides… more
- Healthfirst (NY)
- … Medicare Clinical Programming and Operations, Provider Performance, Medical and Pharmacy Part D cost savings, and Medicare Star Ratings/member ... Clinical Programming and Operations + Provider performance + Medical and Pharmacy Part D cost savings + Medicare Star Ratings/member experience. **Compliance… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic ... Medicare products with a particular emphasis on Medicare Part D . You will... topics + Manage relationship with external Pharmacy Benefits Manager as primary point of contact + Experience providing… more
- Medical Mutual of Ohio (OH)
- …general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare ... focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members...in internal and external audits and projects of the Medicare Part D (pharmacy) and… more
- Banner Health (AZ)
- …by including remote and hybrid opportunities. In the role of Health Plan Program Manager Call Center Sales Medicare Advantage, you will supervise a Medicare ... (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is...Income Subsidy (LIS) match rates, monthly encounter data and Part C and D reporting, Policies, Evidence… more
- Molina Healthcare (Detroit, MI)
- …RN license in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care team. This position will ... services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
- InnovaCare (San Juan, PR)
- …members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to ... passion and customer focus to the business. The Care Manager is responsible to assess all referred cases, plan,...their covered Part D drugs. Orlando Family Physicians, a… more
- CVS Health (Northbrook, IL)
- …management for Medicare Part D members utilizing the Medicare Prescription Payment Program (M3P). The Manager will oversee team of colleagues ... Reinstatements, Balancing/Reconciliations/Out-of-Balance Research, Disputes, and Cash Application. M3P is a Medicare Part D requirement effective January 1,… more
- AdventHealth (Tavares, FL)
- …Clinical Ladder Program **Our promise to you:** **Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in ... 32778** **The role you'll contribute:** **GENERAL SUMMARY** **:** **The Assistant Nurse Manager is a registered professional nurse who supports the Nurse Manager… more
- AdventHealth (Tavares, FL)
- …Clinical Ladder Program* **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in ... WATERMAN WAY, Tavares, 32778** **The role you'll contribute:** The Assistant Nurse Manager is a registered professional nurse who supports the Nurse Manager… more