Medicare Part D Operation Program Manager Jobs (NOW HIRING)

Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications* Works directly with several hospice plans and third party plans as needed*

... for Medicare Part D individual plan members and employer groups according to the CMS Guidance to ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...

... for Medicare Part D individual plan members and employer groups according to the CMS Guidance to ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...

... operations areas, including formulary management, pharmacy audit and recovery, pharmacy service center, Medicare Part D and Part B, appeals, state health programs pharmacy operations, prior ...

... for Medicare Part D individual plan members and employer groups according to the CMS Guidance to ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...

... for Medicare Part D individual plan members and employer groups according to the CMS Guidance to ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...

As an RPh Advisor you will be directly supporting Medicare Part D members and providers with ... denial management processes. (20%) * Reviews cases in progress and provides a Clinical decision ...

Educate members on Medicare Part D plans, Medicare Savings Programs, and MaineCare pharmacy ... program operations * Graphics, publications, and electronic content management * Information ...

... Manager) operations, specialty and mail-order dispensing, and key delegated partners. The ... Audit and monitor pharmacy and Medicare Part D programs and performance and report to Regulatory ...

... Pharmacy Benefit Manager) operations, specialty and mail-order dispensing, and key delegated ... Audit and monitor pharmacy and Medicare Part D programs and performance and report to Regulatory ...

Harbor Health operates two Programs for All-Inclusive Care for the Elderly (PACE) in Mattapan and ... Manages the Medicare Part D bid, reporting and compliance * Manages relationship with PBM and ...

... management processes. * As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. * You will be responsible for ...

... Pharmacy Benefit Manager (PBM) and supporting program initiatives. This position works ... Participates in the annual Medicare Part D plan year implementation process, including benefit ...

This role will be responsible for operations management of the Federal Employee Program (FEP ... Deep knowledge of Medicare Advantage, Part D, and CMS regulations. * Experience leading/supporting ...

This role will be responsible for operations management of the Federal Employee Program (FEP ... Deep knowledge of Medicare Advantage, Part D, and CMS regulations. * Experience leading/supporting ...

Six Sigma, Lean (or other quality program) background. Experience in pharmacy benefits management, Medicaid, Commercial and Medicare Part B & D preferred. LICENSURE/CERTIFICATION Must be licensed by ...

This role combines clinical pharmacy judgment, Medicare Part D operational knowledge, formulary ... Experience in managed care, Medicare Advantage, MAPD, PBM, health plan pharmacy, formulary ...

Six Sigma, Lean (or other quality program) background. Experience in pharmacy benefits management, Medicaid, Commercial and Medicare Part B & D preferred. LICENSURE/CERTIFICATION Must be licensed by ...

This role combines clinical pharmacy judgment, Medicare Part D operational knowledge, formulary ... Experience in managed care, Medicare Advantage, MAPD, PBM, health plan pharmacy, formulary ...

Additionally, OLR administers the Health Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement, and Pre-Tax Benefits & Citywide ...