NY · On-site
Clinical Program Development Manager Location: Mason, OH Hybrid This role requires associates to be ... Medicare Part D experience preferred * Experience with successfully managingmember populations ...
New
NY · On-site
Clinical Program Development Manager Location: Mason, OH Hybrid This role requires associates to be ... Medicare Part D experience preferred * Experience with successfully managingmember populations ...
New
Pharmacy Program Specialist
Houston, TX · On-site
$16.92 - $21.15/hr
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
New
Pharmacy Program Specialist
Houston, TX · On-site
$16.92 - $21.15/hr
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
New
Medical Directors will learn Medicare Part D and Medicare Advantage requirements and will ... Utilization management experience in a medical management review organization such as Medicare ...
New
Medical Directors will learn Medicare Part D and Medicare Advantage requirements and will ... Utilization management experience in a medical management review organization such as Medicare ...
New
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
Pharmacy Operations Business Analyst
Portland, OR · Remote
$59K - $74K/yr
FSA * Employee Assistance Program * PTO and Company Paid Holidays Required Skills, Experience ... Experience supporting Medicare Part D operations, CMS reporting, audit activities, or regulatory ...
Pharmacy Operations Business Analyst
Portland, OR · Remote
$59K - $74K/yr
FSA * Employee Assistance Program * PTO and Company Paid Holidays Required Skills, Experience ... Experience supporting Medicare Part D operations, CMS reporting, audit activities, or regulatory ...
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
Employee Assistance Program See more about the benefits of working at Viva Health - Key ... Process member and non-contracted provider Medicare Part C and Part D grievances and appeals ...
Employee Assistance Program See more about the benefits of working at Viva Health - Key ... Process member and non-contracted provider Medicare Part C and Part D grievances and appeals ...
Clinical Quality Pharmacist
Torrance, CA · On-site
$121K - $145K/yr
Success in this role is demonstrated by high quality measure performance in Medicare Part D and ... Sound decision-making and time management skills to manage multiple programs with competing ...
Clinical Quality Pharmacist
Torrance, CA · On-site
$121K - $145K/yr
Success in this role is demonstrated by high quality measure performance in Medicare Part D and ... Sound decision-making and time management skills to manage multiple programs with competing ...
Complex Case Manager
Houston, TX · On-site
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
Complex Case Manager
Houston, TX · On-site
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
Clinic Pharmacist
$107K - $127K/yr
... management (PBM) initiatives, promotes compliance with Medicare Part D regulations, and champions ... Team Member Referral Bonus Program - Earn $500 when you bring great people to our team! * Career ...
Clinic Pharmacist
$107K - $127K/yr
... management (PBM) initiatives, promotes compliance with Medicare Part D regulations, and champions ... Team Member Referral Bonus Program - Earn $500 when you bring great people to our team! * Career ...
... the Part D program. This role offers a unique opportunity to deepen expertise in Medicare Part D ... managed care environment * Experience documenting actuarial analyses and communications in ...
... the Part D program. This role offers a unique opportunity to deepen expertise in Medicare Part D ... managed care environment * Experience documenting actuarial analyses and communications in ...
Complex Case Manager
Houston, TX · On-site
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
Complex Case Manager
Houston, TX · On-site
... and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with ... Community is accredited by URAC for its health plan operations. We offer care management programs ...
Clinic Pharmacist
Muskegon, MI · On-site
$123K - $152K/yr
... management (PBM) initiatives, promotes compliance with Medicare Part D regulations, and champions ... Team Member Referral Bonus Program - Earn $500 when you bring great people to our team! * Career ...
Clinic Pharmacist
Muskegon, MI · On-site
$123K - $152K/yr
... management (PBM) initiatives, promotes compliance with Medicare Part D regulations, and champions ... Team Member Referral Bonus Program - Earn $500 when you bring great people to our team! * Career ...
... Management Program (DMP) by compiling OMS/MARx data, tracking At-Risk and Potentially At-Risk ... Lead the analysis, validation, monitoring, and reporting of Medicare Part D Prescription Drug Event ...
... Management Program (DMP) by compiling OMS/MARx data, tracking At-Risk and Potentially At-Risk ... Lead the analysis, validation, monitoring, and reporting of Medicare Part D Prescription Drug Event ...
Operations Program Manager - Manufacturing
$195K - $225K/yr
The Operation Program Manager will be responsible for: * Managing the selection process of new Manufacturing Partners (MP) for Mill in the Commercial space * Documentation ownership: * Creating RFQ ...
Operations Program Manager - Manufacturing
$195K - $225K/yr
The Operation Program Manager will be responsible for: * Managing the selection process of new Manufacturing Partners (MP) for Mill in the Commercial space * Documentation ownership: * Creating RFQ ...
... Medicare Part D, Medicaid, managed care, network participation, claims processing, enrollment, and ... Coordinate with LTC Network Operations on payer contract retrieval and review, payer and pharmacy ...
... Medicare Part D, Medicaid, managed care, network participation, claims processing, enrollment, and ... Coordinate with LTC Network Operations on payer contract retrieval and review, payer and pharmacy ...
Pharmacy Billing Representative
Orlando, FL · On-site
$16.50 - $21.75/hr
Communication liaison regarding Medicare Part D coverage and PDPs with various business partners ... Prepares various reports as requested by management, customers and residents. * Data Entry support ...
Pharmacy Billing Representative
Orlando, FL · On-site
$16.50 - $21.75/hr
Communication liaison regarding Medicare Part D coverage and PDPs with various business partners ... Prepares various reports as requested by management, customers and residents. * Data Entry support ...
Senior Clinical Pharmacist
Birmingham, AL · On-site
$111K - $132K/yr
... and programs. This position will assist departmental leadership with Quality Assurance (QA) of ... Medicare Part D Coverage Determinations, and serve as the subject matter expert for Opioid Part D ...
Senior Clinical Pharmacist
Birmingham, AL · On-site
$111K - $132K/yr
... and programs. This position will assist departmental leadership with Quality Assurance (QA) of ... Medicare Part D Coverage Determinations, and serve as the subject matter expert for Opioid Part D ...
Resident Accounting Specialist- MEDICARE
Rockville, MD · On-site
$30/hr
This role is essential in ensuring accurate and timely submission of Medicare claims, managing ... Employer paid AD&D Insurance * 401(a) Pension Plan with employer match * Tuition Reimbursement
Resident Accounting Specialist- MEDICARE
Rockville, MD · On-site
$30/hr
This role is essential in ensuring accurate and timely submission of Medicare claims, managing ... Employer paid AD&D Insurance * 401(a) Pension Plan with employer match * Tuition Reimbursement
Pharmacist
Austin, TX · On-site
$57.75 - $69.25/hr
MUST HAVE experience with Medicare Part D * Must Have Pharmacy Benefit Management (PBM) experience. Education: * Pharm D. required with at least two years experience as a pharmacist in Managed care ...
Pharmacist
Austin, TX · On-site
$57.75 - $69.25/hr
MUST HAVE experience with Medicare Part D * Must Have Pharmacy Benefit Management (PBM) experience. Education: * Pharm D. required with at least two years experience as a pharmacist in Managed care ...
Medicare Part D Operation Program Manager information
See salary details
$40K - $50.8K
2% of jobs
$50.8K - $61.5K
7% of jobs
$61.5K - $72.3K
7% of jobs
$72.3K - $83.1K
7% of jobs
$85.2K is the 25th percentile. Wages below this are outliers.
$83.1K - $93.9K
5% of jobs
$93.9K - $104.6K
9% of jobs
The median wage is $113.1K / yr.
$104.6K - $115.4K
15% of jobs
$126.2K is the 75th percentile. Wages above this are outliers.
$115.4K - $126.2K
22% of jobs
$126.2K - $137K
13% of jobs
$137K - $147.7K
9% of jobs
$147.7K - $158.5K
3% of jobs
$40K
$109.5K
$158.5K
How much do medicare part d operation program manager jobs pay per year?
As of Sep 14, 2026, the average yearly pay for medicare part d operation program manager in the United States is $109,477.00, according to ZipRecruiter salary data. Most workers in this role earn between $85,500.00 and $132,500.00 per year, depending on experience, location, and employer.
What are popular job titles related to Medicare Part D Operation Program Manager jobs?
For Medicare Part D Operation Program Manager jobs, the most frequently searched job titles are:
Clinical Program Development Manager
NY • On-site
Elevance Health
• Health Care and Social Assistance • 10K+ employees10,000+ employees
Other
Posted 3 days ago
New
Elevance Health rating
7.6
Based on 357 frontline employees who took The Breakroom Quiz
Job description
Anticipated End Date
#J-18808-Ljbffr2026-08-28
Position TitleClinical Program Development Manager
Job DescriptionTitle : Clinical Program Development Manager
Location: Mason, OHHybrid This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Be Part of an Extraordinary TeamCarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.
Build the Possibilities. Make an Extraordinary Impact.The Clinical Program Development Manager is responsible for managing clinical program development for population-based clinical quality measures, including Medicare Star within a clinical area and across all lines of business.
How you will make an impactPrimary duties may include, but are not limited to:
- Oversees vendor contracts, negotiations and service-level agreements and continuously monitors vendor performance.
- Ability to create workflows, prioritize work and manage multiple projects while meeting deadlines
- Evaluates industry best practices, medical research and other resources to develop clinical programs and tools which facilitate and support quality, cost-effective care.
- Develops and implements an annual plan detailing the strategies, programs and tools to be implemented.
- Leads program development activities.
- Develops and coordinates presentations, communications and implementation for all phases of the clinical programs/tools development and implementation.
- Ensures all programs and tools are compliant with regulatory directives and state/federal laws and policies.
- Identifies system needs to implement clinical programs.
- Develops system requirements and ROI.
- Tracks program performance and results and modifies as needed.
- Provides leadership and guidance to associates involved in program development and implementation activities.
- Requires a BA/BS in business, public health, nursing, epidemiology biostatistics, or related field and minimum of 5 years experience involving analyses of health care data and clinical program development; or any combination of education and experience, which would provide an equivalent background.
- Skilled in designing AI prompts for healthcare solutions
- Demonstrated ability in improving member experience in healthcare
- Experiencein ideation, development and implementation of Quality Medicare Star, Provider and/or CAHPS programs
- Demonstrated experience in program improvement
- Experience with vendor management preferred
- Medicare Part D experience preferred
- Experience with successfully managingmember populations preferred
- Thorough knowledge of CMS regulations related to CMS Star Ratings
- Excellent analytical skills
Non-Management Exempt
Workshift1st Shift (United States of America)
Job FamilyBSP > Program/Project
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We AreElevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on
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About Elevance Health
Sourced by ZipRecruiter
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Indianapolis, IN, US
Year founded
2004