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Medicare Part D information

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How much do medicare part d jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for medicare part d in the United States is $26.77, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $28.85 per hour, depending on experience, location, and employer.

What is a Medicare Part D job?

A Medicare Part D job typically involves assisting Medicare beneficiaries with prescription drug coverage. Roles can include customer service representatives, claims processors, pharmacists, or compliance specialists working for insurance companies, healthcare organizations, or government agencies. Responsibilities may include explaining Part D benefits, processing enrollments, handling claims, and ensuring compliance with regulations. Strong communication skills and knowledge of Medicare guidelines are often required.

What are some typical daily responsibilities for a Medicare Part D Specialist or Coordinator?

In this role, you will regularly assist Medicare beneficiaries in understanding their Part D drug coverage, process and troubleshoot pharmacy claims, and ensure compliance with federal guidelines. You may communicate with pharmacies, healthcare providers, and insurance carriers to resolve issues such as prior authorizations or formulary exceptions. Collaboration with other team members, documenting calls, and educating members about available resources are also common tasks. This mix of administrative, technical, and customer service duties makes for a dynamic and rewarding workday.

What are the key skills and qualifications needed to thrive in the Medicare Part D position, and why are they important?

To excel in a Medicare Part D Specialist or Coordinator role, a strong understanding of Medicare regulations, pharmacy benefit management, and healthcare administration is essential. Familiarity with pharmacy claims processing systems, Medicare Part D software platforms, and often certification such as a pharmacy technician or healthcare compliance credential are highly valued. Excellent customer service, problem-solving abilities, and clear communication skills are important soft skills for effectively assisting beneficiaries and collaborating with healthcare professionals. These competencies ensure accurate claims management and help members navigate complex prescription drug coverage, resulting in improved patient satisfaction and regulatory compliance.

More about Medicare Part D jobs
What cities are hiring for Medicare Part D jobs? Cities with the most Medicare Part D job openings:
What are the most commonly searched types of Medicare Part D jobs? The most popular types of Medicare Part D jobs are:
What states have the most Medicare Part D jobs? States with the most job openings for Medicare Part D jobs include:
What job categories do people searching Medicare Part D jobs look for? The top searched job categories for Medicare Part D jobs are:
Medicare Part D jobs near you
Infographic showing various Medicare Part D job openings in the United States as of June 2026, with employment types broken down into 32% Full Time, 64% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $55,676 per year, or $26.8 per hour.
Business Architect Consultant - Part D Stars Strategy

Business Architect Consultant - Part D Stars Strategy

Blue Cross and Blue Shield of North Carolina

Cheyenne, WY

Other

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

165th of 261 rated insurance

Job description

Job Description

We're seeking a Business Architect Consultant to join our Government Pharmacy Programs Department! The Business Architect Consultant (BAC), Part D Stars Strategy is accountable for driving the day to day strategy, execution, and performance management of Medicare Part D Star Ratings. This role serves as the operational and analytical lead for Part D Stars, translating CMS requirements and performance insights into actionable improvement initiatives that support the organization's goal of achieving and sustaining 4+ Star performance.
The BAC partners closely with pharmacy operations, analytics, PBM partners, product, Stars and quality teams, and plays a critical role in enabling informed decision making through data, forecasting, and program oversight.

What You'll Do

This is a senior level role that is a unique blend of Lead Enterprise Architect and Senior Business Management Consultant. This role requires the personal skills and credibility to work closely with Company Officers to ensure that business strategy is translated into business outcomes. This is a highly visible enterprise role that will interact with senior leaders across the Company.

Part D Stars Strategy & Execution

  • Lead the execution of the Medicare Part D Stars strategy in alignment with organizational goals and CMS technical specifications.
  • Own performance management for Part D Stars measures, including adherence, medication safety, MTM, pharmacy quality measures, and leading indicators/KPIs.
  • Translate annual CMS updates into operational plans and performance targets.
  • Support multiyear improvement planning and monitor progress against Stars goals.

Analytics, Reporting & Forecasting

  • Direct development and maintenance of Stars performance dashboards and reporting for leadership and operational teams.
  • Partner with Stars and analytics teams to develop forecasting models, cut point scenarios, and risk assessments.
  • Monitor measure trends and identify emerging risks or improvement opportunities.

CrossFunctional Collaboration

  • Collaborate with pharmacy operations, PBM partners, clinical programs, Stars and Product teams, and vendors to implement Stars improvement initiatives.
  • Partner with compliance and regulatory teams to support audit readiness and CMS inquiries.
  • Serve as a trusted advisor to leaders by clearly communicating performance insights and recommended actions.

What You Bring

  • Bachelor's degree or advanced degree (where required)
  • 8+ years of experience in related field.
  • In lieu of degree, 10+ years of experience in related field.

Bonus Points (preferred qualifications)

  • Bachelor's degree required; Master's degree in Public Health, Pharmacy, Analytics, Business, or a related field preferred.
  • PharmD, MPH, MS in Analytics, or similar advanced degree.
  • 5-8 years of experience in Medicare Part D Stars, pharmacy quality, PBM operations, or health plan analytics.
  • Strong working knowledge of Medicare Part D Stars measures, methodology, and CMS technical specifications.
  • Experience with MTM programs, adherence interventions, or pharmacy operations.
  • Familiarity with CMS systems and regulatory submissions (e.g., HPMS).
  • Experience using tools such as Power BI or Tableau.
  • Demonstrated success managing complex, crossfunctional initiatives.
  • Strong analytical and problemsolving skills with experience interpreting performance data and forecasts.
  • Effective written and verbal communication skills, including experience presenting to senior leaders.

What You'll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
  • Work-life balance, flexibility, and the autonomy to do great work
  • Medical, dental, and vision coverage along with numerous health and wellness programs
  • Parental leave and support plus adoption and surrogacy assistance
  • Career development programs and tuition reimbursement for continued education
  • 401k match including an annual company contribution
  • Learn more

Where You'll Work

Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that's flexible, connected, and future focused.

In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$143,616.00 - $229,786.00

Skills

Business Analysis, Business Architecture, Business Management, Business Planning, Business Process Development, Business Process Improvements, Business Process Modeling, Business Strategies, Consulting Services, Implementation Planning

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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