Medicare Part D Jobs (NOW HIRING)

This position assists clients with Medicare Advantage and Supplement plans, Medicare Part D prescription drug plans, individual health insurance products, and related coverage options while ...

This role will be responsible for designing and developing advanced Stars reporting and dashboards related to the Medicare Stars program focused on Part D clinical, administrative, and customer ...

This role will be responsible for designing and developing advanced Stars reporting and dashboards related to the Medicare Stars program focused on Part D clinical, administrative, and customer ...

Experience in Medicare Part D / PBM pharmacy services, centralized verification, specialty/high-cost meds, and pharmacy automation is a strong plus. Responsibilities (What you'll do as the Staff ...

This role will be responsible for designing and developing advanced Stars reporting and dashboards related to the Medicare Stars program focused on Part D clinical, administrative, and customer ...

You will guide Medicare-eligible beneficiaries through plan options including Medicare Advantage, Medicare Supplement, and Part D while cross-selling ancillary products such as Hospital Indemnity ...

You will guide Medicare-eligible beneficiaries through plan options -- including Medicare Advantage, Medicare Supplement, and Part D -- while cross-selling ancillary products such as Hospital ...

Part D Letters & Member Communications . Manage the business requirements, content governance, and quality assurance for all Medicare Part D member-facing correspondence. . Own the lifecycle of ...

You will guide Medicare-eligible beneficiaries through plan options -- including Medicare Advantage, Medicare Supplement, and Part D -- while cross-selling ancillary products such as Hospital ...

Manage Medicare Part D formulary activities, including drug tier placement, prior authorization criteria, step therapy protocols, quantity limits, and formulary exception reviews. * Support Pharmacy ...

Medicare Part C (Advantage) and Part D. Must have strong leadership skills, proven experience in both actuarial strategy & hands-on modeling, and proficiency with Excel, SQL, SAS, and Python or R ...

This position is responsible for assisting Medicare eligible citizens with enrollment in Medicare Part D, Medicare Part C (Advantage Plans) and SeniorCare by providing current group clients with ...

This position is responsible for assisting Medicare eligible citizens with enrollment in Medicare Part D, Medicare Part C (Advantage Plans) and SeniorCare by providing current group clients with ...

Processing Medicare Part D enrollment applications * Reviewing documents for completeness and accuracy * Entering and updating information within multiple computer systems * Assisting members and ...

Medicare or Medicare Part D experience is preferred. Responsibilities * Handle patient account and collection calls * Resolve billing/payment inquiries * Process adjustments, refunds, and ...

Ideal candidates have deep Medicare Part C and Part D expertise, more than five years of people-leadership experience, strong actuarial judgment, and a blend of technical proficiency and strategic ...

Solid Medicare Part D health plan or PBM experience. * Prior experience with CMS program audits and Part D reporting. * Excellent organizational and program management skills. Working with ...

Ideal candidates have deep Medicare Part C and Part D expertise, more than five years of peopleleadership experience, strong actuarial judgment, and a blend of technical proficiency and strategic ...

Support Medicare Part D and commercial pharmacy/specialty drug benefit analysis * Respond to drug coverage and formulary inquiries * Assist with prior authorization processing and follow-ups

Familiarity with Medicare Part D payment integrity requirements and self-funded/ASO pharmacy benefit structures is strongly preferred. The position is responsible for driving new logo acquisition ...