Medicare Part D Jobs
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Search Results - Medicare Part D Jobs
ADVI Health LLC-Washington-
will transform Medicare Part D and Real-World Evidence (RWE) datasets into actionable insights that directly influence market access, pricing, and health economics outcomes research (HEOR) strategies.
Core Responsibilities:
• Advanced Analytics & Modeling...
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Talent Reel-Fort Lauderdale-
and leave-related pay, including reconciliations, arrears, and adjustments
• Ensure compliance with all applicable benefits regulations (e.g., ACA, Medicare Part D, CMS), including required notices, reporting, and adherence to deadlines
• Conduct audits...
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US Tech Solutions-Parsippany-
How you’ll spend your day
• Establish an audit plan to review assigned account formularies across Commercial, Medicare Part D, and medical channels
• Review products on each formulary and assess compliance with the stated terms and conditions...
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Talent Reel-Plantation (FL)-
with Payroll to ensure accurate processing of benefit deductions and leave-related pay, including reconciliations, arrears, and adjustments
/n
5. Ensure compliance with all applicable benefits regulations (e.g., ACA, Medicare Part D, CMS), including required...
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US Tech Solutions-Morristown (NJ)-
How you’ll spend your day
• Establish an audit plan to review assigned account formularies across Commercial, Medicare Part D, and medical channels
• Review products on each formulary and assess compliance with the stated terms and conditions...
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InnovAge-Denver-
A claims and stays, managing participant plan enrollment status with the pharmacy and PBM, ensuring that claims are billed to Part D appropriately based on CMS regulations and EMR documentation, and working closely with Medicare, Medicaid, finance...
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US Tech Solutions-Parsippany-
How you’ll spend your day
• Establish an audit plan to review assigned account formularies across Commercial, Medicare Part D, and medical channels
• Review products on each formulary and assess compliance with the stated terms and conditions...
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Brains Technology Solution-Houston-
development of new systems/solutions, and perform major enhancements to existing systems using SYNON and other relevant technologies.
Desired:
• Experience in PBM and Healthcare is highly preferred.
• Experience with Medicare Part D and RxCLAIM Pricing...
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DOCTORS HEALTHCARE PLANS, INC.-Coral Gables-
and management of the Health Plan’s Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit configuration and benefit transition process, and drug reviews for Pharmacy...
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Brains Technology Solution-Dallas-
development of new systems/solutions, and perform major enhancements to existing systems using SYNON and other relevant technologies.
Desired:
• Experience in PBM and Healthcare is highly preferred.
• Experience with Medicare Part D and RxCLAIM Pricing...
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United States-icims.com-
in Pennsylvania. North America is LifeScan's most complex market from a channel and payer perspective, spanning managed care, PBM, Medicaid, and Medicare Part D dynamics in the US alongside distinct distributor and product-mix dynamics in Canada and Mexico...
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US Tech Solutions-Parsippany-
internal and external stakeholders.
/n
How you’ll spend your day/n
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• Establish an audit plan to review assigned account formularies across Commercial, Medicare Part D, and medical channels
/n
• Review products on each formulary and assess compliance...
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Portland-marquiscompanies.com-
claim submission, resolution of claim exceptions, compliance with PBM, Medicare Part D, Medicaid, and commercial payer requirements, and adherence to NCPDP standards.
The Billing Manager partners closely with Intake, Customer Accounts, and Pharmacy...
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CompleteRx-Corpus Christi-
in planning monthly expenditures within budget guidelines.
• Assist in ensuring the preparation and submission of patient charges (including Medicare Part D) and financial reports to health system administration and CompleteRx, Ltd. in accordance with policy...
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Vensure Employer Solutions-Duluth (GA)-prismhr-hire.com-
matters, including the Affordable Care Act (ACA), Form 5500 filings, Medicare Part D Creditable Coverage reporting, state-level filings such as Massachusetts HIRD, ERISA, and other federal and state benefit compliance requirements.
This position...
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