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Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid) Experience with commercial payers, Medicare plans and state Medicaid in geographic region.
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Compliance oversight for “Schedule A” request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA. Compliance oversight for “Schedule A” request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA.
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If you have a little or a lot of Medicare Part D experience we want to talk with you. Medicare Part D experience a PLUS but not required. ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Knowledge of payer landscape Commercial, Medicare Part D and dual eligibility. The Key Account Manager (KAM) for the Dry Eye Business Unit is responsible for launching and growing market share with a strong focus on driving demand through the payer channel in a defined geographic area, reporting to the Area Sales Manager (ASM.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Senior Product Manager is responsible for the implementation and ongoing operational effectiveness of GEHA’s Medicare Advantage (MAPD) and Part D Employer Group Waiver Program (EGWP) offerings.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Working knowledge of Affordable Care Act, 5500, SPD, Medicare Part D, HIPAA and other compliance areas. Working knowledge of Affordable Care Act, 5500, SPD, Medicare Part D, HIPAA and other compliance areas.
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Work in conjunction with and monitor all vendor operations and ensure compliance with regulatory requirements for Health Plans, PBMs, Medicare Part D, Medicare Part B, GPOs, IHS, and State Medicaid pricing programs in preparation for launch and post-launch phases of Lexicon products.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
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Work with the project team, HMSA departments and external partners to monitor, collect, communicate, and distribute information.
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Prepare and analyze monthly estimates for Medicare Part D Risk Corridor and Coverage Gap Discounts. Oversee and support all Finance related Part C and Part D reporting requirements for Medicare.
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Including but not limited to (Medicare Advantage, DSNP, and Part D) with the Centers for Medicare & Medicaid Services (CMS). Pay Range : $73,154 - $121,252, position is eligible for an incentive bonus Note : Individuals typically begin between the minimum to middle of the pay range The Manager, Medicare Programs has organization level responsibilities for the administration of all provisions/requirements of HMSA's Medicare contracts/programs.
$73,154 - $121,252 a yearExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers. Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance.
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MEDCARE Advantage Plan Part D - required. Job Title: 100% Remote Medicare QNXT Agent. MEDCARE Advantage Plan Part D - required. Job Title: 100% Remote Medicare QNXT Agent. QNXT experience (preferred.
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Knowledge of the case management process, needs of geriatric patients, health care settings, working knowledge of funding resources such as Medicare Part A, B, C and D, Medicaid, Managed Care and other private insurances.
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medicare part d jobs
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