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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.
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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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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.
$33.66 - $42.92 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Experience in pricing, provider financial economics, reserving, Part D, ACA individual or small group, Medicare Supplement, and stop loss. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad.
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Manage the preparation of monthly Medicare Part D collections reports, reconciling collections to Department of Children and Families (DCF) collections, and organizing financial folders for new admissions, including the distribution of DCF Form 280 for patients or family members receiving SSDI benefits.
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Includes Medicare Advantage, Medicare Part D and Medicare Supplemental Programs, Dental, Vision, Chiropractic, Prescription Drug, Benefits Management, and Disease Management.
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Childrens Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR. We offer care management programs for asthma, diabetes, and high-risk pregnancy.
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The Pharmacy Technician will use the appropriate automation software in order to stock/restock the AcuDose Automated Dispensing Cabinets (ADCs); perform cart refill using the Robot-Rx robot; restock, reconcile, troubleshoot, track/remove medications that are expiring; repackage using the Auto-Print machine; operate the PacMed to repackage medication; and process claims for Medicare Part-D patients (to include billing, correcting, reversing, and resubmitting claims.
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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.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Partner with ERISA counsel and the Benefits Compliance Coordinator to understand changes in regulations in order to effectively communicate changes to retirement call centers and ensure all procedures in place comply with all regulations (Summary of Material Modification, Medicare Part D notices, privacy notices, etc.
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The Segment Marketing Senior Manager will oversee direct-to-consumer (DTC) marketing for the Cigna Medicare Part D (PDP) business, reporting to the VP of Marketing. DTC Marketing Senior Manager - Medicare - Hybrid.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Manages Lifelong staff and volunteer availabilityReserve facilities, maintenance, and set-up and cleaningInitiate outreach calls, mailings, flyers, and other documentation, marketing, and promotional activitiesAssist patients in comparing and enrolling in Medicare Part D plansCheck-in patients attending outreach events and assigning either Pharmacy student group or Lifelong staff volunteer to patient during eventFollow up on any issues that were not able to be resolved during outreach visit.
$20 - $25 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Uses Market Access technical expertise (i.e., coding, reimbursement and payer policies related to Medicare, Medicare Part D, Medicaid, and private insurance) to educate matrix partners , field teams, PMs, and Senior PMs.
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At least 1 years of overall related experience of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment Dependable/Responsible/Accountable.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Completes HealthStream FWA training on an annual basis as required for Medicare Part B and Medicare Part D. CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people.
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medicare part d jobs
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