Who will benefit from the courses?
The courses are designed for professionals who want to work in managed care but may have little or no experience. The course was designed by PSyn's CEO, Ranarda Jones who entered the Managed Care industry as Director of Medicare Pharmacy Services for a local Blues plan. Ranarda transitioned into the role from retail pharmacy. What she learned during her first six months is the foundation of the course. After five years she started PSyn and now six years later has designed a course that will provide the learner everything needed to start a similar career.
Example Curriculum
- Medicare Guidance Overview (1:40)
- Ch.9 Compliance Program (2:58)
- Ch.6 Part D Drugs and Formulary Requirements (16:46)
- Ch.7 Medication Therapy Management Program (MTMP) (3:09)
- CDAG Guidance (21:56)
- Medicare Guidance Quiz
- Inflation Reduction Act Overview (9:12)
- IRA--Part D Payment Stages Updates (10:07)
- IRA--Medicare Prescription Drug Payment Plan (M3P) (12:52)
- IRA Quiz
- Member Communications (2:10)
- Explanation of Benefits (EOB) (14:42)
- Annual Notice of Change (ANOC) (8:34)
- Evidence of Coverage (EOC) (1:05)
- Late Enrollment Penalty (LEP) (1:27)
- Low-income Subsidy (LIS) rider (0:56)
- Coverage Determination Letters (0:36)
- Formulary Documents (2:12)
- Pharmacy Directory (0:36)
- MTM, UM Criteria, Transition Statements (2:11)
- Member Communications Quiz
Free List of Acronyms
Download a free list of commonly used acronyms in the Managed Care industry.
You can also download one of the classes from our Medicare 101 module to learn more about the Part D coverage stages.
