- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …program leadership, education, and collaborative team-based care. As the Liver Transplant Medical Director , you will be a key member of a nationally recognized ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Sojourner House (Pittsburgh, PA)
- …with 2+ years' related mental health experience. Previous experience with medical claim forms. + Ability to obtain mental health certification within two years ... or other drug dependence be abstinent for at least two (2) years prior to employment and remain abstinent throughout employment. + Support organization's mission… more
- Evolent (Harrisburg, PA)
- …at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client ... Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be available. **What You Will Be Doing:** + Reviewing… more
- Highmark Health (Wexford, PA)
- …for a 1-year commitment This position supports the network centralized prior authorization department. Coordinates and administers the effective and efficient ... processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits are administered...cases for clinical review by a pharmacist and/or medical director when required. (20%) + Within the context of… more
- Sanofi Group (Pittsburgh, PA)
- …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center procedures and… more
- CVS Health (Harrisburg, PA)
- …an exciting opportunity to join it's CVS Health's leadership team as a Director , Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role, ... have the following key attributes: + 10+ years of prior underwriting or financial analysis experience + 8+ years...and financial models. + Understanding of healthcare and pharmacy claims data and common tools used to manipulate data.… more