- Kelly Services (Rochester, NY)
- …reviews as permitted by law. Reviews are conducted in accordance with pharmacy management drug policies and procedures. Responsibilities include preparing and ... Prior Authorization Technician performs initial-level processing and review of prior authorization requests for both pharmacy ...interpreting cases for Utilization Management (UM) reviews and acting as a content expert… more
- Evolent (Albany, NY)
- …You'll Be Doing:** Evolent is seeking an experienced health care Director /Senior Director of Product Management to help Evolent partner with provider ... Qualifications:** + Bachelor's degree required. Master's degree in Nursing, Pharmacy , or a related field preferred. + At least...a related field preferred. + At least five years of health care technology Product Management experience,… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Responsible for the overall management of drug access for high-cost specialty and ... of medical necessity is needed or if physician-to-medical director conversation is needed for approval outside of...of high patient satisfaction and high overall drug management process. Other duties as assigned. **MINIMUM EDUCATION &… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details Under the direction of corporate pharmacy director , the 340b pharmacy analyst is ... and billing services for Outpatient Services (ie clinics, infusion center)- management of medication procurement, storage, distribution, purchasing, inventory… more
- J&J Family of Companies (New York, NY)
- …patient obstacles including knowledge of Buy & Bill, Medical Benefit and Assignment Of Benefit (AOB), specialty pharmacy , pharmacy benefit and site of ... Other duties may be assigned as needed. All responsibilities of the Associate Director will be carried...or other related graduate level degree preferred + Knowledge of reimbursement principles including pharmacy and medical… more
- Sumitomo Pharma (Albany, NY)
- …clinical operations activities. + Provide oversight in the selection, training, and management of study personnel, Contract Research Organizations (CROs), and ... us on LinkedIn (https://c212.net/c/link/?t=0&l=en&o=4190475-1&h=2504638834&u=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fsumitomo-pharma-america%2F&a=LinkedIn) . **Job Overview** The **Senior Director , Clinical Trials Management ** is responsible for… more
- Trinity Health (Syracuse, NY)
- …to the assigned service budget. + Signing authority as assigned by the Director . **Operational** + Ensures the daily operations of the service, including ... ordering, inventory control and diversion prevention. + Contributes to the development of the pharmacy by projects, task force and committee involvement… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Medical Director , Post-Acute Care Utilization Management ** to join #TeamMVP. If you ... and handling first-level appeals. + Collaborate with Utilization Management , Case Management , Quality Department and other areas of the Health Management… more
- Ankura (Lexington, NY)
- …. Delivering timely, exceptional work product . Strong time management and project management skills with a high level of attention to detail, planning and ... Ankura is a team of excellence founded on innovation and growth. Ankura's...with backgrounds in compliance, regulatory, legal, audit, operations, nursing, pharmacy , medical science, economics, accounting, and data science. As… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical ... Services area including, but not limited to, Medical and Pharmacy Utilization Management , quality management , member care management , and medical policy… more