- CVS Health (Lansing, MI)
- …And we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of ... internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Trinity Health (Livonia, MI)
- …**Description:** **This position will require 25% to 45% travel.** **POSITION PURPOSE** The Pharmacy Director Long Term Care Operations is a licensed registered ... processes and / or programs that support direct or indirect patient care. The Pharmacy Director , Long Term Care Operations promotes and advocates for patients,… more
- BrightSpring Health Services (Warren, MI)
- …can provide opportunities for advancement for individuals looking for career progression! The Pharmacy Director is responsible for directing workforce in the day ... Our Company PharMerica Overview PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and meeting the pharmacy needs for… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...National and Local Coverage Determinations, CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate.… more
- RxBenefits (Detroit, MI)
- In this multi-disciplinary, cross functional role, the Senior Manager, Pharmacy Pricing will report to the Director , Pharmacy Pricing & Analytics. The Senior ... involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will be able to manage..._RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total… more
- Henry Ford Health System (Detroit, MI)
- …Location: Detroit, MI - Elijah McCoy Campus, Centralized Pharmacy Service Center The Pharmacy Manager reports to Director of Pharmacy and works closely ... Henry Ford Health is seeking a Pharmacy Manager for our Revenue Cycle team. This...Ford academic healthcare campus. Learn more at henryford.com/careers . Benefits The health and overall well-being of our team… more
- Henry Ford Health System (Bingham Farms, MI)
- GENERAL SUMMARY: Reports to the Director of Pharmacy and works closely with the Administrative Manager(s) in charge of Pharmacy Operations. Is responsible ... for managing the provision of all patient care related pharmacy services for patients in the assigned area. Provides...Ford academic healthcare campus. Learn more at henryford.com/careers . Benefits The health and overall well-being of our team… more
- Highmark Health (Lansing, MI)
- …multiple projects while successfully meeting all deadlines + Familiarity with pharmacy benefit management processes or operations **SCOPE OF RESPONSIBILITY** ... Description :** **JOB SUMMARY** This job supports the VP, Pharmacy in managing the overall Pharmacy program...the VP, Pharmacy in managing the overall Pharmacy program administration associated with the respective client portfolio… more
- RxBenefits (Detroit, MI)
- …that meet client needs. The Director is ultimately responsible for a pharmacy benefits relationship that meets client intent for access, service and ... of the PBM marketplace; state/regional legal requirements impacting client's benefits , carriers, underwriting requirements, and benefit /service/product offerings.… more
- Humana (Lansing, MI)
- …on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, ... health plan. The individual leverages a broad understanding of managed care and pharmacy benefit management (PBM) to develop and implement strategies and… more