- Prime Therapeutics (Austin, TX)
- …the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for ... stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy … more
- CenterWell (Austin, TX)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical … more
- CVS Health (Austin, TX)
- …urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and prior ... robin based on "same or similar specialty" needs. * Pharmacy coverage - The medical director will...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
- RxBenefits (Houston, TX)
- …that meet client needs. The Director is ultimately responsible for a pharmacy benefits relationship that meets client intent for access, service and ... category management approaches. + Proactively consults broker/client on recommended benefit design and formulary approaches. + Ensures modeling and reporting are… more
- Humana (Austin, TX)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- The Cigna Group (Plano, TX)
- …Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. ... **JOB SUMMARY** The Director Health Systems Sales will lead a Sales...strong blend of strategic vision, operational execution, and relationship management to lead our efforts in the hospital and… more
- UT Health San Antonio (San Antonio, TX)
- Medical Director of TDI Diabetes Research Unit (Open Rank) San Antonio ... Joe R. Teresa Lozano Long School of Medicine, at UT Health San Antonio Director of Clinical Research, Texas Diabetes Institute The Division of Diabetes, in the… more
- WTW (Austin, TX)
- **Description** As a Health and Benefits Associate Director , you will be a leader on the client service team and will be responsible for fostering relationships ... management for the full array of health and benefits programs. You will have the opportunity to generate...Facilitating specialist resources and subject matter experts in health management , absence and disability management , pharmacy… more
- The Cigna Group (Austin, TX)
- …architecture with real-world execution. **Nice to Have** + Prior **PBM/specialty pharmacy ** platform knowledge (eg, claims/ benefit management , care ... a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services...Risk & Compliance** : Integrate **CIP** standards (eg, change management , supplier security, data handling) into architecture guardrails and… more
- Molina Healthcare (San Antonio, TX)
- …provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice, capitation, HMO ... and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and… more