- Humana (Tallahassee, FL)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- AssistRx (Orlando, FL)
- …iAssist, Hub Lite, Therapy Initiation, Prior Authorization, Benefits Verification, and specialty pharmacy connectivity - helps ensure patients start and ... some of the most complex challenges in healthcare. The Director of Revenue Cycle Management is a strategic and...or related field). + Experience in healthcare, pharma services, specialty pharmacy , or patient access programs. +… more
- Merck (Tallahassee, FL)
- …Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry ... **Job Description** Associate Director , Field Access Management The Associate Director...ongoing maintenance of standard operating procedures (SOPs) regarding Hub, specialty pharmacy , field access managers, and appropriate… more
- Molina Healthcare (Tampa, FL)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Grifols Shared Services North America, Inc (Kissimmee, FL)
- …Knowledge across multiple market access channels including payer, PBM, IDN, distribution, specialty pharmacy , GPOs * Working knowledge of legal, financial, ... and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing… more
- Centene Corporation (Tallahassee, FL)
- …+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- CVS Health (Tallahassee, FL)
- …are evidence-based. * Work collaboratively with the Behavioral Health, Pharmacy , Member Outreach, Care Management, National Quality Management, Utilization ... through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical coverage review, member… more
- Sumitomo Pharma (Tallahassee, FL)
- …and market dynamics including payer-reimbursement challenges + Buy and Bill and specialty pharmacy vendor management experience highly preferred; experience in ... a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face… more
- Specialty Rx, Inc. (Orlando, FL)
- Job Description Our Company: SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. ... SpecialtyRx takes pride in delivering personalized care and quality pharmacy services. NOTICE: SpecialtyRx is seeking an Client Services Manager located in the… more
- Evolent (Tallahassee, FL)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more