- AbbVie (Irvine, CA)
- …retail pharmacy , and distribution channel preferred + Experience in program management within pharmacy and distribution channel + Strong communication skills ... responsibility for select products to one requiring development of complex pharmacy and distribution strategies across our entire portfolio of products in… more
- Sedgwick (Sacramento, CA)
- …+ Knowledge about general claim practices. + Knowledge of pharmacy processes and pharmacy benefit management a plus. + Understanding of pain ... is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. + Generating phone calls to… more
- Sharp HealthCare (San Diego, CA)
- …referral management , prior authorization, Case Management and Disease Care Management and Pharmacy . Manages the operations of the Hospital Case ... procedures that have direct impact on the Hospital Case Management , Ambulatory Case Management and Pharmacy...of managed care, capitation, provider payment mechanisms and member benefits . + Demonstrated experience and the ability to lead… more
- LA Care Health Plan (Los Angeles, CA)
- …with internal departments (Member Services, Provider Network Operations, Claims, Utilization Management , Pharmacy , and Quality Management ) to ensure ... work collaboratively with multiple departments (Claims, Provider Network Operations, Utilization Management , Quality Management , Pharmacy ) to appropriately… more
- Sharp HealthCare (San Diego, CA)
- …functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and ... , and concurrent and retrospective rev1ew process. + Participates in risk management , pharmacy utilization management , catastrophic case review, outreach… more
- Sacramento County (Sacramento, CA)
- Pharmacy Technician *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4153385) Apply Pharmacy Technician *Revised Salary ... Opening Date 05/23/2025 Closing Date 11/14/2025 5:00 PM Pacific + Description + Benefits + Questions The Position This is a continuous filing exam. Next filing… more
- Sanofi Group (San Francisco, CA)
- …industry or other relevant experience, + Previous experience in specialty biologics, pharmacy benefit reimbursement/access, specialty pharmacy , and/or Market ... maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Dupixent + Establish positive… more
- Providence (Burbank, CA)
- …a closely related field or equivalent education/experience. + 4 years of Management experience in a health care environment, pharmacy business-related preferred ... **Description** Manager Pharmacy Business - Home Infusion - St. Joseph...and accountability for: front end revenue cycle including insurance benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new… more
- Highmark Health (Sacramento, CA)
- …+ Accountability for escalated or complex issue resolution. + Develop business and pharmacy benefit solutions to satisfy mutually agreed upon goals and ... , steering committees and/or project sponsors. + Research and develop competitive pharmacy benefit offerings and ensure proper positioning in the marketplace.… more
- Walmart (Roseville, CA)
- …and administering other programs developed by Walmart in compliance with Board of Pharmacy statutesregulations Drives sales and profit in the Pharmacy and OTC ... as required by Company policies and local State and Federal guidelines Manages Pharmacy Operations Conducts Associate meetings to identify and respond to their needs… more