- Molina Healthcare (Jacksonville, FL)
- …group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . * Assumes ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- CVS Health (Tallahassee, FL)
- … Benefits Verification Department, and to provide direction to the staff within Pharmacy operations to ensure to ensure patient benefits are verified in ... supervisory experience in a related environment **Preferred Qualifications** + Specialty pharmacy experience. + Bachelor's Degree within Business, Management or… more
- Walmart (Orlando, FL)
- …missed counts incorrect labels or product Provides direction and guidance to pharmacy technicians by ensuring proper management of pharmaceutical equipment and ... label and packaging information are included with prescriptions Assists in the management of patient medication therapy andor service coordination by ensuring the… more
- Cardinal Health (Tallahassee, FL)
- …customer service and enrollment activities as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. ... Cardinal Health Sonexus Health Pharmacy Services helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain… more
- Sharecare (Tallahassee, FL)
- …parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending ... from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card… more
- Highmark Health (Tallahassee, FL)
- …and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will utilize ... The role involves executing all facets of the Informatics project management process, leading multiple project managers, and potentially guiding, mentoring, or… more
- Prime Therapeutics (Tallahassee, FL)
- …decision making with the client, or Prime leadership + Work directly with account management to optimize the pharmacy spend through adoption and expanded use of ... at times, lead client-facing initiatives; provide input into, and client management support for initiatives such as implementations, setting performance standards,… more
- Vertisis (Fort Lauderdale, FL)
- …and seminars Qualifications: + 2-3 years experience in sales, account management , or business development; healthcare, pharmacy , or pharmaceutical experience ... Account Consultant Location: Florida Employment Type: Full Time with Benefits (Medical, Life, Dental, Vision, and 401k) Schedule: Monday...(No nights and no major holidays!) About Vertisis Custom Pharmacy : Vertisis Custom Pharmacy is a leading… more
- Molina Healthcare (Tampa, FL)
- … management , network contracting and provider relations, member services, claims management , payment integrity, pharmacy , quality and risk adjustment. * Acts ... a national business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services) in the development and execution of care … more
- AmeriHealth Caritas (Miami, FL)
- …those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health ... projects and assignments. + Align and create contract records in the contract management system with 95% accuracy. + Monitor electronic contract files and ensure… more