- Cardinal Health (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- …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
- Danaher Corporation (Cleveland, OH)
- …goals, and KPIs. Engagement with senior leaders from nursing, emergency medicine, pharmacy , quality, patient safety, risk management , IT, infection control, ... the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient workflow, antibiotic stewardship,… more
- Merck (Columbus, OH)
- …Excellence, People Leadership, Personnel Administration, Pharmaceutical Medical Affairs, Pharmacy Regulation, Project Human Resource Management , Project ... and disease expert (MD, PhD, PharmD, DNP, or DO) who owns leadership, management , and full accountability for a regional, field-based team of Regional Medical… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) ... members across all lines of business to review the benefits of the MTM program. This position speaks with...Services (CMS) compliance compliant + Utilize Prime's MTM process management system to record member specific information + Assess… more
- CenterWell (Columbus, OH)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records… more
- Walgreens (Canton, OH)
- …needs, servicing until satisfied, etc.). **Operations** + Learn from store, pharmacy , district manager, competitors and customers/patients + Engage in a kick-off ... package). + Learns to analyze inventory trends and supervises inventory management , including ordering items, keeping stock, and liquidating stock and leveraging… more
- Highmark Health (Columbus, OH)
- …ownership, definition, implementation, and continuous evolution of complex Specialty Pharmacy programs that include comprehensive program management , product ... program dashboards, actively monitoring program health, and collaborating with Pharmacy Analysts/Consultants for variance investigations, inquiries, and audits. +… more
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