- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages ... the coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful Part D … more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** Leads and supervises team of pharmacy call center and operations staff responsible to ensure that members have access to ... medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality… more
- Elevance Health (Miami, FL)
- …by law. The Clinical Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare , Medicaid, and the Commercial member populations. ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. **Title:** Pharmacy Technician II **Hours:** 12pm - 8:30pm… more
- CVS Health (Tallahassee, FL)
- …Pharmacy Technician, Aetna Medicare - Work From Home** **(Aetna Medicare Pharmacy Technician)** **BUSINESS JUSTIFICATION:** Aetna Medicare Advantage ... members' adherence to select maintenance medications informs health plans' Medicare Stars quality rating and may lead to better health outcomes. **POSITION… more
- Highmark Health (Tallahassee, FL)
- …efficiencies. + Manage individual projects for timely review with the Director, Clinical Pharmacy . + Participate in Medicare Stars performance measures to drive ... drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to recommendations for… more
- Molina Healthcare (FL)
- …development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, ... providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements… more
- Molina Healthcare (Tampa, FL)
- …keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy , and quality functions. You surface systemic issues, steer partners toward ... * Track record coordinating cross-functional action plans with Enrollment, Claims, Pharmacy , Network, and Member Services * Hands-on experience maintaining evidence… more
- Walmart (Orlando, FL)
- …process Medicare orders to ensure compliance; and interpreting and documenting Medicare audit documents. + Ensures fulfillment of pharmacy prescriptions in a ... ** **What you'll do ** We are hiring Certified Pharmacy Technicians for our Orlando, Florida location. The candidate...a safe and clean work environment. + Complies with Medicare and Medicaid policies and procedures by implementing and… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director, Pharmaceutical Trade ... responsible for managing Prime's Trade Relations program(s) for medical and pharmacy formulary and market access strategies and all related partner/customer… more
- ChenMed (St. Petersburg, FL)
- …We're rapidly expanding and we need great people to join our team. The Pharmacy Technician is responsible for assisting with the practice of pharmacy in ... with state and federal regulations. The incumbent is responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. Duties… more