- Prime Therapeutics (Columbus, OH)
- …decision we make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads the company's ... operations + Experience engaging with regulatory bodies (eg, CMS, OIG, state pharmacy boards) and contributing to internal or external policy initiatives Every… more
- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible for the successful ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more
- Prime Therapeutics (Columbus, OH)
- …make. **Job Posting Title** Vice President Client Engagement - Large Plan - REMOTE **Job Description** The Vice President Client Engagement leads the development and ... experience in sales, account management, and strategy development experience in PBM, pharmacy , health plan and/or managed care + 10 years of leadership/people… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Director, Underwriting - REMOTE **Job Description** The Director of Underwriting is responsible for leading the ... key initiatives to support margin and growth objectives for the self-insured pharmacy market + Ability to negotiate with difficult external audiences and partners… more
- Molina Healthcare (Akron, OH)
- …use of information from multiple sources, including claims/encounters, pharmacy , utilization management, clinical indicators, industry benchmark, and/or ... survey/vendor data. + Submits data to external agencies and quality committees within required timeframes. **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** *… more
- Molina Healthcare (Cleveland, OH)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services… more
- Molina Healthcare (OH)
- …Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate ... healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance reports including forecasts and makes recommendations based on relevant findings. Performs… more
- Cardinal Health (Marysville, OH)
- …for pharmacists because we offer a variety of career opportunities in pharmacy leadership, clinical specialties, remote order entry, business management, ... therapy management and more. **This position is located at Dave's Pharmacy in Marysville** ** Pharmacy Hours:** Monday - Friday 6:00AM - 6:30PM, Saturday 9:00AM -… more
- CVS Health (Columbus, OH)
- …Effectively perform and document monitoring plan activities, including testing (on-site at pharmacy locations and remote ), in accordance with department or ... team's established procedures. + Analyze procedures and results, assess business impacts, and effectively communicate findings in both written and verbal formats. **Reporting/Communication** (15%) + Draft reports that clearly communicate the purpose,… more
- CenterWell (Columbus, OH)
- …decision making **Use your skills to make an impact** **Required Qualifications** + Pharmacy degree from an accredited college of pharmacy (Bachelor of Science ... license from Florida, Texas, Ohio or Arizona Board of Pharmacy + Candidate must reside and work within the...in managed care **Additional Information** + This is a remote position however all candidates must reside in Ohio,… more