• Retail Account Manager, Vaccines

    Pfizer (Tallahassee, FL)
    …of sales and marketing in pharmaceuticals or related industries + Preferred: Prior account management experience in retail pharmacy or large organized ... **Role Summary** The Retail Pharmacy Account Manager (RAM) is responsible for developing...parts of the organization (including field and HQ) + Prior team management and/or account management preferred or an… more
    Pfizer (01/15/26)
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  • Field Access Manager - Long Island, NY - Brooklyn…

    Merck (Tallahassee, FL)
    …and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in ... B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization , and appeal processes * Expertise in pharmaceutical… more
    Merck (01/17/26)
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  • Clinical Pharmacist, Formulary Strategy

    CVS Health (FL)
    …Insured Business + Collaborate with Utilization Management to develop and implement Prior Authorization Criteria specific to Aetna. **Cost of Care Initiatives** ... resource for the Health Plan for all issues/concerns that are pharmacy related. This is a remote role open to qualified candidates within the United States, with… more
    CVS Health (01/17/26)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Pompano Beach, FL)
    …billing. + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization , coding, and appeals processes) + Ability to ... + Immunology disease state experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
    J&J Family of Companies (01/17/26)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …physician, referral source and provider interactions and communications. Work with Pre- Authorization , Utilization Management, Billing, Pharmacy , Home Care and ... management and accurately process incoming requests for homecare, DME/supplies and pharmacy /infusion services meeting the timeline expectations as outlined in the… more
    Humana (12/24/25)
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  • Nurse Case Manager - Site of Care

    Elevance Health (Lake Mary, FL)
    …**Preferred Skills, Capabilities and Experiences:** + Background in utilization review, prior authorization , specialty pharmacy , or infusion therapy ... clinical judgment, analytical thinking, and ability to interpret clinical and pharmacy documentation preferred. + Exceptional written and verbal communication skills… more
    Elevance Health (01/16/26)
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  • Outbound Benefit Verifications Care Manager

    TEKsystems (Tampa, FL)
    …plan types listed above using call‑guide prompts. Skills insurance verification, prior authorization , medical insurance, Customer service, Multi tasking, Call ... Role Summary Care Managers conduct high‑volume outbound calls to payors/ pharmacy benefit managers (PBMs) to determine whether commercially insured patients… more
    TEKsystems (01/10/26)
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