- UPMC (Pittsburgh, PA)
- …clinical, quality, and efficiency improvements through the management of the Formulary, Prior Authorization , and other clinical programs. This role is ... Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a work-from-home position but… more
- CenterWell (Harrisburg, PA)
- …Qualifications** + Pharmacy Benefit Management experience + Prior Authorization experience Travel: While this is a remote position, occasional travel ... community and help us put health first** The Clinical Pharmacy Technician assists the interdisciplinary CIT team with medication-related...act as facilitator to resolve them with regard to prior authorization or obtaining medications. + Attend… more
- Dragonfly Health (Wexford, PA)
- …in equianalgesic dosing, generic and therapeutic substitution, formulary management, and prior authorization workflows. * Strong understanding, competency and ... remote clinical consultation environment preferred * Familiarity with pharmacy benefit management (PBM) services preferred Specialized Knowledge, Skills &… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. ... seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage… more
- GE Aerospace (Trevose, PA)
- …for this role is Cincinnati, Ohio. However, should a candidate require a remote working arrangement, the hiring team can be flexible to accommodate a working ... sustain operational processes for delivering data and insights + Prior people leadership experience + Acts as a role...a role model of our GE Leadership Behaviors Work Authorization Requirement: GE Aerospace will not sponsor individuals for… more
- GE Aerospace (Erie, PA)
- …for this role is Cincinnati, Ohio. However, should a candidate require a remote working arrangement, the hiring team can be flexible to accommodate a working ... travel up to 30% (domestic US and International) Work Authorization Requirement: GE Aerospace will not sponsor individuals for...sustain operational processes for delivering data and insights + Prior people leadership experience + Acts as a role… more
- Cardinal Health (Harrisburg, PA)
- …enrollment /reimbursement activities, benefit investigations for product benefit coverage, prior authorization assistance, copay enrollment, and other patient ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- Penn Medicine (Philadelphia, PA)
- …and current patients accessing the University of Pennsylvania Health System/Penn Medicine remote and in person services that are supported by PSS programs (Penn ... needed language capabilities need to be trained to provide in person and remote interpreter services as needed. Care Coordinators also need to be knowledgeable and… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …medications, including benefit verifications, non-clinical case management, prior authorization and appeal support, and specialty pharmacy triage. The ... operational experience, with at least 2-3 years of leadership experience. + Prior management experience in a patient support hub or healthcare setting preferred.… more
Recent Jobs
-
Principal Product Manager, AI Platform
- J&J Family of Companies (Santa Clara, CA)