- CenterWell (Sacramento, CA)
- …a part of our caring community and help us put health first** The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting ... and pricing including development, implementation, and maintenance. The Senior Pharmacy Contracting Professional work assignments involve moderately complex… more
- Centene Corporation (Sacramento, CA)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter ... everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is...expert and handles more complex pharmacy issues and respond to escalated calls from members,… more
- Elevance Health (Los Angeles, CA)
- ** Pharmacy Benefit Manager Process Expert Senior ** **Hybrid:** This role requires associates to be in-office **1 - 2 days per week** , fostering collaboration ... Monday - Friday, 8:00am - 5:00pm Eastern Time The ** Pharmacy Benefit Manager Process Expert Senior ** supports...platforms such as AWS, GCP/CDP or Azure preferred. + Pharmacy Benefit Management Experience, Claims Experience, Experience… more
- BrightSpring Health Services (Union City, CA)
- … solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled ... individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and...Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim… more
- Highmark Health (Sacramento, CA)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …The Chemistry, Manufacturing and Controls (CMC) Global Regulatory Affairs (GRA) professional is responsible for developing and executing global regulatory strategies ... to CMC RA function. **Qualifications** **Education** : + BS/MS/PhD in Chemistry, Pharmacy , or related scientific discipline. + RAC certification will be a plus.… more
- Royal Electric (Sacramento, CA)
- …documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost ... Dependent care (Daycare children & elderly - work related), & Transit + Pharmacy discounts + Kisx Card (Surgery & Imaging Program) + Opportunity for tuition… more
- Humana (Sacramento, CA)
- …operational, professional , and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs Plan ... problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director, internally known as a Clinical Pharmacy Lead, plans,… more
- CenterWell (Sacramento, CA)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Reporting: Monitor and report on key performance indicators (KPIs) to senior leadership, identifying opportunities for improvement and risk mitigation. + Training ... and quality system execution. **Qualifications** Required + Bachelor's degree in Pharmacy , Chemistry, Biology, Engineering, or related field (Master's or PhD… more