- Henry Ford Health System (Detroit, MI)
- …with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations , Compliance, FDR oversight activities, Quality Management, Care ... GENERAL SUMMARY: Under the direction of the Compliance Audit Manager , the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess… more
- US Tech Solutions (Houston, TX)
- …by the Aetna Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations Manager , you will work with physician office staff ... and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and provide… more
- US Tech Solutions (GA)
- …reviewed by the Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations Manager , you will work with physician office staff ... will provide processing and communication of specialty medication prior authorization (PA) requests...and customer service, admissions and pharmacy operations departments to communicate prior authorization… more
- Sharp HealthCare (San Diego, CA)
- …of our members related to their medical, behavioral health and pharmacy needs. This position also provides the physician cohesive collaboration necessary ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...our members related to their medical, behavioral health and pharmacy needs. + Responsible and accountable to the Chief… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... growth and development Key Performance Indicators: + Market Provider and operations team experience of CIT, measured by achieving meaningful patient-provider… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …outpatient follow up visits, post discharge follow-up and managing care with specialty and sub- specialty medical providers. Responsibilities The VA Midwest ... Care Department clinic. Provides physical/history and medical instruction to pharmacy students, within her Primary Care Department clinic. Provides instruction… more
- Henry Ford Health System (Troy, MI)
- General Summary: Reporting to the Finance Manager , System Clinical Departments, Ambulatory Operations & Behavioral Health Services, the Financial Consultant will ... support the operational finance activities of System Clinical Departments ( Pharmacy , Pathology, Radiology, Emergency Medicine, Surgical Services and Anesthesiology)… more
- Genesis Healthcare (Bethel Park, PA)
- …out our mission, we embrace the following pillars in our day-to-day operations . Responsibilities The Advanced Practice Provider reports directly to the Director of ... Clinical Practice and/or the Area Clinical Practice Manager . The Advanced Practice Provider collaborates on-site with the...Master's Degree in Nursing and have a concentration and specialty track of Older Adult and/or Family Nurse Practitioner… more
- Genesis Healthcare (Sissonville, WV)
- …out our mission, we embrace the following pillars in our day-to-day operations . Responsibilities The Advanced Practice Provider reports directly to the Director of ... Clinical Practice and/or the Area Clinical Practice Manager . The Advanced Practice Provider collaborates on-site with the...Master's Degree in Nursing and have a concentration and specialty track of Older Adult and/or Family Nurse Practitioner… more
- Genesis Healthcare (Scarborough, ME)
- …out our mission, we embrace the following pillars in our day-to-day operations . Responsibilities The Advanced Practice Provider (NP/PA) reports directly to the Area ... Clinical Practice Manager and/or the Director of Clinical Practice. The Advanced...Master's Degree in Nursing, will have a concentration and specialty track of Adult/Geriatrics and/or Family Nurse Practitioner (FNP)… more
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