- LA Care Health Plan (Los Angeles, CA)
- …(Member Services, Product Network Operations (PNO), Claims, Utilization Management (UM), Pharmacy , Medicare Enrollment/Disenrollment, Sales and ... Coordination of care for complex cases which may involve benefit coordination, continuity of care, access to care, quality...and plan partners: 1) Long Term Care (Exhaustion of Benefits ); 2) Move out of County; 3) Major Organ… more
- Gilead Sciences, Inc. (Tampa, FL)
- …thought-leaders, academic institutions, large group practices, medical directors, and pharmacy directors. + Excellent project management and organizational ... insurance plans*. For additional benefits information, visit: https://www.gilead.com/careers/compensation- benefits -and-wellbeing * Eligible employees may participate in benefit… more
- Carle Health (Normal, IL)
- …internal healthcare team members (quality improvement, risk manager, social workers, pharmacy , therapy services, etc.)Performs case management activities of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for… more
- Cardinal Health (Trenton, NJ)
- …Cardinal Health's enterprise footprint to bring integrated solutions - distribution, practice management , specialty pharmacy services and analysis - directly to ... Collaboration_ + Partner with internal stakeholders to deliver holistic solutions that benefit the entire enterprise + Influence across business units to align… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …monthly + Manager's meeting monthly + Medication Safety monthly + Risk Management monthly + Pharmacy and Therapeutics quarterly + Performance Improvement ... apply for positions. To learn more about working at NeighborHealth and our benefits , please visit out our Careers Page (http://careers.ebnhc.org) . Time Type: Full… more
- HCA Healthcare (Kingwood, TX)
- …based on individual patient needs including but not limited to case management , dietary, pharmacy , cardiopulmonary, laboratory, and radiology. + Enhances ... spend more time at the bedside with the patient. ** Benefits ** HCA Houston Healthcare Kingwood - Fall Creek FSED,...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting ... What you will do: + Connect with Payers and Pharmacy Benefit Managers via outbound calls to...verify patient insurance coverage and uncover available Medical and Pharmacy benefits . + Communicate case details to… more
- Gentiva (Milwaukee, WI)
- …interdisciplinary group (IDG) meetings to coordinate patient care and medication management . + Monitor pharmacy utilization, ensuring appropriate medication ... maintaining professional standards and compliance with hospice regulations. **We Offer** ** Benefits for All Associates (Full-Time, Part-Time & Per Diem):** +… more
- AmeriHealth Caritas (Philadelphia, PA)
- …need it most. Our offerings include integrated managed care products, pharmaceutical benefit management , specialty pharmacy services, behavioral health ... development for new configuration auditors. Additional duties include assisting management with audit reviews, representing configuration auditing in meetings, and… more
- Bristol Myers Squibb (Princeton, NJ)
- …healthcare industry experience, with significant experience in global pharmaceutical safety risk management and benefit -risk management . + Strong knowledge ... of processes and global regulations for pharmacovigilance and benefit -risk management . + Demonstrated success in navigating a highly matrix-based organization to… more