- Walmart (Orlando, FL)
- …missed counts incorrect labels or product Provides direction and guidance to pharmacy technicians by ensuring proper management of pharmaceutical equipment and ... label and packaging information are included with prescriptions Assists in the management of patient medication therapy andor service coordination by ensuring the… more
- The Cigna Group (Bloomfield, CT)
- …customers. He/she will serve as a clinical educator and consultant to utilization management , case management , network, contracting, pharmacy , and service ... health care administration. **Major responsibilities and required results:** + Performs benefit -driven medical necessity reviews for coverage, case management ,… more
- Elevance Health (Denver, CO)
- …of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits . By leveraging the power of new technologies, our strong, ... clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry. **Build the Possibilities. Make an Extraordinary… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to ensure deadlines are met. Works in conjunction with the Pharmacy Benefit Manager (PBM) and Formulary Management software vendor to execute on all ... all Medicare Part D formulary creation and submissions, which includes utilization management criteria development for the current and upcoming contract years. This… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …where associates want to work and help communities thrive. **Clinical Pharmacy Specialist - Anderson Hospital** **Job Summary:** This role delivers patient ... and coordinate the care provided by health team members. The Clinical Pharmacy Specialist participates in clinical programs and initiatives >90% of the time… more
- Sharecare (Albany, NY)
- …parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending ... from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card… more
- Rush University Medical Center (Chicago, IL)
- …and maintain the Willow application to support clinical workflows, enhance medication management , and streamline pharmacy processes. You'll work closely with ... AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits ...role where your work directly impacts patient care and pharmacy operations. At Rush, you'll be part of a… more
- Highmark Health (Trenton, NJ)
- …and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will utilize ... The role involves executing all facets of the Informatics project management process, leading multiple project managers, and potentially guiding, mentoring, or… more
- Sanofi Group (Cambridge, MA)
- …and provider support services, co-pay assistance, patient assistance programs, specialty pharmacy distribution, REMS and/or case management experience + ... demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the… more
- Bausch + Lomb (Bridgewater, NJ)
- …teams is a plus. + Familiarity with utilization management practices across Pharmacy and Medical Benefit products. + Strong grasp of payer landscape and ... + Lomb's Job Offer Fraud Statement (https://performancemanager.successfactors.eu/doc/custom/BauschLomb/Bausch\_job\_posting\_statement.docx) . Our Benefit Programs: Employee Benefits : Bausch + Lomb… more