• Behavioral Health Utilization Management

    AmeriHealth Caritas (LA)
    …those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health ... management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately… more
    AmeriHealth Caritas (11/19/25)
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  • Provider Relations Manager HP

    Molina Healthcare (Lincoln, NE)
    …such meetings would occur to discuss and resolve issues related to utilization management , pharmacy , quality of care, and correct coding. * Independently ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
    Molina Healthcare (12/11/25)
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  • Representative, Dental Provider Services

    Molina Healthcare (Ann Arbor, MI)
    …Such meetings would occur to discuss and resolve issues related to utilization management , pharmacy , quality of care, and correct coding, for example. + ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more
    Molina Healthcare (12/06/25)
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  • Pharmacist-in-Charge

    Omnicell (Fort Worth, TX)
    …continuing education requirements + Three years of experience in the practice of pharmacy **Preferred Qualifications:** + Two years of management experience in ... where you can empower your career and help transform pharmacy to dramatically improve patient care. If any of...weekends off and work a set schedule Monday-Friday. Excellent Benefits : Your benefits start on your first… more
    Omnicell (11/25/25)
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  • Consultant, Territory Sales - Pharmacy

    Cardinal Health (Los Angeles, CA)
    **_What Territory Management contributes to Cardinal Health_** **_**This territory will cover Los Angeles**_** Direct Sales is responsible for driving sales and ... contact to meet individual and organizational sales objectives. Territory Management is responsible for cold calling, prospecting and building relationships… more
    Cardinal Health (12/03/25)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …referral management education to members and providers regarding medical benefits , referral status and prior authorizations. Communicate with patient to confirm ... source and provider interactions and communications. Work with Pre-Authorization, Utilization Management , Billing, Pharmacy , Home Care and DME regarding referred… more
    Humana (12/13/25)
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  • Workers' Compensation Claims Manager

    Flynn Restaurant Group (Independence, OH)
    …including Medicare reporting. + Oversee vendor partnerships (eg, defense firms, nurse case management , pharmacy benefit managers) to optimize outcomes and ... and program performance. Reporting to the Director of Risk Management , the Workers' Compensation Claims Manager will partner closely...Work For Flynn?** Flynn Group offers a variety of benefits and perks to encourage and empower our employees.… more
    Flynn Restaurant Group (11/30/25)
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  • Clinical Pharmacist

    HCA Healthcare (Independence, MO)
    …Active pharmacist license in good standing with the appropriate State Board of Pharmacy + State Specific Medications Therapy Management Certification + At least ... 7pm-6:30 (overlap 30 minutes with "2" pharmacist who comes in at 6:00am)** ** Benefits ** Centerpoint Medical Center offers a total rewards package that supports the… more
    HCA Healthcare (12/05/25)
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  • Clinical Pharmacist Float

    HCA Healthcare (Independence, MO)
    …Active pharmacist license in good standing with the appropriate State Board of Pharmacy + State Specific Medications Therapy Management Certification + At least ... to support our incredible team members over the course of three years. ** Benefits ** Centerpoint Medical Center offers a total rewards package that supports the… more
    HCA Healthcare (10/13/25)
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  • Critical Care Clinical Pharmacist

    HCA Healthcare (Independence, MO)
    …Active pharmacist license in good standing with the appropriate State Board of Pharmacy + State Specific Medications Therapy Management Certification + At least ... your application for the opportunity below:Clinical PharmacistCenterpoint Medical Center ** Benefits ** Centerpoint Medical Center, offers a total rewards package that… more
    HCA Healthcare (10/13/25)
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