• RN Case Manager - Value Based Service Org - Full…

    University of Southern California (Alhambra, CA)
    …individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific ... 10. Demonstrates collaborative working relationship with care team members, including pharmacy , behavioral health, field team, office staff, and facility staff. 11.… more
    University of Southern California (11/19/25)
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  • Revenue Cycle Project Manager/Full Time/Hybrid

    Henry Ford Health System (Troy, MI)
    GENERAL SUMMARY: The Transaction Flow (TF) Consultant is responsible for leading and supporting teams through the design and implementation of initiatives that focus ... team-based root cause analysis of edits and denials. TF Consultant should utilize knowledge of Epic optimization to implement...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
    Henry Ford Health System (10/13/25)
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  • Member Appeal Analyst

    Corewell Health (Grand Rapids, MI)
    …claims payments, billing and enrollment, care management, medical, pharmacy and behavioral health authorizations, customer service interactions, prescription ... in plan documents have been interpreted accurately and consistently, determine if pharmacy and medical policies have been applied appropriately or if additional… more
    Corewell Health (11/26/25)
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  • Senior Director Business Development

    HCA Healthcare (Nashville, TN)
    …execution of go to market execution Includes ongoing building and nurturing consultant and broker relationships, prospective organizations and the full spectrum of ... do in this role:** + Meet/ exceed annual sales growth goals for HealthTrust pharmacy division + Serve HealthTrust PBM Program expert to external constituents in the… more
    HCA Healthcare (11/26/25)
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  • Manager of Compliance and Clinical Operations

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …improve processes and procedures. + Acts as liaison for Boards of Pharmacy and related overseeing authorities throughout US + Oversee the development, ... at HealthDirect. + Responsible for the development, and management of the consultant pharmacists. + Responsible for completing all mandatory and regulatory training… more
    KPH Healthcare Services, Inc. (11/14/25)
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  • Solution Product Owner, SharePoint - Remote

    Prime Therapeutics (Lansing, MI)
    …Solution Product Owner, SharePoint - Remote **Job Description** The Solution Product Consultant is responsible for support of the product development team in their ... Experience working in an agile environment + Experience in Pharmacy Benefit Management (PBM) or related industry Every employee...we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want… more
    Prime Therapeutics (11/05/25)
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  • Lead Lvn/Lpn

    BrightSpring Health Services (Marietta, OH)
    …may be directed by Nursing Department Managers. Responsibilities + Acts as a consultant to other departments to ensure optimum growth potential of developed programs ... Effectively manages and maintains nursing budget + Maintains and updates nursing, pharmacy , infection control, health and safety policies and procedures + Carries… more
    BrightSpring Health Services (11/04/25)
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  • Primary Care Physician Lead

    CenterWell (Atlanta, GA)
    …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization ( pharmacy management) to impact Part D per Member ... others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.… more
    CenterWell (10/22/25)
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  • Health Facilities Evaluator, Nursing

    The County of Los Angeles (Los Angeles, CA)
    …services, administrative management, ethical practices, and infection control. Evaluators call on consultant staff which may be assigned to the Division or available ... to areas affecting total patient care such as nursing, physician, restorative, pharmacy , social, dental and related services. Essential Job Functions + Conducts… more
    The County of Los Angeles (10/13/25)
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  • Vice President, Dental National Accounts Strategy…

    The Cigna Group (Bloomfield, CT)
    …the volume of Dental new business opportunities generated by the consultant community; suggest alternative strategies as deemed necessary + Build collaborative ... working with Fortune 1000 employers in Ancillary Sales and/or Consulting, Consultant experience a plus. + Proven ability to develop strong customer/producer… more
    The Cigna Group (11/22/25)
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