- CVS Health (Springfield, IL)
- …appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on ... inpatient or outpatient services, acute and post acute services, pharmacy , appeals and state fair hearings. You will be...Medicine, General Surgery or Internal Medicine / Pediatrics - Prior UM experience working at Health Plan / Insurer… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …affiliate of the University of Arizona Colleges of Medicine, Nursing, and Pharmacy . Candidates must be eligible for a faculty appointment with the University ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …state's flagship research university with Schools of Medicine, Public Health, Nursing, Pharmacy , and an active Graduate School. VA offers a comprehensive total ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more… more
- Texas Tech University (Lubbock, TX)
- …3 years of auditing experience and 5 years in a leadership role. * Prior experience reporting directly to a governing board or audit committee is highly desirable. ... addresses and telephone numbers. (References will not be contacted without your prior authorization.) While letters of interest may be accepted until the position… more
- Henry Ford Health System (Detroit, MI)
- …on-going education. If you are a Registered Nurse with at least one year of prior critical care experience, we want to meet you! + Provides leadership in the ... the Michigan State Board of Nursing. PREFERRED EXPERIENCE: + Prior Critical Care nursing experience. Join Us at Our...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Takeda Pharmaceuticals (Boston, MA)
- …supportive team to analyze data, including complicated medical claims and pharmacy prescription datasets, while partnering closely with key business stakeholders to ... or related field + Three to five years of prior work experience + Must be authorized to work...student with at least one year of university studies prior to internship + Returning to university for at… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and investigating formulary positions on PBM and Health Plan websites and formal Pharmacy Drug Lists (PDL) to validate product placement complies with all terms and ... terms and conditions of contract; request and obtain supporting documentation (eg, prior authorizations, step edits etc.) as needed to complete the assessment +… more
- CenterWell (Houston, TX)
- …to engage in healthcare and subsequent health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in ... patients with behavioral health conditions and substance use disorders preferred + Prior experience conducting home visits and knowledge of field safety practices… more
- Henry Ford Health System (Rochester, MI)
- …REQUIRED: + BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or job transfer date. + Registered Nurse credentialed ... from the Michigan Board of Nursing obtained prior to hire date or job transfer date. EDUCATION/EXPERIENCE...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- The Cigna Group (Clearwater, FL)
- …from you** **:** + Graduate of approved MA program OR on the job training with CCMA prior to hire + Current BCLS required + At least 1 or more years of front and ... Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and...employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states… more