- Marshfield Clinic (Marshfield, WI)
- …law and third-party reimbursement rules. **Preferred/Optional:** Three years' experience in pharmacy claims processing. Experience in technical writing and ... to support the most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary… more
- Centene Corporation (Tallahassee, FL)
- …a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and ... everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is...handles more complex pharmacy issues and respond to escalated calls from members,… more
- BrightSpring Health Services (Union City, CA)
- … solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled ... individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and...Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim… more
- State of Massachusetts (Boston, MA)
- …vehicles deemed appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position ... be required to evaluate carriers' compliance with coding and claims practices. * Oversee the licensure of Pharmacy...to MGL c. 176Y. * Coordinate and communicate with senior management staff to ensure that staff are aware… more
- Humana (Lansing, MI)
- …operational, professional , and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs Plan ... problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director, internally known as a Clinical Pharmacy Lead, plans,… more
- UHS (Vestal, NY)
- …Provide immunizations and other health screenings in compliance with state laws and pharmacy protocols + Manage and verify insurance claims and prior ... OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- Catholic Health Services (Centereach, NY)
- …and PowerPoint Experience in Epic or similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on ... clinical providers with the goal of optimizing the provision of specialty pharmacy services, pharmaceutical care, and patient outcomes related to medication usage.… more
- Comcast (Philadelphia, PA)
- …we want you to fast-forward your career at Comcast. **Job Summary** The Senior Director of Global Benefits is responsible for designing and implementing health care ... health care financial forecasting/underwriting principles including self-insured medical and pharmacy plan administration and payment models. + Provides oversight… more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug ... internal and external stakeholders and management, as required, to achieve Pharmacy Markets strategy, growth, compliance, and affordability objectives across the… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health ... of our members related to their medical, behavioral health and pharmacy needs. This position also provides the physician cohesive collaboration necessary… more