- CVS Health (Monroeville, PA)
- …do it all with heart, each and every day. **Position Summary** CVS Health Specialty Pharmacy , a mail service pharmacy in the Monroeville area, has an opportunity ... will ensure timely and accurate billing and collections for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …The Chemistry, Manufacturing and Controls (CMC) Global Regulatory Affairs (GRA) professional is responsible for developing and executing global regulatory strategies ... to CMC RA function. **Qualifications** **Education** : + BS/MS/PhD in Chemistry, Pharmacy , or related scientific discipline. + RAC certification will be a plus.… more
- Option Care Health (Jackson, MS)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Senior Director, Operations is responsible for delivering safe, efficient and effective ... while providing direct oversight for all operations in multiple branches including pharmacy dispensing and nursing. Scope requirements: 3 sites / 2 sites with… more
- CVS Health (Phoenix, AZ)
- …and CVS Specialty's home infusion, ambulatory infusion, operations, health care and pharmacy operations, and healthcare regulations and laws. The Sr. Counsel will ... a role with working knowledge of healthcare laws and regulations, the False Claims Act, and the Federal Anti-Kickback Statute. + Excellent drafting and negotiation… more
- Centene Corporation (Jefferson City, MO)
- …one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national ... the enterprise + Provide medical leadership for all utilization management, pharmacy , case management, disease management, cost containment, and medical quality… more
- Royal Electric (Dallas, TX)
- …documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost ... Dependent care (Daycare children & elderly - work related), & Transit + Pharmacy discounts + Kisx Card (Surgery & Imaging Program) + Opportunity for tuition… more
- UPMC (Pittsburgh, PA)
- …ideal candidate will possess advanced SQL skillsets and have experience working with pharmacy claims and financial data, drug rebate modeling, PBM contractual ... the role, the strategy data consultant must be highly professional and understand the causes of financial & clinical...as an ongoing consultant to the data as a senior SME in pharmacy IDW data and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …in the areas of medical policy, payment policy, care management, pharmacy , health and wellness programs, fraud/waste/abuse, behavior change, unit cost initiatives, ... includes the development and communication of market segment medical claims expense trends with the aim to provide insights...to be able to articulate drivers of medical & pharmacy expense both at the plan, segment, and account… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Oversee investigations of potentially compensable incidents and collaborate with Claims Department on Professional Liability and General Liability ... Belong. At Emory Healthcare.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership… more
- BrightSpring Health Services (Louisville, KY)
- …with over 30 years of experience, serving our partners in long-term care, senior living, IDD/behavioral health, home infusion, specialty pharmacy , and hospital ... with internal customers Microsoft office products + Knowledge of claims processing system or pharmacy practice system...providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior … more
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