- Cognizant (Sacramento, CA)
- ** Pharmacy Appeals Team Lead (remote)** This is a remote position that is open to any qualified candidate who lives in the United States. Our Cognizant ... is currently seeking an individual to perform as a Team Lead that will have the following...following duties and work as part of our established pharmacy appeals team . The full-time… more
- City and County of San Francisco (San Francisco, CA)
- …behavioral health and substance use services; dental, gender health, nutrition, pharmacy , and podiatry services; integrative health services such as acupuncture; and ... part-time 2565 Acupuncturists. Essential Duties Under the direction of the lead acupuncturist and acupuncturist medical supervisor, the acupuncturist works within an… more
- J&J Family of Companies (San Bernardino, CA)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- J&J Family of Companies (San Francisco, CA)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- UCLA Health (Los Angeles, CA)
- …and operational leaders to ensure high-quality, cost-effective care. + Collaborate with the Pharmacy team on safe, effective medication use; participate in drug ... delivering high-quality, appropriate, and patient-centered care. What you'll do: + Lead the development, implementation, and training of medical policies. + Provide… more
- Sharp HealthCare (San Diego, CA)
- …of our members related to their medical, behavioral health and pharmacy needs. This position also provides the physician cohesive collaboration necessary ... insight, perspective and leadership on the Health Services Management team and the other strategic and operational leadership, projects...health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical… more
- Sanofi Group (San Francisco, CA)
- …Support Services (Dupixent MyWay), and communicate and collaborate cross-functionally to lead Dupixent pull through efforts assisting the ABM as appropriate + ... Support field in education of office personnel on prior authorization and appeals processes, reimbursement support through Dupixent MyWay, free drug programs and… more
- J&J Family of Companies (Sacramento, CA)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- Humana (Sacramento, CA)
- …to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, ... standards, and contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
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