- Humana (St. Paul, MN)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... in accordance with Medicare and Humana policy. **Please note that this Medical Director position is non-benefitted, and compensated hourly * **Use your… more
- Fairview Health Services (Minneapolis, MN)
- …of any Medicare or third-party payor changes that may adversely impact Fairview Pharmacy . + Monitors the Medicare website for any updates to ensure that our ... **Job Overview** Establish and maintain patient access to Fairview Pharmacy services across the system (26 Retail pharmacy...as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Merck (St. Paul, MN)
- …with HSO MADs + Serves as a resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of US Medical Affairs on other ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems...research \#eligibleforERP **Required Skills:** Benefit Programs, Clinical Data, Clinical Pharmacy , Clinical Studies, Medical Affairs, Medical… more
- Blue KC (Workman, MN)
- …programs. Chairs committee of practitioners in the field (Credentialing, Peer Review, or Medical and Pharmacy Management Committee). + Improves the quality and ... providing direction to physicians and other providers, Provides utilization management for medical , surgical and pharmacy activity. + Participates in medical… more
- Grifols Shared Services North America, Inc (Minneapolis, MN)
- …calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy ... business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals of the company. The SSR… more
- Pfizer (St. Paul, MN)
- …+ Collaboration partners include but are not limited to vaccine sales, pharmacy , institutional sales, government relations, medical , PCA (Payer and Channel ... includes a clear understanding of the commercial, Medicaid and Medicare landscape as it relates to the availability of...all customer facing teams (IM, Oncology, I&I, Gov't Relations, Medical , IS, Pharmacy , BU KAM teams, etc.)… more
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