- Molina Healthcare (Rio Rancho, NM)
- **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs… more
- Highmark Health (Santa Fe, NM)
- …coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + ... job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and… more
- CenterWell (Santa Fe, NM)
- …of our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy claims for ... Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return, deny, or pay claims… more
- Molina Healthcare (Las Cruces, NM)
- …benefit programs in accordance with all federal and state laws. The MTM Pharmacy Service Representative is responsible for performing outreach attempts and ... **Job Description** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- IQVIA (Albuquerque, NM)
- **Bi-lingual Pharmacy Support Call Center Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contract ** Pharmacy Support Call Center Representative ** to join our team. In this position, you will provide… more
- Grifols Shared Services North America, Inc (Albuquerque, NM)
- …110 countries and regions. Overview: Primary responsibility of the Specialty Sales Representative (SSR) is to represent the Grifols plasma portfolio with identified ... calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy … more
- Merck (Santa Fe, NM)
- **Job Description** The Virology Customer Representative is a key member of the Customer Team and plays a critical role in supporting our Company's customer centric ... business model. The Virology Customer Representative is responsible for working with the Customer Team...industry conditions in local market. Special emphasis on Specialty Pharmacy to leverage business opportunities and understanding of Virology… more
- Grifols Shared Services North America, Inc (Albuquerque, NM)
- …The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key products within the Bleeding Management ... the targeted accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy , Critical Care, Blood Bank and other departments and stakeholders… more
- Molina Healthcare (NM)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- Cardinal Health (Santa Fe, NM)
- …appropriate team member (when applicable) * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for ... assistance * Update internal treatment plan statuses and external pharmacy treatment statuses * Maintain accurate and detailed notations for every interaction using… more