• Pharmacy Appeals Team

    Cognizant (Harrisburg, PA)
    ** 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
    Cognizant (10/30/25)
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  • Gene and ACT Program Advisor - Evernorth Specialty…

    The Cigna Group (Philadelphia, PA)
    The Product Strategy & Management team for Gene and Advanced Cellular Therapy (ACT) enhances operational effectiveness through strategic planning, tactical ... The Program Advisor will act as a strategic enabler, operational lead , and digital transformation advocate across high-impact initiatives. **Program Advisor Role… more
    The Cigna Group (10/25/25)
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  • Field Reimbursement Manager

    Amgen (Pittsburgh, PA)
    …Rare Disease- we reach millions of patients each year. As a member of the Amgen team , you'll help make a lasting impact on the lives of patients as we research, ... the opportunities that lay within them, you'll thrive as part of the Amgen team . Join us and transform the lives of patients while transforming your career. **Field… more
    Amgen (10/02/25)
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  • Case Manager

    PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
    …experience makes ConnectiveRx better than the sum of its parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access ... seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage… more
    PSKW LLC dba ConnectiveRx LLC (10/10/25)
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  • Medical Director - Medicaid N. Central

    Humana (Harrisburg, PA)
    …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
    Humana (10/25/25)
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