- Stanford Health Care (Palo Alto, CA)
- …**This is a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy ... submission, and reimbursement to safeguard revenue and minimize risk. The specialist is responsible for maintaining compliance with billing and pricing requirements… more
- RVO Health (Fort Mill, SC)
- …use in your state, read on! **What You'll Do** The Provider Outreach Specialist will implement South Carolina Health Systems Optimization Program (HSOP) ... A GLANCE** We are looking for a Provider Outreach Specialist to champion tobacco cessation interventions to healthcare providers...accordance with a statement of work negotiated between RVO Health and our partners at the South Carolina Department… more
- Centers for Independence (Waukesha, WI)
- **Behavioral Health Specialist I - CRC Waukesha** **Job Details** **Job Location** CRC Waukesha - Waukesha, WI **Position Type** Full Time - Union **Education ... **Travel Percentage** Minimal; Less than 10% **Job Shift** Various **Job Category** Health Care **Description** **Job Purpose:** This is a professional position that… more
- COOLSOFT (Raleigh, NC)
- …as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business Integration Specialist will provide expertise ... matter expert and content lead in collaboration with the Pharmacy Business team for Clinical policies and...policies and Prior Authorizations, Drug Utilization Review (DUR) and pharmacy lock-in related processes, Behavioral health , and… more
- RVO Health (Minneapolis, MN)
- …Director of Revenue Cycle Management (RCM) to oversee revenue operations for our clinical and non- clinical product lines. The ideal candidate will lead a ... organization. **Where You'll Be** To prioritize togetherness, culture, and accountability, RVO Health operates on an in-office work schedule. We expect employees to… more
- Highland Hospital (Rochester, NY)
- …**Title:** Medication Access Specilaist **Department/Cost Center:** 350 - South Wedge Pharmacy **Job Description:** **Opportunity for a hybrid schedule once trained ... ** The Medication Access Specialist (MAS) is responsible for the overall management of...Hospital policy on confidentiality and the protection of Private Health Information. This individual must have excellent phone etiquette… more
- Katmai (Fort Carson, CO)
- …specialized tests, and surgery. + Formulate nursing diagnosis based upon health status data by accurately interpreting assessment data and identifying patient ... of the Government. + Facilitate collaboration with all levels of health care management to include outside agencies. Performs utilization management activities… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- … health service as CW Bill young VA Medical Center. Responsibilities of the mental health clinical pharmacy specialist (MHCPS) are to include the ... surrenders of State license, registration or certification. Grade Determinations: The Mental Health Clinical Pharmacy Specialist (CPS) functions at the… more
- Corewell Health (Grand Rapids, MI)
- …in the managed care setting. Essential Functions + Performs day to day clinical pharmacy functions including prior authorization and appeal reviews. + Uses ... related to NCQA, HEDIS, CAHPS, STAR measures, and other clinical quality and programs. Adheres to Pharmacy ...2 years of relevant experience Familiarity with the Michigan health care market and provider groups and practices About… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …a bigger, greater impact than you ever thought possible. **Description** JOB DESCRIPTION: The clinical specialist , pharmacy I practices as a clinical ... this position is responsible for ensuring appropriate medication therapy and clinical outcomes for the institution related to specialty area. Practices as… more
