- AmeriHealth Caritas (Philadelphia, PA)
- ** Director Compliance - Medicaid Managed Care** Location: Philadelphia, PA Primary Job Function: Compliance ID**: 31541 **Job Brief** This position will be ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- CareFirst (Baltimore, MD)
- …compliance, population health, and/or member/provider experience. + Analyzes Medicare and Medicaid pharmacy and medical drug utilization data to identify ... Maryland office; therefore, candidates must live within driving distance.** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions/Med Pharmacy exp required- REMOTE **Job Description ... Summary** Responsible for support and development of Medical Pharmacy program strategy as part of the Medical Pharmacy Business Development team. Responsible for… more
- Fairview Health Services (Minneapolis, MN)
- … reimbursement analysis and collection experience including experience with Medicare, Medicaid and Commercial Payer experience. Pharmacy dispensing knowledge ... **Overview** Provide leadership to ensure value delivery to Infusion or Pharmacy Business Office (FHI-PBO) customers, including internal business units and external… more
- Marshfield Clinic (Marshfield, WI)
- …of the SHP pharmacy benefits. This individual works closely with the Pharmacy Director , Clinical Pharmacy Specialist, and Operations Manager to provide ... support the most exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote) **Cost Center:** 682891381 SHP- Pharmacy **Scheduled… more
- Logan Health (Whitefish, MT)
- …weekly Medication Reconciliation Histories completed. Supply Chain Management + Assist the director of pharmacy in inventory/formulary management of the current ... Job Description Summary: The Certified Pharmacy Technician 3 must be able to perform...available for hospitals from the Centers for Medicare and Medicaid Services in 2023. We take pride in providing… more
- Baptist Memorial (Covington, TN)
- …assistance for their prescriptions. The individual in this position supports the BSP Director , BSP Pharmacy Staff and Clinical Pharmacists to ensure that all ... patients are getting the most out of their specialty pharmacy services. The Pharmacy Technician - Specialty...communication occurs + Understand The Centers for Medicare & Medicaid Services (CMS) regulations and billing guidelines and complete… more
- CVS Health (Springfield, IL)
- …Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified Oncologist for this opportunity.The ... of clinical leadership to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal,… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Behavioral Health Cluster Lead Medical Director manages a team of Behavioral Health Medical Directors who primarily conduct ... South Carolina, Virginia, Louisiana or Oklahoma The Behavioral Health lead medical director will be board certified, retain an active and unrestricted license in… more
- Prime Therapeutics (Columbus, OH)
- …+ 8+ years of pharmacy experience. + 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service. + ... PBMs or Medicaid required. **Work Experience** Work Experience - Required: Pharmacy Work Experience - Preferred: **Education** Education - Required: Bachelors - … more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director , Hospitalist Services is responsible for assisting the Medical Director , ... as representative of the LGHP Hospitalists practice. The Associate director will report to LGHP Medical Director ...by CMS and the applicable State health department and Medicaid agency + Assist in developing, coordinating, and participating… more
- Prime Therapeutics (Columbus, OH)
- …exclusions, and rebate rates. **Responsibilities** + Knowledge of and experience with Medicaid pharmacy practice, managed care pharmacy practice, and/or ... our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job Description Summary**… more
- CVS Health (Springfield, IL)
- …"base plan" and in the round robin based on "same or similar specialty" needs. * Pharmacy coverage - The medical director will perform pharmacy reviews. * ... to its membership. Aetna is looking for a Medical Director to be part of a centralized team that...+ years of experience in managed care (Medicare and/or Medicaid ) Experience with managed care (Medicare and Medicaid… more
- CVS Health (Austin, TX)
- …with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director , clinical staff (including those in utilization management, ... care more personal, convenient and affordable. Position Summary The Behavioral Health Medical Director is a key position on Aetna Better Health of TX's (ABHT)… more
- CVS Health (Trenton, NJ)
- …with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director , clinical staff (including those in utilization management, ... care more personal, convenient and affordable. Position Summary The Behavioral Health Medical Director is a key position on Aetna Better Health of NJ's (ABHNJ)… more
- BrightSpring Health Services (Englewood, CO)
- …home infusion providers in the country. The Collection Manager will report to the Director of Revenue Cycle Management and work in our Centennial, CO office. Amerita ... of all Accounts Receivable, including but not limited to Medicare, Medicaid , commercial insurances and patient balances. The Collection Manager will perform… more
- Novo Nordisk (Minneapolis, MN)
- …Area Market Access accounts encompasses third party payers of Commercial, Medicaid and Medicare medical and prescription benefit plans. Customer channels and ... External relationships include various interactions with customer Executives, Medical, Pharmacy , Quality, Health Economics and other key personnel, organizations and… more
- University of Colorado (Aurora, CO)
- Primary Care Director / Family (or Adult Gerontology) Nurse Practitioner - 32571 Faculty **Description** **University of Colorado Anschutz Medical Campus** **College ... of Nursing** **Job Title:** **Primary Care Director / Family (or Adult Gerontology) Nurse Practitioner** **Instructor / Senior Instructor / Assistant Professor (Open… more
- University of Utah (Salt Lake City, UT)
- …**Open Date** 05/30/2024 **Requisition Number** PRN38703B **Job Title** Administrative Director **Working Title** Administrative Director , Department of Internal ... and high-performing professional to join its leadership team. The Administrative Director will lead administration, operations, and finance for the department and… more
- CVS Health (Springfield, IL)
- …a strategy-focused financed leader to join the Network Strategy team under the Pharmacy Benefits Management (PBM) business unit. The Director , Network Strategy ... developing how we get the best value from our pharmacy network and drive negotiation strategy. This position will...requiring partnership with advanced analytic and financial talent. The director will be a data-driven leader with the ability… more