- CVS Health (Buffalo Grove, IL)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Sr . Clinical Pharmacist , Medicare - Medical Affairs leads ... Affairs and key stakeholders across the organization to support customer needs. The Sr . Clinical Pharmacist , Medicare - Medical Affairs is responsible… more
- CVS Health (Buffalo Grove, IL)
- …to make health care more personal, convenient and affordable. Position Summary The Sr . Clinical Pharmacist is responsible for supporting the development, ... and supporting other formulary and utilization management related processes and requests. The Sr . Clinical Pharmacist leads within the Medical Affairs team… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Senior Clinical Pharmacist Exemption Status Exempt Department Pharmacy ... and report on billing metrics, quality improvement, and alignment. + Maintain the clinical pharmacist reimbursement manual. + Develop processes to refer members… more
- Omnicell, Inc. (Fort Worth, TX)
- ** Sr . Manager, Pharmacy Operations Compliance - Remote ** The Sr . Manager, Pharmacy Operations Compliance is responsible for tracking, monitoring, reviewing, ... and regulations, Joint Commission (JC) accreditation standards, and Centers for Medicare and Medicaid (CMS) Conditions of Participation relative to the practice… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... Summary** Leads the clinical support for various multi-functional projects critical to the...accounts across various lines of business (Managed Medicaid; Commercial; Medicare ; Exchange) under the guidance of the Vice President… more
- St. Luke's University Health Network (Bethlehem, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Clinical Pharmacist - Oncology will provide collaborative pharmaceutical care to patients ... palliative care therapy in the setting of malignancy. Additionally, the pharmacist will work in collaboration with pharmacy leadership, the hematology/oncology… more
- Ascension Health (Waco, TX)
- …and participates in quality and performance improvement initiatives. + Acquire clinical data to support Pharmacists. Coordinates special projects. + Responsible for ... and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. + Serve as a resource...operating room satellite, and retail. + May serve as pharmacist extender in situations such as Caregiver Model of… more
- CVS Health (Springfield, IL)
- …alignment with the VBC team, this leader will focus on implementation of clinical best practices to improve performance in collaboration with primary care provider ... behavioral health QM, credentialing, delegation and regulatory accreditation support, clinical and service measurement and improvement and quality of care… more
- CenterWell (Columbus, OH)
- …to a Conviva/CenterWell market location(s) + Experience working in a value-based care, senior care, and/or Medicare managed care **Workstyle** This is a remote ... caring community and help us put health first** The National Director, Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing, and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- … Consulting team, comprised of pharmacists and nurses, Pharmacy Product , Pharmacy Clinical Quality and Medicare Advantage + Attract, retain, and coach a ... Healthsource blog: https://healthsource.premera.com . As the **Director of Pharmacy and Clinical Consulting** , you will participate in the strategy development and… more
- CVS Health (Phoenix, AZ)
- …significant periods of sitting, talking, hearing, and keying.- Escalates requests to Pharmacist when request requires extensive clinical review or denial. ... Position Summary - Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization… more
- BrightSpring Health Services (Abilene, TX)
- …is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute ... + Knowledge of principals related to pharmaceutical preparation and practices + Licensed Pharmacist listed by the State Board of Pharmacy + Two years' experience as… more
- Ascension Health (Chicago, IL)
- …and participate in quality and performance improvement initiatives. + Acquire clinical data to support Pharmacists. + Coordinate special projects. + Responsible ... and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. + Serve as a resource...operating room satellite, and retail. + May serve as pharmacist extender in situations such as Caregiver Model of… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing ... clinical support for internal stakeholders. Utilizes broad understanding of...research projects. Develops corporate communications to be shared with senior leadership. Supports trend management by conducting analysis of… more
- Tufts Medicine (Boston, MA)
- …with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of ... group of patients or provides nursing care and identified clinical support tasks within the scope of practice for...knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job… more
- Healthfirst (NY)
- …Knowledge of quality measures related to all lines of business (Medicaid, Medicare and QHP) that affect member health outcomes. Works with Pharmacy Directors ... and Senior Management to structure medication reconciliation processes to minimize...readmissions due to chronic disease. Works collaboratively with the clinical teams to strategically create on solutions and to… more