- Mount Sinai Hospital (New York, NY)
- Job Description Under direct supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical ... technical and clerical personnel, including less experienced Specialty Financial Pharmacy Access Coordinators, and billers. 2.Maintains thorough documentation on all… more
- TrueCare (San Marcos, CA)
- …of health care quality, managed care, the ACA, Centers for Medicare and Medicaid Services (CMS), pharmacy , Clinical Integration. Speak, read and write in ... region, delivering exceptional patient experiences through innovative, integrated care. The Director of Marketing & Communications (DMC) is responsible for the… more
- MarinHealth (Novato, CA)
- …a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay ... of America) Scheduled Weekly Hours: 40 Job Description Summary: The Director of Quality provides strategic and operational leadership for network-wide clinical… more
- Discovery Senior Living (Southlake, TX)
- …such as hospice, home health, physical therapy, med options, physicians, pharmacy , families, etc. Completes self-medication assessment every three (3) months. ... frame. Coordinates and implements all appropriate interventions. In conjunction with Director of Health & Wellness, coordinates supervision of the nursing staff,… more
- ICL (New York, NY)
- …all medication changes, making sure the order has been sent to the pharmacy , Medication Administration Review has been updated, medication change log updates, bright ... all times by logging into refill alert and communicating with the pharmacy and medical doctor as necessary Medical Assessments Annual, Semi, Quarterly,… more
- BluWell of Kentucky, LLC. (Louisville, KY)
- …in client files and a copy give to the Nursing Department, and ensure the pharmacy has the scripts to fill and deliver. Ensure medication is delivered to the home ... attendance have signed the sign-in sheet. Alert the Residential Coordinator and Executive Director of any major concerns or repeated problems occurring so that they… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... systems and meet quality and productivity metrics. Escalate complex cases for Medical Director review as needed. We're Hiring for: General UM (RN): Mon-Fri, 8… more
- AmeriHealth Caritas Health Plan (Manchester, NH)
- …environment is preferred Primary care discipline, prior experience as Associate Medical Director (or equivalent) or physician reviewer in a Managed Care Plan ... following: Full-time experience as an administrator in a state-level Medicaid program, Health Maintenance Organization (HMO), preferred Provider Organization (PPO),… more
- Atlantic Health System (Morristown, NJ)
- …serve as a preceptor in the Atlantic Health System PGY1 Pharmacy Residency Program. Additional responsibilities include: Provide comprehensive pharmaceutical care to ... pharmacokinetic consultations as required; document any changes in patient and pharmacy records and inform others of medication changes; prevent, detect, monitor,… more
- Atlantic Health System (Morristown, NJ)
- …Epic as appropriate *Responsible for in basket management. Assists with pharmacy contact, medication ordering and renewal. Reviews and appropriately disseminates ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- University of Colorado (Aurora, CO)
- …Teaching Provide teaching experiences for students (pre-med, medical, nursing, pharmacy , physician assistant, nurse practitioner) as requested. Participate in the ... faculty development activities. Accept other responsibilities assigned by the Medical Director . Quality Develops, implements, and evaluates the strategy for quality… more
- Talladega Clay Randolph Child Care (Huntsville, AL)
- …TO: Field Support Supervisor EVALUATED BY: Field Support Supervisor and Program Director STAFF QUALIFICATIONS: High school diploma or GED equivalent; Able to read ... shopping and meal preparation. Transporting family members to the laundry, pharmacy , physician, utility companies, etc; Coaching and modeling support and advocacy… more
- CenterWell Primary Care (Morrow, GA)
- …and lead with the care team through daily huddles. *Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in ... certification to write prescriptions under the authority of a collaborating physician/medical director This role is considered patient facing and is a part of… more
- Humana (Springfield, IL)
- …on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, ... formulary management and clinical programming + Represents Humana at all Pharmacy Medicaid meetings including those with the Illinois Department of Healthcare… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Director Federal National Accounts & Medicaid - Remote Date: Jul 23, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... that strategies are built/adjusted accordingly. Account customer types may include; State Medicaid Programs, Pharmacy Benefit Administrator (Pools), the VA, DOD,… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …unique business segments such as specialty and retail pharmacy and state Medicaid organizationsThe Sr. Director is a cross-functional leadership role that is ... Description: The Senior Director of Market Access Strategy is responsible for...of Specialty and Biosciences products with the major national Pharmacy Benefit Managers and Health Plans in the US… more
- CVS Health (Richmond, VA)
- …with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, Florida, Illinois, Kentucky, Louisiana,… more
- CVS Health (Springfield, IL)
- …with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, Kentucky,… more
- CVS Health (Scottsdale, AZ)
- …And we do it all with heart, each and every day. As the Lead Director of Market Conduct Exams for the Network Services area, you will have the opportunity ... and subject matter experts (SME) representing all operational areas within the Retail Pharmacy Network Services division of CVS Caremark. This will be a highly… more
- New York State Civil Service (New York, NY)
- …fraud and resident mistreatment; the indictment and arraignment of owner of NYC pharmacy for allegedly stealing millions from Medicaid ; and the sentencing of ... HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS… more
