- Eisai, Inc (Indianapolis, IN)
- …Medicaid , Federal, and Commercial).Experience working with medical and pharmacy benefits, coverage policies, and reimbursement.Proven performance in earlier ... Patient Services/Market Access. Working closely with and reporting to the Associate Director , Access and Reimbursement, the ARM, will be the functional lead for… more
- Humana (Lansing, MI)
- …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 Michigan Department of Health and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …to the Vice President Health Markets Strategy and Planning, the Dir Medicaid Markets Solutions monitors and contributes to special/strategic projects as designated ... by the VP, EVP Medicaid Markets and/or CEO. ;These projects are strategic in...integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- CVS Health (Trenton, NJ)
- …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
- Health Care Service Corporation (Richardson, TX)
- …Summary** This position is responsible for providing leadership and oversight of the Pharmacy function that supports Medicaid & Individual Markets lines of ... support the coordination of health care delivery functions within Medicaid and Individual and Family Markets. The role will...Medicaid /Individual & Family Market programs in relation to pharmacy operations. **Are you being referred to one of… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Director , Payer Programs (Rx Clinical Services), you will lead pharmacy clinical services contracting and payer relationship development ... how patients experience healthcare. **What you'll do ** + Direct pharmacy clinical services contracting by overseeing complex negotiations, governance structures,… more
- Prime Therapeutics (Jefferson City, MO)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director , Pharm Trade Relations leads a team of ... every decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr... Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's… more
- Henry Ford Health System (Bingham Farms, MI)
- …part of the annual CMS bid process. Ensures compliance with all CMS, State Medicaid Program, and NCQA pharmacy related regulations and reporting requirements. + ... The Vice President, Pharmacy Health Plan Administration, leads pharmacy ...This role also reports indirectly to the HAP Medical Director . PRINCIPLE DUTIES AND RESPONSIBILITIES: + Oversees all aspects… more
- BrightSpring Health Services (Indianapolis, IN)
- …right care at the right time - when they need it most. The Pharmacy Technicianworks under the Continue CareRx Director of Operations. Duties include assessing ... Our Company PharMerica Overview Continue CareRxprovides a suite of services, including pharmacy , virtual nursing and pharmacist support, as well as coordination of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical ... telephone correspondence and EHR documentation. **Qualifications** 3+ years of retail pharmacy technician experience or related health care administrative, and a… more
- Trinity Health (Maywood, IL)
- …Illinois Department of Public Health (IDPH), The Centers for Medicare & Medicaid Services (CMS), and other licensing/accrediting agencies. PHARMACY SYSTEMS: ... through the use of safe, cost-effective drug therapies. Work with the Director of Pharmacy Services to improve pharmacy processes, systems, and budgetary… more
- Bristol Myers Squibb (Washington, DC)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Associate Director will help shape policy and payment strategies across state ... Medicaid programs and demonstration models including CMMI. This role...then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as… more
- NHS Management, LLC (Northport, AL)
- …informationAssist in resolution of denied third party insurance claims, eg PDPs, Medicaid , etc.Locate medication from pharmacy supply area, count out, and ... Job Description Pharmacy Student GENERAL PURPOSE To enter new/refill prescription...of improvement as indicated, recommended and/or required by Supervisor, Director , or any other corporate or regulatory compliance consultant.… more
- NHS Management, LLC (Irondale, AL)
- …information + Assist in resolution of denied third party insurance claims, eg PDPs, Medicaid , etc. + Locate medication from pharmacy supply area, count out, and ... accurately and timely within the parameters established by Senior Care Pharmacy guidelines, state and federal regulations, and per customer requirements. Communicate… more
- University of Colorado (Aurora, CO)
- **Finance & Accounting Assistant Director ** **Description** **University of Colorado Anschutz Medical Campus** **Department: College of Nursing** **Job Title: ... Finance & Accounting Assistant Director ** **Position #:00706656 - Requisition #:36608** **Job Summary:** **Supervision...data to support all service lines. + Supports 340B Pharmacy compliance by providing fiscal analysis and participating in… more
- CVS Health (Hartford, CT)
- …"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 ) MD or DO; Board certification in an ABMS… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is ... As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and… more
- CVS Health (Springfield, IL)
- …CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work from home opportunity. The ... of clinical leadership to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal,… more
- Atlantic Health System (Morristown, NJ)
- …and training programs for new employees, current employees, students, and pharmacy residents. Maintains professional competency by keeping abreast of current ... registration with the State of New Jersey Board of Pharmacy . Current Pharmacy Technician Certification Board (PTCB)....twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
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