• Genmab (Berkeley Heights, NJ)
    …feel like a fit? Then we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist will be the dedicated ... access and reimbursement of prescribed medications. The Patient Access Specialist will be the voice of Genmab to our...Genmab to our customers and will maintain the highest quality and compliance to provide a positive experience. This… more
    HireLifeScience (09/16/25)
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  • Accessia Health (Midlothian, VA)
    POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS MANAGED : None STATUS : Non-Exempt SUMMARY: The Case Management ... Specialist is responsible for acting as a bridge between...resource availability Use extensive knowledge of health insurance, including pharmacy benefit plans and plan formularies, to determine insurance… more
    Upward (08/10/25)
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  • Medicare Quality Specialist

    Corewell Health (Grand Rapids, MI)
    Job Summary The Medicare Quality Specialist , Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and ... + Ensure compliance to CMS requirements and standards + Other projects assigned by Medicare Quality Manager and/or Director Qualifications Required + 2 years of… more
    Corewell Health (10/14/25)
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  • Pharmacy Services Specialist

    Apex Health Solutions (Houston, TX)
    …management and direct communication to all applicable parties (internal and external). The pharmacy specialist will also work with the compliance department to ... Position Summary: The Pharmacy services Specialist will assist the...Services staff (pharmacists and technicians) in all aspects of pharmacy operations and services including Medicare part… more
    Apex Health Solutions (10/18/25)
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  • Clinical Pharmacy Specialist

    Marshfield Clinic (Weston, WI)
    …the most exciting missions in the world!** **Job Title:** Clinical Pharmacy Specialist **Cost Center:** 301691245 WesHos- Pharmacy -Inpatient **Scheduled ... shifts (United States of America) **Job Description:** **JOB SUMMARY** The Clinical Pharmacy Specialist works with physicians, staff, and committees to optimize… more
    Marshfield Clinic (10/11/25)
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  • Clinical Pharmacy Specialist - Prior…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services department. This is ... or eligibility for licensure by examination or reciprocity is required. The Clinical Pharmacy Specialist provides clinical pharmacy expertise to the… more
    UPMC (10/30/25)
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  • Clinical Pharmacy Specialist

    Sanford Health (Fargo, ND)
    …**Job Summary** The Ambulatory Care Pharmacist at Sanford Health delivers innovative and high- quality care as a part of our healthcare team. The pharmacist provide ... well as nursing and other support staff. o Utilize pharmacy consults and collaborative practice agreements to assist providers...the clinic support staff. o Conduct Office Visits or Medicare Annual Wellness Visits at assigned clinic(s) o Assist… more
    Sanford Health (10/07/25)
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  • Collection Specialist / Pharmacy

    BrightSpring Health Services (Englewood, CO)
    …Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one ... top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work...an industry shift from hospital delivery settings to lower-cost, high- quality alternative providers such as Amerita. As a core… more
    BrightSpring Health Services (10/14/25)
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  • Home Health Pharmacy Revenue Cycle…

    Intermountain Health (Midvale, UT)
    **Job Description:** The Pharmacy Technician Specialist works as a system-level pharmacy technician supporting internal process control, medication policy, ... technology, 340B, licensing and credentialing, and other areas as defined by system pharmacy leadership. The Pharmacy Technician Specialist participates in… more
    Intermountain Health (10/29/25)
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  • Facility Financial Specialist

    Heritage Ministries (Greenhurst, NY)
    Job Description The Facility Financial Specialist is responsible for welcoming and directing new residents and their families on the day of admission. He/she is ... face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage...copies of all forms generated by the Facility Financial Specialist to the assigned social worker and business office.… more
    Heritage Ministries (10/27/25)
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  • Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job ... Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring… more
    Polaris Pharmacy Services, LLC (10/21/25)
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  • Billing Specialist

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    Billing Specialist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Category Admin - Clerical ... Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring… more
    Polaris Pharmacy Services, LLC (10/11/25)
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  • Collections Specialist

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    Collections Specialist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Category ... Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring… more
    Polaris Pharmacy Services, LLC (10/11/25)
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  • Quality Perform Specialist Clinical

    AmeriHealth Caritas (Columbia, SC)
    …This position is responsible for leading and coordinating the clinical quality review process of member concerns and medical records utilizing of ... Clinical Practice Guidelines. The position also supports accreditation and clinical quality performance improvement activities.; ;This position will entail a lot… more
    AmeriHealth Caritas (10/28/25)
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  • Behavioral Health Specialist II, South…

    Deschutes County (La Pine, OR)
    Behavioral Health Specialist II, South County (Eligible for 10% Rural Service Differential) Print ... (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/5130357) Apply  Behavioral Health Specialist II, South County (Eligible for 10% Rural Service… more
    Deschutes County (11/01/25)
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  • Behavioral Health Specialist II - Child,…

    Deschutes County (Bend, OR)
    Behavioral Health Specialist II - Child, Family & Young Adult Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/5052532) Apply  Behavioral ... Health Specialist II - Child, Family & Young Adult Salary...outdoor recreation capital of Oregon. We enjoy a renowned quality of life, with big-city opportunities and small-town neighborhoods.… more
    Deschutes County (09/26/25)
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  • Medication Therapy Management Specialist

    Prime Therapeutics (Atlanta, GA)
    …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
    Prime Therapeutics (10/31/25)
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  • Behavioral Health Specialist II, Crisis…

    Deschutes County (Bend, OR)
    Behavioral Health Specialist II, Crisis Team (Night Shift) Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/4788106) Apply  Behavioral Health ... Specialist II, Crisis Team (Night Shift) Salary $6,027.10 -...outdoor recreation capital of Oregon. We enjoy a renowned quality of life, with big-city opportunities and small-town neighborhoods.… more
    Deschutes County (10/08/25)
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  • Behavioral Health Specialist II, Crisis…

    Deschutes County (Bend, OR)
    Behavioral Health Specialist II, Crisis Team (Swing Shift) Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/4814025) Apply  Behavioral Health ... Specialist II, Crisis Team (Swing Shift) Salary $6,004.15 -...outdoor recreation capital of Oregon. We enjoy a renowned quality of life, with big-city opportunities and small-town neighborhoods.… more
    Deschutes County (10/03/25)
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  • Provider Engagement Specialist

    Lumeris (NH)
    Medicare Shared Savings Program (MSSP), managed care regulations, quality reporting, care management, population management, ACO strategy implementation and ... and empowers you to make an impact. **Position:** Provider Engagement Specialist **Position Summary:** Responsible for improving Accountable Care Team (Provider)… more
    Lumeris (09/25/25)
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