- The University of Vermont Health Network (Plattsburgh, NY)
- GENERAL SUMMARY: The Clinical Pharmacy Manager is responsible for the design, planning, implementation and maintenance of all Clinical Pharmacy programs. This ... evidence based practice, patient focused care and informatics. The Clinical Pharmacy Manager also assists the Director with organizational planning, compliance with… more
- Inova Health System (Falls Church, VA)
- …Health ProfessionalStart Date: ASAPDuration: OngoingShift: daysEmployment Type: StaffThe Pharmacy Clinical Specialist ensures safe, appropriate and cost-effective ... care and Pharmacoeconomics and supervises and instructs Pharmacists and Pharmacy students- Prepares and presents drug reviews, MUE criteria, antibiotic… more
- St. Luke's Health System (Boise, ID)
- …services, such as orthopedic walk-in care, a surgery center, physical therapy, pharmacy services, and many more. Patients will experience accessible and affordable ... includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and...plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings.… more
- Universal Health Services (Reno, NV)
- …Pharmacy Benefit Operations Manager will lead initiatives related to pharmacy benefits and managing associated personnel, programs, and services. These ... of system processes and financial implications of decisions related to pharmacy benefits . Benefit Highlights: + Loan Forgiveness Program + Challenging… more
- Health First (Rockledge, FL)
- *Position Summary * Apply proper authorization requirements and pharmacy benefits for all Health Plans' in accordance with all State Statutes, Federal ... statement that are sent in support the request. 4. Audit Pharmacy benefit adjudication system performance for speed and accuracy. Report any identified… more
- Point32Health (Canton, MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Pharmacy Benefit Coordinator is responsible for review and resolution ... of benefit and eligibility issues, accurate and timely creation of...associated with member requests + Assists partner departments with pharmacy operation questions and triage questions to/from PBM as… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Benefit Database Specialist - Remote **Job Description** **Purpose:** The ... Pharmacy Benefit Database Specialist - Remote is...by 8% depending on applicant location. To review our Benefits , Incentives and Additional Compensation, visit our Benefits… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote) **Cost Center:** 682891381 SHP- Pharmacy ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the...is responsible for the daily administration of the SHP pharmacy benefits . This individual works closely with… more
- Healthfirst (NY)
- …specialty pharmaceuticals and billing practices in the medical and pharmacy benefits . + Experience with pharmacy benefit management oversight including ... + Works collaboratively to design and manage the Healthfirst Pharmacy Benefits for all Healthfirst plans. +...oversight for all clinical and operational aspects of the pharmacy benefit , including elements such as drug… more
- KPH Healthcare Services, Inc. (Flowood, MS)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/11219/patient- benefit -specialist-specialty- pharmacy ... **Educational Requirements:** + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience in a… more
- Henry Ford Health System (West Bloomfield, MI)
- … pharmacy and inpatient** **Eligible for Sign-on bonus of 2,500** The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, ... prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies,...both outpatient pharmacy and inpatient. + Outpatient pharmacy : Verifies patient prescriptions benefits , including medical… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Eligible for a $2,500 Sign-on Bonus Eligible for Full-Time Benefits Shift: Full-Time The Pharmacy Benefits Specialist is responsible for ... handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and… more
- Avera Marshall (Fargo, ND)
- …of health care. Avera is currently seeking a highly motivated Director - Pharmacy Benefits with experience leading and managing multiple simultaneous projects ... + Minimum seven years of experience in healthcare industry, managed care organization, pharmacy benefit manager (PBM) or equivalent experience. + Five or more… more
- UCLA Health (Los Angeles, CA)
- …dynamic team at the New Century Health Plan (NCHP) as our Director of Pharmacy Benefits Management! Reporting directly to the Chief Medical Officer of Medicare ... Advantage, you'll spearhead the development and oversight of our pharmacy benefit management (PBM) business unit. In this pivotal role, you'll craft and execute… more
- GEHA (Lee's Summit, MO)
- … Pharmacy Manager will oversee the clinical aspects of managing the GEHA pharmacy benefit . This position will provide clinical leadership and oversight within ... a nonprofit member association that provides medical and dental benefits to more than two million federal employees and...+ Responsible for the day-to-day clinical management of the pharmacy benefit , team, and deliverables + Provide… more
- WTW (Seattle, WA)
- …and trusted advisor to large, complex clients in the design and management of their pharmacy benefit programs including: + Pharmacy benefit plan ... analysis, design, and cost savings strategies + Pharmacy Benefits Manager (PBM) vendor procurement and...experience and success in the design/management of large group pharmacy benefit plans gained in consulting or… more
- Prime Therapeutics (Columbus, OH)
- …Health Plan Pharmacy experience with knowledge of Medical Pharmacy benefit management strategies. + Strong interpersonal, consultation, organizational, ... industry including drugs paid for on the medical benefit and pharmacy benefit . +...Pharmacy , State Licensure - Pharmacy - Pharmacy To review our Benefits , Incentives and… more
- Actalent (Lake Mary, FL)
- …+ The technician must hold a Florida Board of Pharmacy Registered Pharmacy Technician license. Pay:$19+/hour added benefits Monday to Friday: Flexible Shifts ... Actalent is hiring Pharmacy Technicians ASAP with attractive pay: Hiring Registered Pharmacy Technicians for their call-center. They will be handling a heavy… more
- WTW (Dallas, TX)
- As a Pharmacy Lead Associate you will be at the forefront of managing pharmacy benefits projects for large, complex clients and leverage your experience as a ... pharmacy benefits expert to make recommendations on...Responsibilities: * Provide value-added consulting expertise on large, sophisticated pharmacy benefit projects including: * Pharmacy… more
- Independent Health (Buffalo, NY)
- …professionals and collaborate with internal and external stakeholders to optimize the pharmacy benefit design. This will include formulary management, provider ... of health-related and/or pharmaceutical industry experience with knowledge and expertise in pharmacy benefit design, utilization, quality, and cost management. +… more
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