- Elevance Health (Altamonte Springs, FL)
- …reside within 50 miles or 1-hour commute each way of posted office location. The ** Credentialing Analyst Pharmacy ** is responsible for accurate and prompt ... credentialing for health plans and pharmacy benefit managers (PBM) for all pharmacy ...a troubleshooter in resolving payor departmental issues related to credentialing . + Manages and maintains pharmacy license… more
- CVS Health (Scottsdale, AZ)
- …action plan. Legal & Regulatory Requests for Information (RFI's) related to Pharmacy Credentialing & Contracting - accountable for the accurate assessment ... to make health care more personal, convenient and affordable. Position Summary The Pharmacy Network Quality Control Analyst position is responsible for the… more
- Walgreens (Deerfield, IL)
- …support the decision making on individual proposals and contracts related to pharmacy programs. Data analysis may include new product pricing, product portfolio, ... implementation, on-going monitoring of strategies and tools to ensure 3rd party pharmacy programs are in compliance with contractual terms and conditions pertaining… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep application understanding and displays excellent verbal and… more
- AmeriHealth Caritas (Manchester, NH)
- **Provider Network Operations Data Analyst Sr (hybrid)** Location: Manchester, NH Primary Job Function: Provider Network ID**: 34151 **Job Brief** The Provider ... Network Operations Data Analyst Sr. will be responsible for supporting Provider Enrollment and Credentialing . Your career starts now. We are looking for the next… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …pricing accuracy to maintain the highest level of profitability. Working with the Pharmacy Business Analyst to develop reporting as needed to gain efficiencies ... proper reimbursement **.** Works collaboratively within the department to ensure licensing, credentialing and all necessary paperwork are in place for billing. **Job… more
- Kinney Drugs (Gouverneur, NY)
- …pricing accuracy to maintain the highest level of profitability. Working with the Pharmacy Business Analyst to develop reporting as needed to gain efficiencies ... ensuring proper reimbursement.Works collaboratively within the department to ensure licensing, credentialing and all necessary paperwork are in place for billing.… more
- Arkansas Children's (Little Rock, AR)
- …for details. **Time Type:** Full time **Department:** CC014250 Acute Care Pharmacy **Summary:** Varied Days/Hours (Every other Weekend), Acute Care Pharmacy ... Related Field - No experience required **Recommended Work Experience:** **Required Certifications:** Pharmacy Technician: (AR) - Arkansas State Board of Pharmacy … more
- WTW (Boston, MA)
- …of health plan utilization/case management processes, network management, credentialing , quality management, pharmacy prior-authorization processes and ... health plan operations + Basic understanding of Mental Health Parity and Mental Health Parity Non-Qualitative Treatment Limits + Well-organized and detail oriented + Strong project management and critical thinking skills + Self- starter attitude and ability to… more
- Arkansas Children's (Little Rock, AR)
- …job description for details. **Time Type:** Full time **Department:** CC014250 Acute Care Pharmacy **Summary:** Nights 7 on/7 off, Acute Care Pharmacy Compounds ... from patients about medications and dosage instructions. Ensures that all required pharmacy data is recorded and maintained and complies with all regulatory,… more