• Medicaid Pharmacy Director

    Humana (Frankfort, KY)
    …on problems of diverse scope and complexity ranging from moderate to substantial. The Medicaid Pharmacy Director , internally known as a Clinical Pharmacy ... our caring community and help us put health first** The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical… more
    Humana (02/27/24)
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  • Director , Specialty Clinical Solutions/Med…

    Prime Therapeutics (Frankfort, KY)
    …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions/Med Pharmacy exp required- REMOTE **Job Description ... Summary** Responsible for support and development of Medical Pharmacy program strategy as part of the Medical Pharmacy Business Development team. Responsible for… more
    Prime Therapeutics (05/15/24)
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  • Director , Clinical Account Services…

    Prime Therapeutics (Frankfort, KY)
    …that are the responsibility of the Vendor. Requirements: + Extensive knowledge of Medicaid and NMAP claims processing and pharmacy benefits management. + At ... and drives every decision we make. **Job Posting Title** Director , Clinical Account Services - Remote Nevada **Job Description...pharmacy experience. + 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid more
    Prime Therapeutics (04/04/24)
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  • Sr Director , Value Based Pricing…

    Prime Therapeutics (Frankfort, KY)
    …exclusions, and rebate rates. **Responsibilities** + Knowledge of and experience with Medicaid pharmacy practice, managed care pharmacy practice, and/or ... our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job Description Summary**… more
    Prime Therapeutics (04/23/24)
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  • Director , Associate Benefits

    Humana (Frankfort, KY)
    …of our caring community and help us put health first** The Director , Associate Benefits applies forward-looking, innovative thought to design, financing and delivery ... make the company, and each of its divisions, an employer-of-choice. The Director , Associate Benefits: **Well-being and Benefits ("WB&B") Finance** + Finalize and… more
    Humana (05/23/24)
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  • Digital Business Intelligence Lead

    CenterWell (Frankfort, KY)
    …information. Key responsibilities of the Business Intelligence Lead, reporting to the Director , Pharmacy Digital Business Intelligence within Pharmacy ... a part of our caring community and help us put health first** Our CenterWell Pharmacy Digital Performance team is looking for a Business Intelligence Lead to join us… more
    CenterWell (05/09/24)
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  • Client Quality Manager

    Prime Therapeutics (Frankfort, KY)
    …role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating System (HIM ... + Drive the client quality strategy for all lines of business (Medicare, Medicaid , Commercial/HIM); serve as primary point of contact and subject matter expert on… more
    Prime Therapeutics (05/16/24)
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  • Mgr Ops

    Prime Therapeutics (Frankfort, KY)
    …throughput metrics for assigned client team or focus area + Partner with the Director Operations and HR to drive talent management and talent planning efforts for ... client team or focus area + Partner with Director Operations and Shared Services to develop and execute...+ 6 years of work experience in operations management, pharmacy benefit management, healthcare, insurance, or highly regulated market… more
    Prime Therapeutics (05/23/24)
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  • Managing Legal Counsel - Remote

    Prime Therapeutics (Frankfort, KY)
    …tactical and strategic legal advice to internal clients, typically at the Director , Vice President or SVP level. **Responsibilities** + Provide tactical and ... within the company's State Government Solutions business segment (primarily state Medicaid and Aids Drug Assistance Programs), administrative support functions or… more
    Prime Therapeutics (05/16/24)
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  • CenterWell - Nurse Practitioner - Richmond Road

    CenterWell (Lexington, KY)
    …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… more
    CenterWell (04/18/24)
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  • Patient Services & Field Reimbursement Lead, US…

    Takeda Pharmaceuticals (Frankfort, KY)
    …**Job Description** **About the role:** As a member of Takeda Oncology, as a Director , your work will contribute to our bold, inspiring vision: We aspire to cure ... solutions and appropriately manage risks. + Lead the Field Reimbursement Director team by establishing objectives, providing training & coaching, and performance… more
    Takeda Pharmaceuticals (05/19/24)
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  • Care Transition Nurse

    CommonSpirit Health at Home (Lexington, KY)
    …long and unnecessary stays in the hospital. Through our experienced and professional pharmacy team at AmeriMed we provide total care for our patients. Working ... patient would benefit from Infusion services. + Explain Medicare and Medicaid guidelines, insurance plan benefits, financing options, and organizational policies,… more
    CommonSpirit Health at Home (05/18/24)
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