- Elevance Health (Atlanta, GA)
- **Title** : Clinical Pharmacy Research Manager **Location** : 740W Peachtree St NW, Atlanta, GA 30308 **Hybrid** : This role requires associates to be ... employment, unless an accommodation is granted as required by law. The ** Clinical Pharmacy Research Manager ** is responsible for implementing strategic… more
- Molina Healthcare (Savannah, GA)
- …as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such ... medications safety and medication use policies). **Knowledge/Skills/Abilities** The Supervisor, Clinical Pharmacy /Medication Therapy Management (MTM) supervises Pharmacists,… more
- WTW (Atlanta, GA)
- …strategy for expanding the comprehensiveness of our integrated pharmacy and clinical offerings + Own product research , development, deployment and outcomes ... Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager (PBM) vendor procurement and negotiation + Audits of PBM… more
- CenterWell (Atlanta, GA)
- …maintains, and/or operationalizes strategies related to utilization management edits and/or clinical coverage policies for pharmacy and medically administered ... influences the department's strategy. + Participates in Humana's formulary and Pharmacy and Therapeutics processes. + Completes clinical reviews, policy… more
- Elevance Health (Atlanta, GA)
- …(formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The ** ... + Support Pharmacy & Therapeutics meetings + Prepare, submit, and track clinical criteria resulting from Pharmacy & Therapeutics meetings + Coordinate policy… more
- IQVIA (Atlanta, GA)
- …to lifelong learning and improvement. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the ... and welfare and/or other benefits. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life… more
- CenterWell (Atlanta, GA)
- …solutions that meet the needs of patients and providers. + Leverage user research , analytics, and clinical insights to guide product decisions, enhance care ... and healthcare regulations. + Demonstrated success using data, user research , and clinical insights to guide product...largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on… more
- Amgen (Alpharetta, GA)
- …clinical experience within pharmaceutical, biotech, diagnostics, healthcare insurance, pharmacy services, healthcare medical device or medical supply industries . ... lasting impact on the lives of patients as we research , manufacture, and deliver innovative medicines to help people...will be the connection to our customers by providing clinical knowledge of our products to medical professionals and… more
- BrightSpring Health Services (Valdosta, GA)
- …proper coding and comments for all outstanding balances.* Provide any additional research for accounts designated on the critical accounts list, code and comment ... from insurance companies, patients and providers.* Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or billing… more
- CenterWell (Atlanta, GA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... claim activities and designated agencies, and the timely reimbursement of receivables. + Research , resolve, and prepare claims that have not passed the payer edits… more