- Prime Therapeutics (Providence, RI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible...client contacts, including information on the performance of the pharmacy program and the strategic account plan. + Identify,… more
- Zurich NA (Providence, RI)
- …for UR and pharmacy operation's culture of continuous improvement of the clinical expertise across the organization. + Motivate and lead a high performance team ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP,... nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
- Walgreens (Riverside, RI)
- …the clinical , analytical and leadership skills necessary to function as a clinical practitioner in a community pharmacy , ambulatory care setting, or pursue a ... Nurse Home & Hospice -Academic teaching at the University of Rhode Island - Clinical , Management with Walgreens Pharmacy -Drug Information with The University of… more
- Humana (Providence, RI)
- …but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- CenterWell (Providence, RI)
- **Become a part of our caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... to identify potential trend benders **Responsibilities** + Lead our medical and pharmacy drug trend and pipeline forecasting process including month over month,… more
- CVS Health (Woonsocket, RI)
- …do it all with heart, each and every day. **Position Summary:** The Executive Director , Payer Relations Analysis will act as a strategic thought partner for Retail ... Payer Relations. The role will have subject matter expertise on pharmacy economics, PBM reimbursement, patient/customer characteristics & use of claim transaction… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Trade Client Relations Director - Remote **Job Description** The Trade Client Relations Director is ... responsible for the analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions to Prime's clients to ensure Prime… more
- CVS Health (Providence, RI)
- …day. **Position Summary** CVS Health is seeking an experienced and innovative Director of AI Solutions Design to lead the development of artificial ... (preferably healthcare related), and the ability to drive impactful change. This Director will serve as the main point of contact/liaison for internal customers.… more
- Norstella (Providence, RI)
- Director , HEOR Company: MMIT Location: Remote, United States Date Posted: May 7, 2025 Employment Type: Full Time Job ID: R-1163 **Description** Why Norstella? ... you can act on. **About The Role:** Norstella is seeking an experienced Director , HEOR to design and deliver HEOR/RWE studies for clients in the pharmaceutical,… more
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - Long-Term Innovation **Job Description** The Product Director is ... + Ability to work well across cross-functional teams including clinical , network management, operations, specialty, client engagement, market segment services… more
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote **Job Description** This ... Business Development Product Director is accountable for developing and executing initiatives on Prime's product roadmap across the Commercial, Government Programs… more
- Travelers Insurance Company (Providence, RI)
- …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training...a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the… more
- Prime Healthcare (Woonsocket, RI)
- …Pharmacy Department as well as acceptable/appropriate requests for extended clinical pharmacy services. Under the direction of the Director of Pharmacy ... assigned by the Director and assisting with the experiential clerkships of pharmacy students. Serves as a clinical resource person for staff pharmacists.… more
- Genesis Healthcare (Middletown, RI)
- …our day-to-day operations. Responsibilities The Advanced Practice Provider reports directly to the Director of Clinical Practice and/or the Area Clinical ... nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute… more
- Genesis Healthcare (RI)
- …Responsibilities The Palliative Care Advanced Practice Provider (APP) reports directly to the Director of Clinical Practice and/or the Area Clinical Practice ... nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute… more
- United Therapeutics (Providence, RI)
- …Who you are You are well experienced in Trade, Biotech, and/or Specialty Pharmacy with a great understanding and appreciation of essential things like account ... foster Trade Relations between United Therapeutics Corporation ("UTC") and Specialty Pharmacy Distribution entities. This role will contribute to UT interaction with… more
- CenterWell (Providence, RI)
- …Access Nurse Practitioner, Virtual Care (VSP/PT) applies advanced education and clinical competencies to achieve optimal patient outcomes. The Acute Access Nurse ... **Patient Care:** + The Acute AccessNurse Practitioner,Virtual Care(VSP/PT) will dedicate their clinical efforts to improving access for the patients we serve. +… more
- Prime Therapeutics (Providence, RI)
- …**Reporting Structure** + Reports to a Functional Business Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, Compliance, ... experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including… more