- Prime Therapeutics (Richmond, VA)
- …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
- Bon Secours Mercy Health (Mechanicsville, VA)
- …regulatory compliance. In addition, The Operations Manager shall assist in managing the pharmacy when the Pharmacy Director is unavailable. **Essential ... pharmacy students, residents, technicians, nurses, and physicians + Work with the Pharmacy Director to identify and develop processes to meet or exceed all… more
- Zurich NA (Richmond, VA)
- …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
- Bon Secours Mercy Health (Midlothian, VA)
- …recognized for clinical and operational excellence. **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Humana (Richmond, VA)
- …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 (Richmond, VA)
- **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
- CenterWell (Richmond, VA)
- …years of Director experience preferred_ + _Though not required,_ _advanced clinical professional license strongly preferred such as RN, MSW/LCSW, NP, PA, MD/DO_ ... of our caring community and help us put health first** The Divisional Director is responsible for building a strong partnership with clinical -operational… more
- Prime Therapeutics (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- 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 (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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
- CenterWell (Richmond, VA)
- …us put health first** + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the assessment ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- United Therapeutics (Richmond, VA)
- …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
- Option Care Health (Richmond, VA)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... healthcare. **Job Description Summary:** The Patient Scheduler is responsible for scheduling clinical staff to visit patients. This may include Option Care Nursing,… more
- CenterWell (Richmond, VA)
- …patients. + Accurately documents daily, weekly, or monthly records of clients'. Submits clinical paperwork to the office on time each week. + Attend educational ... and contributes to department in-services. + Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes,… more
- HCA Healthcare (Richmond, VA)
- …care and/or department issues. Makes recommendations to supervisor and/or departmental director any changes in policy and procedure that will improve departmental ... treatment and staff utilization. + **Staff Resource:** Provides timely and adequate clinical information or resources for information on request + from staff.… more
- CenterWell (Henrico, VA)
- …expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by ... based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome… more
- Prime Therapeutics (Richmond, VA)
- …**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