• Genmab (Berkeley Heights, NJ)
    …feel like a fit? Then we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist will be the dedicated ... access and reimbursement of prescribed medications. The Patient Access Specialist will be the voice of Genmab to our...Genmab to our customers and will maintain the highest quality and compliance to provide a positive experience. This… more
    HireLifeScience (09/16/25)
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  • Accessia Health (Midlothian, VA)
    POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS MANAGED : None STATUS : Non-Exempt SUMMARY: The Case Management ... Specialist is responsible for acting as a bridge between...resource availability Use extensive knowledge of health insurance, including pharmacy benefit plans and plan formularies, to determine insurance… more
    Upward (08/10/25)
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  • Medicare Quality Specialist

    Corewell Health (Grand Rapids, MI)
    Job Summary The Medicare Quality Specialist , Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and ... + Ensure compliance to CMS requirements and standards + Other projects assigned by Medicare Quality Manager and/or Director Qualifications Required + 2 years of… more
    Corewell Health (10/14/25)
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  • Pharmacy Services Specialist

    Apex Health Solutions (Houston, TX)
    …management and direct communication to all applicable parties (internal and external). The pharmacy specialist will also work with the compliance department to ... Position Summary: The Pharmacy services Specialist will assist the...Services staff (pharmacists and technicians) in all aspects of pharmacy operations and services including Medicare part… more
    Apex Health Solutions (10/18/25)
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  • Clinical Pharmacy Specialist

    Marshfield Clinic (Weston, WI)
    …the most exciting missions in the world!** **Job Title:** Clinical Pharmacy Specialist **Cost Center:** 301691245 WesHos- Pharmacy -Inpatient **Scheduled ... shifts (United States of America) **Job Description:** **JOB SUMMARY** The Clinical Pharmacy Specialist works with physicians, staff, and committees to optimize… more
    Marshfield Clinic (10/11/25)
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  • Clinical Pharmacy Specialist

    Sanford Health (Fargo, ND)
    …**Job Summary** The Ambulatory Care Pharmacist at Sanford Health delivers innovative and high- quality care as a part of our healthcare team. The pharmacist provide ... well as nursing and other support staff. o Utilize pharmacy consults and collaborative practice agreements to assist providers...the clinic support staff. o Conduct Office Visits or Medicare Annual Wellness Visits at assigned clinic(s) o Assist… more
    Sanford Health (10/07/25)
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  • Collection Specialist / Pharmacy

    BrightSpring Health Services (Englewood, CO)
    …Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one ... top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work...an industry shift from hospital delivery settings to lower-cost, high- quality alternative providers such as Amerita. As a core… more
    BrightSpring Health Services (10/14/25)
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  • Facility Financial Specialist

    Heritage Ministries (Greenhurst, NY)
    Job Description The Facility Financial Specialist is responsible for welcoming and directing new residents and their families on the day of admission. He/she is ... face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage...copies of all forms generated by the Facility Financial Specialist to the assigned social worker and business office.… more
    Heritage Ministries (10/27/25)
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  • Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job ... Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring… more
    Polaris Pharmacy Services, LLC (10/21/25)
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  • Billing Specialist

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    Billing Specialist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Category Admin - Clerical ... Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring… more
    Polaris Pharmacy Services, LLC (10/11/25)
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  • Collections Specialist

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    Collections Specialist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Category ... Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring… more
    Polaris Pharmacy Services, LLC (10/11/25)
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  • Quality Perform Specialist Clinical

    AmeriHealth Caritas (Columbia, SC)
    …This position is responsible for leading and coordinating the clinical quality review process of member concerns and medical records utilizing of ... Clinical Practice Guidelines. The position also supports accreditation and clinical quality performance improvement activities.; ; This position is Remote but must… more
    AmeriHealth Caritas (10/28/25)
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  • Behavioral Health Specialist II - Child,…

    Deschutes County (Bend, OR)
    Behavioral Health Specialist II - Child, Family & Young Adult Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/5052532) Apply  Behavioral ... Health Specialist II - Child, Family & Young Adult Salary...outdoor recreation capital of Oregon. We enjoy a renowned quality of life, with big-city opportunities and small-town neighborhoods.… more
    Deschutes County (09/26/25)
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  • Behavioral Health Specialist II, Crisis…

    Deschutes County (Bend, OR)
    Behavioral Health Specialist II, Crisis Team (Night Shift) Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/4788106) Apply  Behavioral Health ... Specialist II, Crisis Team (Night Shift) Salary $6,027.10 -...outdoor recreation capital of Oregon. We enjoy a renowned quality of life, with big-city opportunities and small-town neighborhoods.… more
    Deschutes County (10/08/25)
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  • Behavioral Health Specialist II, Crisis…

    Deschutes County (Bend, OR)
    Behavioral Health Specialist II, Crisis Team (Swing Shift) Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/4814025) Apply  Behavioral Health ... Specialist II, Crisis Team (Swing Shift) Salary $6,004.15 -...outdoor recreation capital of Oregon. We enjoy a renowned quality of life, with big-city opportunities and small-town neighborhoods.… more
    Deschutes County (10/03/25)
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  • Provider Engagement Specialist

    Lumeris (NH)
    Medicare Shared Savings Program (MSSP), managed care regulations, quality reporting, care management, population management, ACO strategy implementation and ... and empowers you to make an impact. **Position:** Provider Engagement Specialist **Position Summary:** Responsible for improving Accountable Care Team (Provider)… more
    Lumeris (09/25/25)
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  • Training Specialist - Operations

    Independent Health (Buffalo, NY)
    …role requires up to 90% onsite presence.** **Overview** The Training Specialist -Operations will be responsible for design, development, and implementation of ... supporting the training needs for organizational initiatives. In addition, the Specialist will assume supervisory responsibilities for their new hire classes.… more
    Independent Health (10/24/25)
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  • Regulatory Specialist General Medical…

    Penn Medicine (Philadelphia, PA)
    …not limited to PA DOHServes as a liaison with departments such as Pharmacy , Clinical Effectiveness and Quality Improvement (CEQI), Case Management, Infection ... Health (DOH), The Joint Commission (TJC) and Center for Medicare and Medicaid Services (CMS) regulations.* Effective oral and...Nursing leadership (PRN) Major Lower Joint (CET) Surgery Center Quality , Pt Safety and IC PDLH Quality ,… more
    Penn Medicine (08/07/25)
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  • RN- Clinical Transition Specialist

    Carle Health (Peoria, IL)
    …rounds and initiates timely referrals to other internal healthcare team members ( quality improvement, risk manager, social workers, pharmacy , therapy services, ... Transportation Deliver or delegate delivery of regulatory letters for Medicare and observation patients. Arrange/attend any patient/family care conferences. About… more
    Carle Health (10/02/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're ... Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL...services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring… more
    Polaris Pharmacy Services, LLC (10/11/25)
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