- Centene Corporation (Tallahassee, FL)
- …offering competitive benefits including a fresh perspective on workplace flexibility. ** Pharmacy Coordinator ( Appeals ) - Florida** **Position Purpose:** ... Grievances, Appeals , and Prior Authorizations + Processing Pharmacy Appeals from Medicaid and Ambetter LOBs (Sunshine Health/FL Marketplace) + Place… more
- Commonwealth Care Alliance (Boston, MA)
- …operations, pharmacy , dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day ... 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator Exemption Status Exempt Department Pharmacy ... position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Pharmacy Technician, also called a Care Coordinator , for our Berwyn, PA, location. We are looking for someone who is ... or equivalent is required. + 2 or more years of experience with medical/ pharmacy insurance verification, including benefit investigation. + A current Missouri BOP … more
- Cardinal Health (Denver, CO)
- …who need them-faster.** **_What this position contributes to Cardinal Health_** The Pharmacy Liaison Coordinator primarily serves as a liaison between the ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- State of Colorado (Denver, CO)
- Medical Staff Coordinator - Administrator II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4946968) Apply Medical Staff Coordinator - ... to support the Chief of Psychiatry, Medical Staff Office, pharmacy , and other programs under the Chief Medical Officer...by the State Personnel Director. You will find the appeals process, the official appeal form, and how to… more
- BJC HealthCare (St. Louis, MO)
- …impact the patient. + Supporting providers by assisting with prior authorization appeals . Advise patients on their specialty pharmacy network and identifying ... City/State: Saint Louis, Missouri Categories: Pharmacy Shift: Days Job Status: Full-Time Req ID:...is looking for an eager and detail - oriented coordinator to join our team! In this role, you… more
- Guthrie (Corning, NY)
- Position Summary: The LPN Care Coordinator will assist the providers with medication refills, patient messages, in basket monitoring, overdue results, referrals, ... requests. * *Obtain clarification as needed from providers for pharmacy to facilitate safe and timely dispensing of the...of coverage of ordered medications. * *Coordinate and complete appeals for denials as needed * *Monitor and Review… more
- Trinity Health (Des Moines, IA)
- …prior authorizations to insurance companies and submits refill forms to the pharmacy as necessary. Collaborates with the House of Mercy's treatment team regarding ... Improvement Process. Assists with the development/completion of grant applications, funding appeals , and reports required by grantors, if and when appropriate.… more
- City and County of San Francisco (San Francisco, CA)
- …+ Zuckerberg San Francisco General Hospital & Trauma Center (ZSFG) Inpatient Pharmacy + Zuckerberg San Francisco General Hospital & Trauma Center (ZSFG) Outpatient ... Pharmacy + Zuckerberg San Francisco General Hospital & Trauma...Francisco General Hospital & Trauma Center (ZSFG) 340B Program Coordinator + San Francisco County Jails, both in San… more
- State of Colorado (Denver, CO)
- …adjust them as indicated. Responsible for overseeing the accuracy of pharmacy orders. Communicates pertinent and appropriate health information to facility staff, ... limited to medication administration records, medication packages, incident reports, pharmacy invoices, and Electronic Health Record documentation. Ensures that DYS… more
- State of Colorado (Pueblo, CO)
- …staff related to milieu management/safety basics + Understand and follows: Pharmacy Formulary, Treatment Plans, Infection Control Manual, Physicians Orders, Court ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ### THE… more
- State of Colorado (Denver, CO)
- …etc.) + Perform entries into various security-sensitive areas (After-Hours Pharmacy , Central Medical Supply, Medical Records, Finance/Safe, etc.) with/without staff ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.usor call ###. Toll Free… more
- State of Colorado (Denver, CO)
- …plans and adjusts them as indicated. Responsible to oversee accuracy of pharmacy orders. Communicates pertinent and appropriate health information to facility staff, ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager, Nursing positions are required to ... to consultants exercising professional expertise in fields such as medicine, nursing, pharmacy , social work, and physical and occupational therapy. + Coordinates all… more