- 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
- Cardinal Health (Worcester, MA)
- …room/unit inspections and communicates results with site-based pharmacists and the PDC Director of Pharmacy . + Assists the System Automation Technician with ... **_What Health System Pharmacy contributes to Cardinal Health_** Pharmacy ...supplies and related processes. **_Job Summary_** Reporting to the Clinical Operations Manager, or designee, this position is responsible… more
- Beth Israel Lahey Health (Needham, MA)
- …handling, and other aspects of medication management as required by the pharmacy department. The Pharmacy Technician, after national certification and ... document an accurate medication reconciliation. To support outpatient clinics, the Pharmacy Technician trained in prior authorization management will complete and… more
- Beth Israel Lahey Health (Westwood, MA)
- …120,000 square foot facility in Westwood, MA, provides state of the art pharmacy services to our systems patients and employees. We specialize in patient-centered ... team. Our goal is to provide the highest level of service and become the pharmacy of choice for all our patients and employees. The Shared Services Pharmacy … 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
- 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
- Merck (Providence, RI)
- …We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating Priorities. + Invent | ... reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) oncology expert who… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …organization are kept in mind while providing quality health care. Medical Director Responsibilities: + Provides clinical and administrative oversight including ... Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director will provide leadership and supervision to all aspects of Kennedy Community… more
- CVS Health (Woonsocket, RI)
- …all with heart, each and every day. **Position Summary :** As the Lead Director of Patient Engagement and Personalization, you will lead a high-performing team of ... analytics professionals and technical product talents to personalize pharmacy services for 100M CVS Pharmacy customers. In this role, you will have the… 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
- 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
- Point32Health (Canton, MA)
- …with other teams in the department + Will be responsible for collaborating with Clinical Pharmacy and Pharmacy Contracting teams to manage specialty drug ... managing pharmacy costs. + Collaborate with the Pharmacy Medical Director and Marketing to develop... Pharmacy Specialists (certified technicians) who support the Clinical Pharmacy team. + Maintain documentation consistent… 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
- Fallon Health (Worcester, MA)
- …Outpatient case management rounds + Provider appeals review + Member appeals review + Pharmacy issues and referral requests + Medical director on-call coverage + ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… 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
- Beth Israel Lahey Health (Needham, MA)
- …Pharmacist is responsible for project management of assigned projects assigned by the Director of Pharmacy including, but not limited to, upgrading, evaluation, ... in a safe and timely manner under the direct supervision the Director of Pharmacy . This position will be responsible for managing the various technology and… more