- HCA Healthcare (Nashville, TN)
- …division, and group management personnel as well as corporate executives. The Clinical Compliance Pharmacy Audit Manager position will work on various ... join an organization that invests in you as a Audit Manager - Pharmacist? At HCA, you.... Provides input in the review of the detailed audit /review programs particularly related to Pharmacy processes,… more
- CVS Health (Tallahassee, FL)
- …care more personal, convenient and affordable. Job Purpose and Summary: As an Audit and Testing Program manager , you will provide technical, analytical, and ... in advance of audits and adequately communicate implications to ensure a successful audit experience for our clients. Your ability to research claims, read benefit… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** Under the direction of the 340B Program Integrity Manager the 340B Program Compliance Monitoring & Audit Specialist is an independent, self-directed ... and risk. + Escalate concerns and make recommendations to pharmacy leadership for monitoring and audit discrepancy...recommendations to pharmacy leadership for monitoring and audit discrepancy response and resolution as well as corrective… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Working with the director of pharmacy the Pharmacy Operations Manager is responsible for the ... the Board of Pharmacy and other regulatory and accreditation agencies. The Pharmacy Operations Manager oversees the day to day operations to assure best… more
- Walgreens (Columbus, OH)
- …and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve ... others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the… more
- Walmart (Bentonville, AR)
- **Position Summary ** **What you'll do ** Join the Health & Wellness Pharmacy Medical Billing Team as a Manager , Medical Billing supporting the Pharmacy ... business. In this role, you will assist the Sr. Manager , Medical Billing in ensuring billing for medical claims...Billing in ensuring billing for medical claims within the Pharmacy are successful. This role will: + Be responsible… more
- Tenet Healthcare (Detroit, MI)
- Manager Pharmacy ER Services Days FT - 2205036930 Description : DMC Detroit Receiving Hospital, Michigan’s first Level I Trauma Center, helped pioneer the ... Excellence. Job Description: Manages the personnel and operational activities of the pharmacy services function for assigned location. Identifies the need for policy… more
- CVS Health (Woonsocket, RI)
- …make health care more personal, convenient and affordable. Position Summary The Senior Manager , Pharmacy Analytics and Contract Compliance will join the Payer ... we dispense to our patients each year. As the Pharmacy Analytics and Contract Compliance Senior Manager ,...based on the CostVantage price model, ensuring contractual and audit compliance. + Coordinate and clearly communicate impact between… more
- GE Aerospace (Evendale, OH)
- **Job Description Summary** A key dimension of this role will be to coordinate with the Audit Manager and other team members to execute the audit process, ... results for GE Aerospace including: * Collaborating with the Manager and other audit team members to...not limited to, health care coverage (medical, dental, vision, pharmacy ), a retirement plan that includes Company Retirement Savings… more
- Medical Mutual of Ohio (OH)
- …quality initiatives, with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members ... Part B inquiries, grievances, and CTMs, updating tracking documents, audit research items, and marketing material reviews. . Assists...a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim… more
- BlueCross BlueShield of North Carolina (NC)
- …the day-to-day operational and tactical aspects of all Medicare related PBM ( Pharmacy Benefit Manager ) activities, new initiatives, and other ongoing business ... You'll Do** + Develops project plans and recommendations in support of Corporate Pharmacy objectives and leads implementation; tracks and reports on the status of… more
- St. Luke's University Health Network (Allentown, PA)
- …by the Network Pharmacy Business Manager and the Network Pharmacy 340B Coordinator. + Ensures internal audit findings are addressed locally/regionally ... by reviewing all parameters as identified by the Network Pharmacy Business Manager and the Network ...Manager . + Maintains appropriate documentation for compliance and audit purposes. + Ensures continued readiness for a HRSA… more
- Elevance Health (Louisville, KY)
- …send you a check, or ask you for payment as part of consideration for employment. ** Pharmacy Internal Auditor** + Job Family: QLT > Analysis + Type: Full time + Date ... + TX, HOUSTON + MA, NEWTON 55 CHAPEL ST + VA, NORFOLK **Description** ** Pharmacy Internal Auditor** **Location:** This position will work a hybrid model (remote and… more
- Walgreens (Upper Arlington, OH)
- …regulatory guidelines, company policies and procedures. Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways ... operates in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient… more
- Walgreens (Kettering, OH)
- …regulatory guidelines, company policies and procedures. Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways ... requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager . **Operations**...well as medical providers and participates in 3rd party audit . + Follows-up with medical providers' offices to clarify… more
- Elevance Health (Atlanta, GA)
- …and experience which would provide an equivalent background. **Preferred Qualifications:** + Pharmacy Claims Audit Strongly preferred + PBM ( Pharmacy ... for payment as part of consideration for employment. **Business Analyst III (Pharmaceutical Claims Audit )** + Job Family: BSP > Business Support + Type: Full time +… more
- Baptist Memorial (Columbus, MS)
- …within regulatory guidelines, company policies and procedures.Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ... operates in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient… more
- Baptist Memorial (Memphis, TN)
- …regulatory guidelines, company policies and procedures. Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways ... operates in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient… more
- Cleveland Clinic (Cleveland, OH)
- …of the most respected healthcare organizations in the world. As a Regulatory Pharmacy Technician, you will use your foundational knowledge that you have gained as ... a pharmacy technician to ensure compliance and regulatory accreditation requirements...the completion of monthly inspections conducted by the site manager . * Traveling to ambulatory practice sites throughout Northeast… more
- UPMC (Pittsburgh, PA)
- …Care Nurses/Physicians via handling patient care issues as they arise. Consult with Pharmacy Manager as appropriate. + Conduct necessary meeting with pharmacy ... hiring a Full-Time Lead Pharmacist to support our Retail Pharmacy and the Meds to Beds program!** This position...prescription with the NDC number on the prescription. + Audit and maintain accurate records for all controlled substances.… more