- Molina Healthcare (Long Beach, CA)
- …prompt and appropriate outreach and coordination of services, including MTM services for Medicare and Medicaid eligible members as well as Medication Adherence ... Preferred Education Ambulatory Care Residency Preferred Experience Experience with Medicaid and/or Medicare programs. Preferred License, Certification,… more
- MBK Senior Living (Huntington Beach, CA)
- …government found not eligible to provide care and services in a facility that receives Medicare or Medicaid funding. If employed at one of our senior living ... and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs -Education loan assistance & scholarships...communities that receives Medicare or Medicaid funding, team members must… more
- Clarke County Hospital (Osceola, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any ... The Nursing Services Director performs oversight, planning, and leadership to the...electronic medical record. Planning and coordination of nursing and pharmacy staff compliance to clinical informatics activities through EMR… more
- GRIFOLS, SA (Kansas City, KS)
- …the business territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid ) *Understanding of Hospital formulary with guidance of ... calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy … more
- Healthcare Staffing Professionals (Decatur, GA)
- …acceptable standards of patient care consistent with Joint Commission, Centers for Medicare and Medicaid Services and Department policies. Attends work on ... orders to the appropriate Medication Administration Record. Order Medications from Pharmacy and check for accuracy when receiving medications before storing in… more
- MetroPlusHealth (New York, NY)
- …comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, ... Yorkers to live their healthiest life. Position Overview Under the direction of the Director of Care Management (PIC), the PIC Clinical Care Manager (SW) ensures the… more
- University of Colorado (Aurora, CO)
- …Colorado in order to obtain full prescriptive authority and DEA registration Medicare / Medicaid credentials Unrestricted DEA license and current CPR certification ... and collaborates and communicates with other departments and colleagues, such as the pharmacy to ensure optimal patient care. This position is a full-time, 1.0 FTE… more
- CenterWell Primary Care (Las Vegas, NV)
- …Information on testing Preferred Qualifications Active and unrestricted DEA license Medicare Provider Number/ Medicaid Provider Number Experience managing ... and lead with the care team through daily huddles. Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in… more
- Humana (Lansing, MI)
- …on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, ... Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual...management and clinical programming + Represents Humana at all Pharmacy Medicaid meetings including those with the… more
- Humana (Hartford, CT)
- …We are seeking an experienced and strategic leader to fill the position of Director of Internal Pharmacy Forecasting and Performance Analytics. This role will ... of five direct reports and 1-2 indirect reports. The Director will play a key role in driving business...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- CVS Health (Scottsdale, AZ)
- …Landscape + Strong understanding of Health Plan Payers and associated lines of business- Medicaid , Medicare , Commercial, Exchanges + Passion for Health Care: A ... with heart, each and every day. As the Lead Director of Market Conduct Exams for the Network Services...experts (SME) representing all operational areas within the Retail Pharmacy Network Services division of CVS Caremark. This will… more
- CareFirst (Baltimore, MD)
- …make strategic choices in collaboration with the business sponsor. + Expertise in Medicare , Medicaid , and Commercial pharmacy operations. + Experience ... **Resp & Qualifications** **PURPOSE:** The Pharmacy Strategy Director is responsible for leading the day-to-day operations, performance, and oversight of … more
- Molina Healthcare (Atlanta, GA)
- …business objectives. Manage for all Medicare lines of business the annual Medicare and Medicare - Medicaid Plan Applications and Plan Benefit Package ... for the development and editing of core beneficiary communications, to include the Medicare Provider and Pharmacy Directories, Summary of Benefits and Annual… more
- AmeriHealth Caritas (Southfield, MI)
- …psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the ... individuals with chronic conditions or disabilities. + Strong understanding of Medicare - Medicaid Plan Long-Term Services and Supports (MMP LTSS) programs.… more
- BrightSpring Health Services (Arlington, TX)
- …and serving as key contact for the completion of Prior Authorizations.NOTE: pharmacy experience preferred This isa hybrid position.Applicants must reside in, or a ... Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing exceptional customer service and meeting… more
- Molina Healthcare (Savannah, GA)
- …prompt and appropriate outreach and coordination of services, including MTM services for Medicare and Medicaid eligible members as well as Medication Adherence ... **Preferred Education** Ambulatory Care Residency **Preferred Experience** Experience with Medicaid and/or Medicare programs. **Preferred License, Certification,… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …unique business segments such as specialty and retail pharmacy and state Medicaid organizationsThe Sr. Director is a cross-functional leadership role that is ... Description: The Senior Director of Market Access Strategy is responsible for... benefit formularies, across all lines of business (Commercial, Medicare , & Managed Medicaid ), as well as… more
- Marshfield Clinic (Marshfield, WI)
- …of the SHP pharmacy benefits. This individual works closely with the Pharmacy Director , Clinical Pharmacy Specialist, and Operations Manager to provide ... have been or be excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical ... procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health… more
- Cambridge Health Alliance (Cambridge, MA)
- …best interests of our participants. This role is responsible for overseeing Medicaid and Medicare enrollment, claims, reporting, risk adjustment, compliance, ... Director , Health Plan Operations - PACE Elder Service...to Health Plan Operations. * Manage all aspects of Medicare and Medicaid enrollment, retention, dis-enrollment, and… more
