- Elevance Health (Altamonte Springs, FL)
- **Be Part of an Extraordinary Team** BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family ... on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we… more
- AdventHealth (Apopka, FL)
- …coverage of at least one of the following: o Rx Plus and Expedien Rx Specialty distributive pharmacy operations o Expedien Rx Non- Specialty distributive ... + Understands thoroughly the AdventHealth prescription benefit plan and commercial payor processes, including Specialty programs and communicates effectively… more
- Fairview Health Services (Minneapolis, MN)
- …liaison between acute care, ambulatory sites, Fairview Home Infusion, and Fairview Specialty Pharmacy to coordinate patient care seamlessly across the ... site to provide care for patient (home infusion, outpatient infusion therapy, or specialty pharmacy ) and coordinate with staff as appropriate. + Screen patients… more
- Mount Sinai Health System (New York, NY)
- …and processes required to manage and improve financial performance of pharmacy services across the Mount Sinai Health System through various activities ... scalable revenue integrity services and tools that support health system-based pharmacy operations. The position develops and directs the analytical techniques and… more
- University of Rochester (Rochester, NY)
- …regulatory/legal compliance and financial performance for all Ambulatory/Outpatient pharmacy programs including Hospital Outpatient, Specialty , Community, ... + Develops and implements new programs throughout the system to expand pharmacy services in primary care and specialty areas. **System Integration**… more
- Henry Ford Health System (Detroit, MI)
- Join Henry Ford Health as a Thoracic Oncology Pharmacy Specialist and make a meaningful impact on patient care. Must have completed an ASHP accredited PGY1 and PGY2 ... Pharmacy Residency or equivalent experience. GENERAL SUMMARY: Shift: Monday...ordering + Infusion Center to help the clinic coordinate access of medication and supplies, education for preparation, administration,… more
- Henry Ford Health System (Jackson, MI)
- …programs and development of network-level performance reports for committees, payor applications, progress reports and governmental programs. PRINCIPLE DUTIES AND ... completion of required activities and reports to maintain compliance with payor and governmental programs including Comprehensive Primary Care Plus, State Innovation… more
- Henry Ford Health System (Detroit, MI)
- …customer service. Collaborates with leadership to prioritize and manage payor program initiatives, ensuring effective planning, continuous improvement, and workflow ... experts to drive successful practice-based initiatives, improving care coordination, access , and quality. PRINCIPLE DUTIES AND RESPONSIBILITIES: . Oversee daily… more
- Endo International (New Haven, CT)
- …offices with questions related to Buy/Bill BI management. Educate/Assist with Specialty Pharmacy (SP) understanding, expectations and logistics. Continually ... + Act in a compliant manner at all times. Specialty Pharmacy (SP) Support + FRMs work...for education and to find solutions for better patient access to all supported specialty products. Ensure… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …the organization, including eVoucher co-pay programs, PAP, PA, HUB operations, specialty pharmacy enhanced services, competitive landscape/monitoring, as well as ... role will work closely with leaders from the Market Access and Trade Operations as well as the broader...all therapeutic areas and businesses. Monitor hub, copay and specialty pharmacy programs and contracting trends, collaborate… more
- AbbVie (North Chicago, IL)
- …industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations + 1-2 years supervisory experience in ... funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations. + Proven leadership and coaching skills.… more
- AbbVie (Morgantown, WV)
- … and reimbursement support tools and services + Educate on product-specific acquisition and access options such as specialty pharmacy networks, specialty ... issues + Provide local expertise in regards to national/regional payor policies in order to educate providers on payer...oncology space (Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.) + Strong understanding of access… more
- University of Washington (Seattle, WA)
- …infusion reimbursement and medication assistance issues with patient, provider, third party payor , and drug manufacturers to ensure patient access to prescribed ... Req #: 245295 Department: HARBORVIEW - PHARMACY Posting Date: 05/14/2025 Closing Info: Open Until...public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and… more
- Henry Ford Health System (Detroit, MI)
- …and managing cost structures, fee schedules, revenue posting, cash flows, and payor relations within the Pathology department. The work includes both technical and ... cash flows to ensure financial efficiency. + Foster strong payor relations to optimize reimbursement processes and resolve any...or formal. + Computer skills and the ability to access and use data systems. EXPERIENCE STRONGLY DESIRED: +… more
- Mount Sinai Health System (NJ)
- …improvement initiatives in medical management, patient satisfaction, patient access , referral management, clinical quality, system-based practice initiative practice ... performance and quality metrics related to physician productivity, patient access and communication, professionalism, and system-based practice initiatives. +… more
- Banner Health (Sterling, CO)
- …preferably be eligible for medical staff privileges. (CMOs assigned to oversee the Specialty Pharmacy must hold a current and unrestricted State license). ... and Rehabilitation. Sterling boasts cutting edge technology facilitating telehealth access for sub- specialty and tertiary services and state-of-the-art… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …benefit verifications, non-clinical case management, Prior Authorization and appeal support, and specialty pharmacy triage across a suite of clients and ... team of Benefit Investigations Specialists or Case Managers tasked with supporting access to specialty therapies. The incumbent ensures services managed include… more
- Crouse Hospital (Syracuse, NY)
- …members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and ... outreach programs. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services and community health education and outreach… more
- Mount Sinai Health System (New York, NY)
- …+ Working knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as ... 1. Analyzes data requests using information technology, enrollment, claims, pharmacy , clinical, contract, medical management, financial, administrative and other… more
- CVS Health (Springfield, IL)
- …Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy , appeals and state fair hearings. You will be part of a rotating on ... DO, Current and Active Board Certification in ABMS or AOA recognized specialty ; including post-graduate direct patient care experience - Board certification in… more