- Veterans Health Administration (Wichita, KS)
- …is to perform direct medical supply Purchasing support for administrative and clinical services to initiate the obligation for all related requirements necessary to ... medical equipment, supplies and services based on a medical provider's clinical assessment and evaluation of the Veteran's medical condition. Performs purchasing… more
- Trinity Health (Boise, ID)
- Employment Type: Full time Shift: Day Shift Description: CLINICAL RISK MANAGER BOISE REGIONAL MEDICAL CENTER, Level II Trauma Center SUMMARY: The Clinical ... (CCA) as needed. Notifies TH insurance of all actual and potential adverse events. Clinical Risk Manager will work with legal department to conduct EMTALA… more
- Walgreens (Oak Creek, WI)
- …and federal laws/regulations allow, accountable for performing day-to-day non- clinical pharmacy operations, administrative activities; Ensures efficient pharmacy ... to customers' requests in a timely manner and answers non- clinical questions to ensure a positive customer experience. Models...for efficient workflow. At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records… more
- ProPharma Group (Western Springs, IL)
- …healthcare provider and managed care promotional and non-promotional materials. Review of independent scientific/ medical/ clinical materials for Established ... be, elevating the risk to their manager /line manager within the client. Provide detailed review ...on advertising and promotion. Deep understanding scientific data from clinical trials, review articles, medical textbooks, etc.… more
- Walgreens (Carpentersville, IL)
- …of medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome ... (eg patient consultation, medication management, drug therapy reviews, and perform clinical , or wellness services such as immunizations, diagnostic testing, and… more
- Farmacy Beauty (Mahwah, NJ)
- TITLE: Manager , Product Development REPORTS TO : Director, Product Development LOCATION : Mahwah, NJ, with travel to NYC as needed 1-3x a month. WORK SCHEDULE : ... ABOUT THE ROLE We are seeking an innovative Product Development (PD) Manager to champion the lifecycle of new skincare-focused product development, from concept… more
- Regal Medical Group, Inc. (Northridge, CA)
- Position Summary: Reporting to the Director of HROB and NICU Team. The Case Manager High Risk OB RN is directly responsible for the assessment, treatment planning, ... resources within the members' benefit plans and established contracts. The Case Manager is responsible, along with other members of Medical Management Team, for… more
- Veterans Health Administration (Memphis, TN)
- …Medical Center and will provide support to the Inpatient Ward, Emergency Room, Baggage Claims , Environmental Care and Call Center. This job is open to Internal to an ... monitoring both inpatient and outpatient appointments for areas of responsibilities, daily review of encounters forms are completed by the appropriate clinic staff… more
- Veterans Health Administration (Los Angeles, CA)
- …This is a open continuous announcement; applicants will be reviewed and sent to the manager on an as needed basis. Videos Duties Driver is required to maintain a ... Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the...knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.… more
- Walgreens (Bayonne, NJ)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Duane Reade (South Lyon, MI)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- TriHealth (Cincinnati, OH)
- …which includes, but is not limited to, TPA management/oversight ( claims ), utilization management, and provider network administration. Develops and manages ... oversight to the Third Party Administrator (TPA), the Pharmacy Benefit Manager (PBM), and other key vendors, including vendor management, and receivables/payables;… more
- Walgreens (Dallas, TX)
- …on medication usage, side effects, and cost-effective options Deliver clinical healthcare services, including immunizations, diagnostic testing, and medication ... and professional growth A problem-solver - You navigate challenges, from insurance claims to medication management, with ease Apply Today & Build Your Future… more
- Walgreens (Springfield, NJ)
- …of the pharmacy department and is accountable for workflow management, clinical management of patients, continuous quality improvement, adherence to policy and ... rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. Manages and controls Prescription Department… more
- Veterans Health Administration (Albuquerque, NM)
- …administrative support during other than normal tours of duty to clinical and administrative medical center staff. Responsible for achieving management objectives ... Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the...knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.… more
- Walgreens (Cypress, TX)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
- Veterans Health Administration (Milwaukee, WI)
- …inventory and material for delivery; replenishes stock inventory; interacts with clinical and administrative customers and maintains records on stock levels; ... position. Specialized experience includes providing supplies and material to clinical and/or administrative areas of a facility; scanning, bar-coding, receiving,… more
- PacificSource (Boise, ID)
- … claims , medical claims , and utilization management platforms. Initiate clinical review and decision-making of authorization requests under the guidance ... of clinical pharmacists. Effectively communicate and collaborate in a clear...pharmacy-related services and pharmaceuticals. Prepare and process member-submitted pharmacy claims in the pharmacy benefit manager 's … more
- Astrana Health, Inc. (Houston, TX)
- …a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare ... Be Innovative Work As One Team What You'll Do Review provider documentation of diagnostic data from medical records...and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to… more