- Molina Healthcare (Long Beach, CA)
- Job Description JOB DESCRIPTION Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …day to day clinical operational UM activities to ensure that all Commercial ( Pharmacy and Medical benefits) and Medicare Advantage Part D coverage determination ... Ready to help us transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the… more
- Thrifty White Pharmacy (West Fargo, ND)
- ND Pharmacy Tech-in-Training - FT #046 West Fargo, North Dakota Thrifty White Pharmacy is seeking out a Pharmacy Technician-in-Training in #046 West Fargo, ... North Dakota to start/grow their pharmacy career. Completion of Thrifty White Pharmacy 's...prescription information to ensure accurate records. Understands and follows Medicare Part B requirements Troubleshoots any rejected claims or… more
- ChenMed, LLC (Tampa, FL)
- …We're rapidly expanding and we need great people to join our team. The Pharmacy Technician is responsible for assisting with the practice of pharmacy in ... with state and federal regulations. The incumbent is responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. Duties… more
- Food Lion (North Augusta, SC)
- Category/Area of Expertise: Pharmacy Job Requisition: 429175 Address: USA-SC-North Augusta-135 Market Drive Store Code: Store 02666 Pharmacy (2740166) Food Lion ... pharmaceutical products. DUTIES AND RESPONSIBILITIES *Serves as on-site supervisor of pharmacy department ensuring that all essential functions of the pharmacy… more
- D-H Lebanon-MHMH (Bedford, NH)
- …on a day to day basis. This job builds on the responsibilities of a Pharmacy Technician Certified III. This is a Full Time, 40hr per week, benefitted position. ... Tuition Reimbursement: Up to $3,000 per year. Dental Vision #CPT, # Pharmacy Technician, #Dartmouth-Hitchcock Pharmacy Responsibilities Answers Phones. Prepares… more
- WellSpan Health (York, PA)
- …Mt. Gretna, PA. (Applies only to staff working at Good Samaritan Pharmacy location only; Department 43514). Common Expectations: Demonstrates a commitment to ... responsibility through improvement and innovation. Logs all drugs delivered to pharmacy . Qualifications Qualifications Minimum Education: High School Diploma or GED… more
- Thomas Jefferson University Hospitals, Inc. (Montgomery, PA)
- Job Details PRIMARY RESPONSIBILITIES: The Specialty Pharmacy Representative I drives our refill queues and assists patients, physicians and pharmacists in the ... and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients. Responsibilities include entering the patient information; name, date of… more
- Walgreens (Redmond, WA)
- …Job Summary Responsible for directing the operation of a Walgreens Local Specialty Pharmacy , and accountable for improving unit sales, profits, and image through the ... and growing the business at the site. Performs all duties of the Pharmacy Manager in their absence . Customer Experience Ensures that store personnel provide… more
- Walgreens (Miami, FL)
- …Sarasota in the west. Responsible for the promotion of Walgreens specialty pharmacy services to targeted physicians, nurses, practice managers and other referral ... complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/D, ACOs, GPOs, Hospitals, etc.). Job Responsibilities Business… more
- ShopRite (Sicklerville, NJ)
- …with State and Federal drug laws as regulated by the State Board of Pharmacy , HIPAA, the Drug Enforcement Agency and the Food and Drug Administration. Manage ... inventory in the Pharmacy in accordance with Company policy and all Local,...not limited to third party insurance, private insurance companies, Medicare , or Medicaid. Work cooperatively with HABA Department Associates… more
- Marsh & McLennan Companies, Inc. (Atlanta, GA)
- Company: Oliver Wyman Description: Job Description: Manager - Medicare Advantage Experience Location: Hybrid with the following office locations of Atlanta , Boston, ... may include : Health insurance product development, modeling, and analysis for the Medicare Advantage markets Medicare Advantage bid development , both Part C… more
- Syneos Health Careers (New Orleans, LA)
- …Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures. ... upon approved direction Provide education and support on Specialty Pharmacy issues for pharmacy benefit products Provide...the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid) Support patient access to the… more
- UnitedHealth Group (Eden Prairie, MN)
- …our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will ... Support development of clinical models for complex populations governmental programs, ie Medicare Advantage and DSNP based on the assigned market Resolves highly… more
- Zencon Group (Orange, CA)
- …and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions. The incumbent will have frequent external ... collaborate with internal departments such as Customer Service, Provider Relations, Pharmacy and Medical Management to identify factors necessary for the optimal… more
- Pyramid Consulting, Inc. (Miami, FL)
- …for the pharmacy department Participate in the coordination of the Medicare MTM program Assist case management team with members including clinical rounds ... appropriate quality controls and initiates opportunities for performance improvement in pharmacy /practice Develop and implement programs designed to impact DUR for… more
- Risk Strategies (Cincinnati, OH)
- …is responsible for sales, service, retention and growth of ARC's Individual and Medicare book of business. This includes any and all project oriented business ... Provide objective information pertaining to coverage, annual notice of change, pharmacy /network coverage and drug formularies. 8. Ensure proactive customer service… more
- RiverStone Health (Billings, MT)
- …services based on income and family size. In addition, we accept payment from Medicare , Medicaid, Healthy Montana Kids and private health insurance plans. If you are ... get dental care or behavioral health counseling. The RiverStone Health Pharmacy is the only pharmacy on Billings' South Side, meeting the needs of our patients… more
- CERiS (Fort Worth, TX)
- …codes, and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid with the ability to work independently with minimal supervision ... CIC required with DRG auditing experience in ICD-10-CM, ICD-10 PCS Proficient in Medicare , CMS guidelines and ICD-10 coding guidelines Minimum of 3-5 years of… more
- Advocate Aurora Health (Libertyville, IL)
- …enteral) and triages issues and concerns through collaboration with physicians and pharmacy . Constant, secure communication with system level Pharmacy Integrated ... documents elements of the Global Malnutrition Composite Score (GMCS) for Medicare and Medicaid Services' (CMS) Nutrition Electronic Quality Indicators. Participates… more
