- AscellaHealth (Berwyn, PA)
- …global specialty pharmacy and healthcare services organization, is seeking a Senior Relationship Account Manager for our Berwyn, PA location. The person in this ... Strong knowledge of PBM operations preferred, including benefit design, specialty pharmacy services, rebate management, claims processing, and clinical program… more
- CenterWell Primary Care (El Paso, TX)
- …our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, ... tasks as necessary, including mail, phone calls, scheduling, submitting insurance claims , and operating common office machines. Recording patient medical histories,… more
- Bristol-Myers Squibb Company (Princeton, NJ)
- …Director, US Medical Affairs, Cell Therapy, which will report directly to the Senior Director of US Medical, Cell Therapy Portfolio Strategy. The ideal candidate ... as the US medical point for Patient Advocacy and Professional Societies. Success in this role requires a deep...strategy Determine acceptability of data/references used to support promotional claims and provide expert guidance as well as effective… more
- AdaptHealth LLC (High Point, NC)
- …calls until patient is taken care of. Communicates appropriately and professional manner with internal and external customer. Makes recommendations for equipment ... experience in health care administrative, financial, or insurance customer services, claims , billing, call center or management regardless of industry. Senior… more
- Otsuka America Pharmaceutical Inc. (Bismarck, ND)
- …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will report...operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers,… more
- Marshfield Clinic (Marshfield, WI)
- …law and third-party reimbursement rules. **Preferred/Optional:** Three years' experience in pharmacy claims processing. Experience in technical writing and ... to support the most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary… more
- CenterWell (Topeka, KS)
- …community and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the coordination ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- CenterWell (Atlanta, GA)
- …or Kansas City, MO or Kansas City, KS markets.** As the **RCM Healthcare Claims Denials (Accounts Receivable) Supervisor** , you will: + Supervise daily billing and ... and initiate correspondence to insurance companies for reconsideration of claims . + Supervise accounts receivable management functions and maintain assigned… more
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- This position will be responsible for the Specialty Pharmacy operations for OAPI The position will report to the Executive Director, Channel Strategy and Patient ... Affordability We are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations for the launch of a new… more
- BrightSpring Health Services (Columbia, MD)
- … solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled ... individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and...Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim… more
- University of Michigan (Ann Arbor, MI)
- …order pharmacy setting. Experience in typing prescriptions and adjudicating claims preferred. + Document all patient interactions in appropriate systems and ... Pharmacy Services, see our annual report at https://www.medicine.umich.edu/dept/ pharmacy / pharmacy -annual-report **Required Qualifications Senior /Intermediate/Associate Level:… more
- Humana (Springfield, IL)
- …operational, professional , and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs Plan ... problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director, internally known as a Clinical Pharmacy Lead, plans,… more
- Access Dubuque (Dubuque, IA)
- Pharmacy Technician Inpatient **Southwest Health** 1 Positions ID: 75729 Posted On 07/25/2025 **Job Overview** **Requirements** + High school diploma or GED ... Six months to one year prior experience as a pharmacy technician preferred. + Must be able to comply...functions of the department that do not require the professional judgment or activity of the pharmacist. The technician… more
- Catholic Health Services (Centereach, NY)
- …and PowerPoint Experience in Epic or similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on ... clinical providers with the goal of optimizing the provision of specialty pharmacy services, pharmaceutical care, and patient outcomes related to medication usage.… more
- Comcast (Philadelphia, PA)
- …we want you to fast-forward your career at Comcast. **Job Summary** The Senior Director of Global Benefits is responsible for designing and implementing health care ... health care financial forecasting/underwriting principles including self-insured medical and pharmacy plan administration and payment models. + Provides oversight… more
- CVS Health (Springfield, IL)
- …periods of time while in pharmacies. **Required Qualifications** - 3+ years of professional experience, preferably in a retail pharmacy setting, or in fields ... manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ...PBM) claims processing - Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge -… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health ... of our members related to their medical, behavioral health and pharmacy needs. This position also provides the physician cohesive collaboration necessary… more
- CVS Health (Irving, TX)
- …Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health ... to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy ...You will work with a collaborative, close-knit team on pharmacy and member specific claims data including,… more
- Walgreens (Chicago, IL)
- …growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions + ... they were 401(k) contributions **What You'll Do** + Provide compassionate, expert-level pharmacy consulting services to patients + Educate and consult patients on… more
- AscellaHealth (Berwyn, PA)
- …global specialty pharmacy and healthcare services organization, is seeking a Senior Relationship Account Manager for our Berwyn, PA location. The person in this ... + Strong knowledge of PBM operations preferred, including benefit design, specialty pharmacy services, rebate management, claims processing, and clinical program… more
