- Prime Therapeutics (Oklahoma City, OK)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
- CVS Health (Oklahoma City, OK)
- …evaluation, and oversight of vendor relationships to ensure optimal performance, compliance , and alignment with organizational goals. This role collaborates with ... ensuring alignment with organizational objectives.** **Monitor vendor performance, ensuring compliance with contractual obligations, service level agreements, and regulatory… more
- US Tech Solutions (May, OK)
- …to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. + ... **Experience** + 3 years of clinical experience required- Managed Care/ Medicare experience preferred **Position Summary** + Provide comprehensive healthcare… more
- CVS Health (Oklahoma City, OK)
- …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market ... pricing consultation and strategy in an evolving regulatory environment to ensure compliance . + Exercising sound business judgment to achieve proper balance between… more
- Humana (Oklahoma City, OK)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more