- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Manager Clinical Pharmacy Member Support? At HealthTrust, you come ... and you have the opportunity to make a difference. We are looking for a dedicated Manager Clinical Pharmacy Member Support like you to be a part of our… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... community and help us put health first** The MYB Pharmacy Technician 2 integrates programs developed to improve overall...highly productive Any Humana employee who speaks with a member in a language other than English must take… more
- Walgreens (Nashville, TN)
- …and wellness awareness in the community **Job ID:** 1618065BR **Title:** Pharmacy Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... and soliciting team member suggestions. Responsible for opening and closing the pharmacy and shift changes. + Ensures the use of all elements of the Good… more
- Walgreens (Hendersonville, TN)
- …modules. + Assists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in ... state and federal laws/regulations allow, accountable for performing day-to-day non- clinical pharmacy operations, administrative activities; Ensures efficient … more
- Elevance Health (Nashville, TN)
- …of new technologies and a strong, clinical -first lens, to deliver member -centered, lasting pharmacy care. The ** Pharmacy Quality Assurance Specialist** ... ** Pharmacy Quality Assurance Specialist** **Hybrid 1:** This role...adaptable workplace. Alternate locations may be considered. A proud member of the Elevance Health family of companies, CarelonRx… more
- Elevance Health (Nashville, TN)
- …staying up to date on STAR and HEDIS measures. + Provider education to support clinical pharmacy measures and reduce pharmacy costs. + Build impactful ... By leveraging the power of new technologies, our strong, clinical -first lens and deep pharmacy expertise, we...skills. For associates working within Puerto Rico who are member or patient facing either in a clinical… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of previously denied cases in which a formal… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... to identify potential trend benders **Responsibilities** + Lead our medical and pharmacy drug trend and pipeline forecasting process including month over month,… more
- Molina Healthcare (Bowling Green, KY)
- …as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such ... CAHPS, and other quality metrics. + Assists call center pharmacy technicians with clinical questions and phone...pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve … more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... seek out relationships with pharmaceutical manufacturers, provide insights on pharmacy capabilities and enhanced services, negotiate and implement contracts… more
- Elevance Health (Nashville, TN)
- …+ Requires BA/BS in Pharmacy and a minimum of 2 years of clinical experience; or any combination of education and experience, which would provide an equivalent ... **Be Part of an Extraordinary Team** CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx),...is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... and guidelines with minimal opportunity for deviation. In our CenterWell Specialty Pharmacy (CWSPC) department, we operate as an inbound call center dedicated to… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **SSN Alert:** Humana values personal identity… more
- Grifols Shared Services North America, Inc (Nashville, TN)
- …of their patients. The HSSR position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Bleeding Management HSSR ... the targeted accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy , Critical Care, Blood Bank and other departments and stakeholders… more
- Elevance Health (Nashville, TN)
- …+ Pharmacy technician license and/or experience preferred. + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for ... a pharmacy benefit manager or health plan strongly...Elevance Health. We require all new candidates in certain patient/ member -facing roles to become vaccinated against COVID-19 and Influenza.… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... implements and supports strategy and targeted initiatives aimed at increasing clinical efficiencies, processes, education, and compliance as it relates to Medicare… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Benefits** Humana offers a variety of benefits… more