- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Pharmacy Claims Lead - Financial Recovery leads a team that is responsible for ... scope and complexity ranging from moderate to substantial. + The Pharmacy Claims Lead - Financial Recovery leads a team that is responsible for… more
- BrightSpring Health Services (Taunton, MA)
- …apply today! Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance ... staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance.* Handles escalated calls… more
- University of Michigan (Ann Arbor, MI)
- …organize compliance with annual vaccination policy, license requirements, or other mandatories. + Pharmacy Procurement - lead Pharmacy Buyer team, ensuring ... good **Responsibilities + Works closely with UM Health and Pharmacy leadership to identify and deploy strategic, financial...to ensure integrity and optimization of the 340B ESP claims process infrastructure. Lead and execute internal… more
- Trinity Health (Fort Wayne, IN)
- …experience working in a specialty, home infusion, hospital, or retail pharmacy preferred. 2. Experience with adjudicating prescription claims , corresponding ... **Employment Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to… more
- SSM Health (Madison, WI)
- …an experienced Retail or Community Pharmacist to lead our Dean community pharmacy team by overseeing operations and financial performance of multiple ... of the organization to improve quality, safety, and meet financial goals for pharmacy services. Continuously monitor...staff training. Assures processes are in place to reconcile claims and collect payments. + Actively assess the security… more
- Universal Health Services (Reno, NV)
- … benefit manager), consultants, pharmacies, provider offices, brokers, and members. The Pharmacy Benefit Operations Manager will lead initiatives related to ... vary widely and require a thorough understanding of system processes and financial implications of decisions related to pharmacy benefits. Benefit Highlights:… more
- Walgreens (Pinole, CA)
- …and supports the pharmacy manager in analyzing performance data including pharmacy financial , customer service, and implementation of procedures for ... **Job Description:** **Job Summary:** Engages in post-graduate pharmacy activities under direct supervision of licensed pharmacist to fulfill the State Board of … more
- UPMC (Cumberland, MD)
- **UPMC Western Maryland is looking for a full-time Pharmacy Technician to support our inpatient units! This role requires rotating weekend and holiday shifts. This ... and pay range for their experience. The rate listed above is for a Pharmacy Technician, Intermediate. The minimum hourly pay rate for a Pharmacy Technician,… more
- AdventHealth (Apopka, FL)
- …being conducted to meet the pharmacy 's goals. The Specialty Pharmacy Supervisor oversees the intake, claims adjudication, prior authorization coordination ... Apopka, FL 32714 **The role you'll contribute:** The Specialty Pharmacy Supervisor is responsible for a wide range of...performance. Works with department leaders to develop content and lead out on weekly team huddles. + Serves as… more
- UPMC (Cumberland, MD)
- **UPMC Western Maryland is looking for a full-time Pharmacy Technician to support our inpatient units! This role requires rotating weekend and holiday shifts. This ... and pay range for their experience. The rate listed above is for a Pharmacy Technician, Intermediate. The minimum hourly pay rate for a Pharmacy Technician,… more
- CVS Health (Scottsdale, AZ)
- …include validation and verification of documentation compliance and data accuracy of pharmacy enrollment to mitigate negative financial business impacts and ... for ad hoc projects; interface with internal partners and lead cross functional task groups. Pharmacy Provider...communication skills + Strong knowledge of mainframe applications for pharmacy enrollment and claims processing for Recap… more
- UPMC (Pittsburgh, PA)
- **UPMC Mercy is hiring a Full-Time Pharmacy Technician, Intermediate to support our Pharmacy department!** This position will work rotating shifts primarily ... Sign On Bonus of $5,000 with a 2 year commitment to UPMC. Pharmacy Technician career advancement and certification opportunity available through completion of a free… more
- CareFirst (Baltimore, MD)
- …The incumbent understands the difference between clinical prognosis and future financial risk. **ESSENTIAL FUNCTIONS:** + Ensure the retention and profitability of ... all currently available information, factors and formulae to accurately predict future claims and non- claims expenses. Works closely with the Account Manager… more
- Prime Therapeutics (Columbus, OH)
- …effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of CPT ... effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's degree in… more
- Commonwealth Care Alliance (Boston, MA)
- …Important to Us:** Responsible for consulting with CCA's Ancillary Services and Pharmacy Operations to identify and define business needs that require technology ... and growth. The manager will function as the IT lead for a portfolio of projects, building a matrixed...alignment with the business strategy of Ancillary Services and Pharmacy Operations. **Supervision Exercised:** Yes **What You'll Be Doing:**… more
- The Cigna Group (Bloomfield, CT)
- …sourcing activities and associated strategies across the Enterprise Operations & Pharmacy category as it relates to the identification, negotiation and procurement ... of the various products and services to support Cigna's pharmaceutical and claims operations life cycle. This includes leading sourcing projects of various sizes and… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** Responsible for managing all aspects of pharmacy contractual guarantees. Analyst will conduct routine analysis on guarantee performance and make ... pharmacy pricing recommendations to management in order to meet...meet the guarantees. Responsible for coordinating, conducting, and documenting financial analysis projects or financial reporting. Conducts… more
- CVS Health (Scottsdale, AZ)
- …This role will deal with a variety of data including drug rebate, claims , financial , Medicare, Commercial, Medicaid, Exchange, and operational data. You will ... Experience in healthcare industry, including health insurance, PBM or pharmacy servicesExperience in managing financial reporting supporting internal… more
- BrightSpring Health Services (Horsham, PA)
- …capable and motivated individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and meeting the ... pharmacy needs for hospitals, rehabilitation facilities, long-term acute care...Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations… more
- Omnicell, Inc. (Fort Worth, TX)
- …insurance, retirement, educational, and well-being programs to ensure quality, value, and financial protection to help you and your family live well. **In-Office ... Worth, TX 76137 **Day in the Life:** As a Lead Reconciliation Analyst, you'll serve as the primary liaison...for independent pharmacies. Your role will involve engaging with pharmacy owners, accountants, pharmacy technicians, and other… more