- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …issues faced to all locations. + Assist in auditing plans to verify contractual compliance . + Responsible for monitoring MAC pricing and submitting MAC appeals ... to minimum wage requirements. CORP1 Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14060/ pharmacy -reimbursement-- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East Syracuse |… more
- Elderwood (Buffalo, NY)
- …Your leadership will help ensure financial integrity, operational efficiency, and compliance across the pharmacy revenue cycle. Responsibilities Director of ... and reserves. + Pricing & Plan Administration:Manage pricing data input across pharmacy systems, oversee...controls, and ensure alignment with all regulatory and company compliance standards. Qualifications Director of Pharmacy Revenue… more
- Independent Health (Buffalo, NY)
- …mitigated and compliance is adhered to. + Analyze RFP specifications, pricing sensitivities, key proposal requirements and formulate strategies and pricing ... Executive is responsible for monitoring and researching the specialty pharmacy industry for new best practices and unique programs...Rx position of access. + Assist with any required compliance reporting of manufacture contracts and pricing … more
- Walgreens (Huntington Station, NY)
- …system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing . + Responsible for executing and maintaining ... all pharmacy / prescription claims. + Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for… more
- Grifols Shared Services North America, Inc (Research Triangle Park, NC)
- …needs of its patients as well as healthcare professionals working in therapeutics, pharmacy , diagnostics and blood banking. For more than 100 years, Grifols has ... RTP, NC. You must be local. **Position Overview:** The "Export Logistics Specialist " prepares export orders and related shipping documentation for the assigned… more
- McLaren Health Care (Grand Blanc, MI)
- …scale and realize cost savings for the corporation. Negotiates contracts and pricing and ensures compliance to the contracting standards. **Essential Functions ... evaluation, and standardization of products and purchased services. The Sourcing Specialist works with all McLaren subsidiaries to identify and coordinate the… more
- Ansible Government Solutions (Ladson, SC)
- …Production/Operations Specialist to support the VHA Consolidated Mail Outpatient Pharmacy (CMOP) located at 4136 Carolina Commerce Pkwy, Ladson, SC 29456. Shift ... to ensure efficient and effective service delivery + Direct the production, pricing , sales, and distribution of healthcare services within the CMOP + Forecast… more
- Baptist Memorial (Memphis, TN)
- …pertains to new procedures, existing procedures, supplies, implantable items, skin substitutes, and pharmacy charges as stated in our CDM pricing policy. . ... coding, patient financial services, registration/admitting, managed care, finance, corporate compliance , Baptist One Care, and outside vendors to design and… more
- CVS Health (Monroeville, PA)
- …data and maintaining coverages in multiple systems and reports to ensure compliance with expected pricing , reimbursement rates in support of accurate ... each and every day. **Position Summary** CVS Health, Specialty Pharmacy , a mail service pharmacy in Monroeville...billing and collections and contract/payer agreement compliance . The Reimbursement Specialist will also be… more
- Albany Medical Center (Albany, NY)
- …the outpatient prescription qualification/audit process in conjunction with the 340B Compliance Specialist . This individual will need to independently identify ... monitor and report on key business activities including contract pricing and compliance , 340b program optimization, revenue,...requested and as required. + Optimize the Acute Care Pharmacy component of the 340B pricing program… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …and customers related to disease awareness, product discussions, formulary coverage, pricing (where appropriate) and collaborating with key opinion leaders. Position ... calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy … more
- WTW (Seattle, WA)
- …and subject matter experts in health management, absence and disability management, pharmacy , data analytics and compliance + Reviewing financial analyses ... plan information, and updating internal systems as necessary + Ensuring client compliance adherence by managing completion of reports and administrative actions for… more
- WTW (San Francisco, CA)
- …and subject matter experts in health management, absence and disability management, pharmacy , data analytics and compliance + Reviewing financial analyses ... including but not limited to developing pricing and employee contributions strategies, modelling plan design alternatives and calculating reserves + Supporting the… more
- CenterWell (Independence, MO)
- …caring community and help us put health first** As a **Home Health Specialist ** , you will: + Call on physicians, hospitals, skilled nursing facilities' management, ... on key customer opportunities, service line extensions and proposal or contract pricing . **Use your skills to make an impact** **Required Experience/Skills:** +… more