- AmeriHealth Caritas (Newtown Square, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... us at www.amerihealthcaritas.com. **Responsibilities:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical… more
- University of Michigan (Ann Arbor, MI)
- Specialty Pharmacy Patient Financial Counselor Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as ... This 1.0 FTE position is dedicated to 100% patient care as a pharmacy financial coordinator within the specialty pharmacy program. This position reports… more
- Prime Healthcare (Chicago, IL)
- …Responsibilities The Ambulatory Pharmacy Technician reports to the Ambulatory Pharmacy Technician Supervisor and plays a key role in the ... ambulatory pharmacy space, including referral based HOPD pharmacist managed clinics, specialty pharmacy , and population health pharmacy services. The… more
- Sanford Health (Fargo, ND)
- …for providers as well as nursing and other support staff. o Utilize pharmacy consults and collaborative practice agreements to assist providers in meeting disease ... as requested by the clinic support staff. o Conduct Office Visits or Medicare Annual Wellness Visits at assigned clinic(s) o Assist patients who cannot afford… more
- Logan Health (Whitefish, MT)
- Job Description Summary: Join our Whitefish Hospital Pharmacy Team! Looking for a flexible and rewarding opportunity to advance your pharmacy career? Logan ... Whitefish Hospital Pharmacy is seeking a Certified Pharmacy Technician 3 to join our dedicated inpatient team....this Code or other hospital policies or procedures to supervisor , Compliance Officer or through the compliance hotline. +… more
- University of Oregon (Eugene, OR)
- … Pharmacy Services Apply now (https://secure.dc4.pageuppeople.com/apply/726/gateway/default.aspx?c=apply&lJobID=535110&lJobSourceTypeID=831&sLanguage=en-us) Job no: ... references, one of which is preferred to be a current or most recent supervisor (if not currently employed). Candidate will be notified prior to references being… more
- Priority Health Care (Gretna, LA)
- …prescribed drug therapy is followed as prescribed and coordinate patients prescribed pharmacy care with their healthcare providers to ensure that drug therapy is ... meds are in stock. Keeps appropriate records and inform supervisor (PIC) of stock needs and shortages. + Develop... (PIC) of stock needs and shortages. + Process Medicare , Medicaid, and Insurance claims. + Must have working… more
- Ardon (Portland, OR)
- …leadership and management skills. Experience in billing prescription medications through both pharmacy and medical benefits. Knowledge of Medicare and Medicaid ... As we continue to grow, we are seeking a Supervisor of Referral & Billing Services to join our...Referral & Billing Services to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are… more
- BrightSpring Health Services (Tempe, AZ)
- Our Company OnePoint Patient Care Overview The Service Desk Supervisor is responsible for coordinating the efficient and effective operations of the Service Desk for ... decision making to resolve problems. The Service Desk Team Lead / Supervisor develops regular reports on Service Desk contacts, ensures that service levels… more
- Truman Medical Centers (Kansas City, MO)
- …to search for positions and apply.** Professional Billing Coding Supervisor (Remote) 101 Truman Medical Center **Job Location** University Health ... institution for the UMKC Schools of Medicine, Nursing, Dentistry, and Pharmacy . A 547-bed, not-for-profit health system, UH delivers the highest-quality medical… more
- CenterWell (Harlingen, TX)
- …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Supervisor , that develops and leads implementation for staffing plans, policies and procedures ... Knowledge of and experience working with Provider Communities. + Medicare knowledge + Managed care experience + Proven ability...Hours / M-F / 8a-5p **Job Type** : Clinic Supervisor **Specialty** : Primary Care for Seniors **Position Type:**… more
- Humana (Miramar, FL)
- …who is responsible for the safe and appropriate dissemination of pharmacy services including medications and pertinent supplies. The Pharmacist also monitors ... the flow of activities in the pharmacy department including the processing of medication orders, sterile...suspicious or unethical activities to the Compliance Officer and/or supervisor . + Interact with pharmaceutical manufacturers' reps as needed… more
- Humana (Columbus, OH)
- …orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy , Medical Directors and other Departments. + Make calls to UM Nurses, Hospitals, ... + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails...+ Participate in special projects as assigned by your Supervisor or Manager. **Use your skills to make an… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full-service pharmacy . We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... to reach out to you to schedule an interview for the Billing/Rejections Pharmacy Tech position with "SpecialtyRx." We offer a competitive salary and benefits… more
- Specialty Rx, Inc. (Orlando, FL)
- Job Description Our Company SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. ... SpecialtyRx takes pride in delivering personalized care and quality pharmacy services. Responsibilities + Perform duties assigned by the Billing Supervisor +… more
- Robert Half Accountemps (Richlandtown, PA)
- …customer records, and handling customer inquiries, with a particular focus on Medicare claims and billing. Responsibilities: * Accumulate and input ancillary charges ... for residents, such as laboratory and pharmacy expenses * Submit claims via various methods including...and paper * Act as the primary submitter of Medicare claims and a secondary submitter for other claim… more
- Excellus BlueCross BlueShield (Utica, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- Hospice Of San Joaquin (Stockton, CA)
- …PURPOSE/SUMMARY: Hospice Admission Nurse evaluates the appropriateness of patients using Medicare requirements for Hospice benefits. May be required to explain legal ... staff as required. 1. Evaluate patients for appropriateness for Hospice Medicare Benefit. 2. Provide skilled nursing assessment/delivery of direct care. 3.… more
- J&J Family of Companies (Titusville, NJ)
- …Organizations (MCOs), large physician groups, Group Purchasing Organizations (GPOs), Pharmacy Benefit Management (PBM) companies, Governmental Agencies (CMS and ... VA/DoD System), Medicare , Medicaid, Long Term Care (LTC) facilities, Integrated Delivery...behavior and documentation of activities + Proactively communicates with supervisor and relevant business partners + Proactively works with… more
- STG International (Milledgeville, GA)
- …Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + Interpret the ... disposal records for accuracy and notify the Director of Nursing and pharmacy of discrepancies. + Monitor medication administration process and provide appropriate… more