• Clinical Program Development Director

    Prime Therapeutics (Columbus, OH)
    …drives every decision we make. **Job Posting Title** Clinical Program Development Director , Stars - Remote **Job Description** The Clinical Program Development ... Director contributes to the development of drug management strategy...Other duties as assigned **Minimum Qualifications** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy more
    Prime Therapeutics (11/01/24)
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  • Sr. Applied Stars and Quality Analytics…

    Prime Therapeutics (Eagan, MN)
    …passion and drives every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst ... internal and external stakeholders. This position assesses the performance of pharmacy benefits and/or networks and develops recommendations for improvements or… more
    Prime Therapeutics (11/01/24)
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  • Pharmacy Account Director , Medicare

    Elevance Health (Columbus, OH)
    …pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of developing, ... with the clinical teams for programs and outcomes, home delivery, specialty pharmacy and infusion, operations, networks, products, STARS , CAHPS, and other… more
    Elevance Health (10/30/24)
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  • Associate Director - Clinical…

    Humana (Columbus, OH)
    …of our caring community and help us put health first** The Clinical Pharmacy Provider Engagement Associate Director , HPS Clinical Program Strategy, partners with ... strategies and identify new opportunities to further PBM goals around quality, Stars , pharmacy trend, and CenterWell Pharmacy utilization + Lead a team… more
    Humana (11/13/24)
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  • Director Pharmacy

    Dignity Health (Sacramento, CA)
    …Ventricular Assist Device and Chest Pain Certification. Other accolades include CMS 5 stars Practice Green Health 2021 Leapfrog Hospital Safety Grade A Level 4 ... performing drug distribution, preparation and associated pharmaceutical care activities. Pharmacy service operations includes the compounding/dispensing of drugs according… more
    Dignity Health (11/15/24)
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  • Manager Health Outcomes Pharmacy

    Highmark Health (Columbus, OH)
    …contracts developed by Highmark, Inc. The incumbent will report to the Director of Value-Based and Population Health Pharmacy . **ESSENTIAL RESPONSIBILITIES** + ... the team in the implementation and execution of the Population Health Pharmacy Strategy. Manage team efforts to improve provider performance under value based… more
    Highmark Health (10/24/24)
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  • Strategic Account Executive, CVS Pharmacy

    CVS Health (Phoenix, AZ)
    …**Position Summary** As the Healthcare Solutions, Strategic Account Executive (SAE) for CVS Pharmacy , you will serve as the strategic lead for a Book of Business ... and execution of a tailored strategy which leverages CVS Pharmacy 's value proposition to meet both the Health Plans'...our Corporate goals. This individual will report to the Director of Healthcare Solutions Sales and will have direct… more
    CVS Health (11/15/24)
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  • Healthcare Supervisor (HCS)

    Walgreens (New York, NY)
    …ongoing Rx performance across the area. Owns compliance and adherence, partnering with Director Pharmacy and Retail Operations to drive execution. Champions and ... store visits and coaching of District Managers. Through collaboration with the Director Pharmacy and Retail Operations, holds District Managers accountable for… more
    Walgreens (11/16/24)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (WA)
    …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... Maximizes use of information from multiple sources, including claims/encounters, pharmacy , utilization management, clinical indicators, industry benchmark, and/or survey/vendor… more
    Molina Healthcare (11/10/24)
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  • Manager, Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …all levels including but not limited to, Provider Relations, Claims, Medical Director , third party administrator, pharmacy benefit manager, to achieve resolution ... processes for continued improvement in staff knowledge, engagement with internal departments, STARS Measures, and enrichment of members experience with A&G. + Tracks… more
    VNS Health (09/04/24)
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