- Bon Secours Mercy Health (Cincinnati, OH)
- …auditing pharmacy benefit claims, and analyzing pharmacy benefits data. The Pharmacy Benefits Managed Care Analyst will have a variety of job ... Knowledge of laws and regulations regarding pharmacy and/or pharmacy benefits / managed care pharmacy + Performance Improvement + Attention to… more
- Novant Health (Winston Salem, NC)
- …pharmacist with 5 years pharmacy practice experience, required. Two years of applicable pharmacy benefits , managed care , or applicable clinical and ... **Overview** **NOVANT CORPORATE PHARMACY ** ** PHARMACY BENEFITS SPECIALIST**...to optimize cost-effective medication options while maintaining quality patient care . + Conducting regular reviews of pharmacy … more
- AssistRx (Lockhart, FL)
- …specialty pharmacy with medication assistance, prior authorizations, pharmacy benefits investigation, managed care , claims processing. + Experience ... referral bonus! A Day in the Life as a Field Support/Specialty Pharmacy Liaison: This role involves ensuring efficient coordination, communication, and collaboration… more
- Prime Therapeutics (Columbus, OH)
- …in other MS Office products. + Bachelors degree preferred. + Pharmacy Benefits Management (PBM), managed care or behavioral health experience preferred. ... our passion and drives every decision we make. **Job Posting Title** Pharmacy Network Administrator - Remote in the California market **Job Description Summary**… more
- The Cigna Group (Bloomfield, CT)
- …and PowerPoint + Proficiency in written and verbal communications + Strong career interest in Managed Care pharmacy + Required: Please upload or email per ... holistic program that provides resident a great foundation in managed care , with a focus in clinical...care ) - Upload/attach to Workday application + Official Pharmacy School Transcript - Email to HPDResidency@express-scripts.com . Please… more
- The Cigna Group (Bloomfield, CT)
- …and PowerPoint + Proficiency in written and verbal communications + Strong career interest in Managed Care pharmacy + **Required: Please upload or email per ... insights to enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care...secure. That's why you'll enjoy a comprehensive range of benefits , with a focus on supporting your whole health.… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing,...insurance, a full suite of home health offerings, virtual care , pharmacy , eye care and… more
- The Cigna Group (Bloomfield, CT)
- …2 or more years of general pharmacy experience; 2 or more years in managed care , the PBM industry, or pharmaceutical sales preferred + Ability to establish ... Pharmacy Tech ( Pharmacy Care ... Pharmacy Tech ( Pharmacy Care Coordinator) - Evernorth -...to direct employees to the maximum use of their benefits , establish relationships, coordinate care , advocate for… more
- Option Care Health (Columbia, MD)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... to make appropriate medication therapy recommendations. + Monitors the clinical staff's documentation on pharmacy care plans for home care patients based on… more
- Option Care Health (Irvine, CA)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... policies and formulary guidelines. + Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care … more
- LA Care Health Plan (Los Angeles, CA)
- …as a Pharmacy Technician with at least 1 year of experience in managed care pharmacy benefit administration. Skills Required: Proficiency with Microsoft ... Pharmacy Technician I provides support for LA Care Pharmacy and Formulary programs across all...the market. The range is subject to change. LA Care offers a wide range of benefits … more
- BayCare Health System (Largo, FL)
- …to confirm address, patient responsibilities for co-payment and co-insurance + Verify insurance and benefits for all Medicare, Managed Care , and Private Fee ... excellence. BayCare is currently in search of our newest ** Pharmacy Care Coordinator - HomeCare** who is...Advise the patient and referral source on Medicare and Managed Care guidelines and reimbursement issues as… more
- BrightSpring Health Services (Great Falls, MT)
- …Term Care pharmacy experience. About our Line of Business Big Sky Managed Care provides pharmacy services to assisted living facilities, group homes, ... Our Company Big Sky Managed Care Overview Join our PharMerica...pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers… more
- Intermountain Health (Murray, UT)
- … and dispense controlled substances. Five years of pharmacy practice experience in a managed care and hospital environment. - and - Five years of Pharmacy ... and promotes the changes needed to provide cost-effective quality pharmacy benefits to members. Schedule Regular business...Advanced degree in business management or healthcare administration. + Pharmacy experience in a managed care… more
- Sutter Health (Sacramento, CA)
- …and rehabilitation), surgical centers, ancillary services (home health and pharmacy ), medical foundations, and Independent Physicians Association (IPAs). This ... **Days of the Week:** Monday - Friday **Weekend Requirements:** Occasionally ** Benefits :** Yes **Unions:** No **Position Status:** Exempt **Weekly Hours:** 40… more
- Molina Healthcare (Chicago, IL)
- …, PBM, National Certified Pharmacy Technician (CPhT) certification, Medicaid, Medicare, Managed Care , MCO, Exchange, PBM, Pharmacy Benefit Management Pay ... reporting to the Healthplan + Solid understanding of how pharmacy benefits work. **KNOWLEDGE/SKILLS/ABILITIES** + Support Medicaid,...Access **Preferred Experience** + 3-5 years' experience in a managed care of PBM environment + 2+… more
- Omnicell (Grapevine, TX)
- …to ensure accurate audit/pricing reports. + Assist in managing formal communications with Pharmacy Benefit Managers and Managed Care Organizations. + Perform ... pharmacy credentialing, and investigating third-party rejections. This role also supports managed care contracting efforts and special projects. The position… more
- Walgreens (Deerfield, IL)
- …referral sources within a hospital infusion environment + Experience selling in healthcare, managed care , Specialty Pharmacy . + Experience working with ... Description:** **Job Summary:** Responsible for the promotion of Walgreen's specialty pharmacy services to targeted physicians, nurses, practice managers and other… more
- Elevance Health (Altamonte Springs, FL)
- …and re-credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies and protocols, standards, and requirements. ... **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx),...+ Develops and fosters collaborative relationships with managed care plans, state agencies and PBM's… more