- Medical Mutual of Ohio (OH)
- … Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... (medical drug) programs as needed. . Performs other duties as assigned. ** Medicare Pharmacy Coordinator II** Working under general supervision, administers… more
- Elevance Health (Columbus, OH)
- …Health location. How you will make an impact: + Handling a variety of Medicare pharmacy accounts. + Utilizing strong account management experience to cater to ... care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy... Medicare Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs… more
- Corewell Health (Grand Rapids, MI)
- …other duties assigned by the Manager of Medicare Quality of Director of Medicare Pharmacy Qualifications Required + Doctorate Doctor of Pharmacy degree ... Job Summary The Medicare Clinical Pharmacist will work with the ...care, or PGY-1 residency equivalent + Active and unrestricted pharmacy license in the State of Michigan + Experience… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full-service pharmacy . We need Medicare Part B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ ... equivalent. + Computer literate. + Previous experience in Retail pharmacy is a must. + Experience in Long Term...is a must. + Experience in Long Term Care Pharmacy . (Preferred) + Must be able to work independently… more
- Trinity Health (Fort Wayne, IN)
- …authorizations when benefit investigation is not required; resolves aspects of specialty pharmacy insurances, including Medicare , Medicaid, PBM, and PPO and ... - located in Fort Wayne, Indiana** The Patient Assistance Pharmacy Technician in Training will participate in a work...in a work learning program to become a licensed pharmacy technician in the state of Indiana and trained… more
- Trinity Health (Fort Wayne, IN)
- …authorizations when benefit investigation is not required; resolves aspects of specialty pharmacy insurances, including Medicare , Medicaid, PBM, and PPO and ... **POSITION PURPOSE - located in Fort Wayne, Indiana** The Patient Assistance Pharmacy Technician will ensure proper processing and problem solving of specialty… more
- CareFirst (Owings Mills, MD)
- …systems analysis, testing or other analytical experience. **Preferred Qualifications:** + Medicare Prescription / Pharmacy experience. + Demonstrated ability to ... into local offices.** **PURPOSE:** The Senior Business Analyst to support our ** Medicare Prescription Payment Plan (M3P)** functions will have the responsibility to… more
- Molina Healthcare (Long Beach, CA)
- …development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, ... providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements… more
- BrightSpring Health Services (Las Vegas, NV)
- …is one of the pioneers in the hospice industry. Specializing in providing hospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint ... prescription items, as permitted by the State Board of Pharmacy , packaging medications for dispensing and for delivery, meeting...pharmacies to begin serving the hospice industry when the Medicare hospice benefit began in the 1980s. Today OnePoint… more
- BrightSpring Health Services (Englewood, CO)
- …is one of the pioneers in the hospice industry. Specializing in providing hospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint ... + Provide high level of customer service by answering pharmacy phones and responding promptly to the requests ofcolleagues,...pharmacies to begin serving the hospice industry when the Medicare hospice benefit began in the 1980s. Today OnePoint… more
- BrightSpring Health Services (Tempe, AZ)
- …is one of the pioneers in the hospice industry. Specializing in providing hospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint ... * Participates in orientation, training, competency assessment, and evaluation of Pharmacy Technicians.* Monitors work flow and reassigns Pharmacy Technicians… more
- Corewell Health (Wayne, MI)
- …comply with applicable regulations and standards, including The Joint Commission, Board of Pharmacy , and Center for Medicare and Medicaid Services. + Aligns ... direction and support for the coordination, integration, and analysis for pharmacy services at respective entities. Leads complex initiatives and diverse teams,… more
- BlueCross BlueShield of North Carolina (NC)
- …Leads and manages the day-to-day operational and tactical aspects of all Medicare related pharmacy benefit management (PBM) activities, new initiatives, and ... You'll Do** + Develops project plans and recommendations in support of Corporate Pharmacy objectives and leads implementation; tracks and reports on the status of… more
- LA Care Health Plan (Los Angeles, CA)
- …Services, Product Network Operations (PNO), Claims, Utilization Management (UM), Pharmacy , Medicare Enrollment/Disenrollment, Sales and Quality Management (QM)) ... department and Plan Partners: Department of Health Services (DHS), Centers for Medicare and Medicaid Services (CMS) National Committee Quality Assurance (NCQA) as… more
- CareFirst (Baltimore, MD)
- … pharmacy dashboards to support clear communication across vertical components of Medicare and Medicaid pharmacy business. + Review and support task ... to travel into the local offices on occasion.** **PURPOSE:** The Sr. Pharmacy Business Consultant provides expertise in tailored, strategic, and critical work to… more
- SSM Health (Oklahoma City, OK)
- …(eg, Food and Drug Administration, Drug Enforcement Administration, State Board of Pharmacy , Joint Commission, Centers for Medicare and Medicaid, etc..) + ... services, 13 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care… more
- Molina Healthcare (Georgetown, KY)
- …Claims, Pharmacy Claims, Pharmacy , PBM, National Certified Pharmacy Technician (CPhT) certification, Medicaid, Medicare , Managed Care, MCO, Exchange, ... **Molina Health** care is hiring for a remote ** Pharmacy Operations Specialist** This role can be worked...will be the primary contact for affiliated health plans, Pharmacy Benefit Managers and Corporate shared services with respect… more
- Penn Medicine (Philadelphia, PA)
- …information technology for pharmacotherapy management. + Implement and maintain clinical pharmacy programs that support meeting Medicare Core Measures. ... ! **Summary:** + Pennsylvania Hospital is seeking a full-time Clinical Pharmacy Specialist, Emergency Medicine. This position is responsible for provision of… more
- Penn Medicine (Philadelphia, PA)
- …information technology for pharmacotherapy management. + Implement and maintain clinical pharmacy programs that support meeting Medicare Core Measures. ... life's work? Pennsylvania Hospital is seeking a full time Clinical Pharmacy Specialist, Hematology/Oncology. This position is responsible for provision of… more