- Cardinal Health (Columbus, OH)
- …specialties, remote order entry, business management, medication therapy management and more. **_What Specialty Pharmacy Payor Access & Operations ... to Cardinal Health_** Reporting to the Director of Specialty Pharmacy Operations, the Payor Access & Operations Support Specialist is responsible for… more
- Elevance Health (Altamonte Springs, FL)
- **Be Part of an Extraordinary Team** BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family ... on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we… more
- Elevance Health (Altamonte Springs, FL)
- **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family ... on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we… more
- Henry Ford Health System (Detroit, MI)
- … Pharmacy Specialist assumes overall leadership responsibility in directing the pharmacy -related activities in his/her area of specialty practice by planning, ... GENERAL SUMMARY: The Pharmacy Specialist is a pharmacist who, by virtue...to the general body of knowledge pertaining to his/her specialty . PRINCIPAL DUTIES AND RESPONSIBILITIES: + Collaborate with the… more
- Henry Ford Health System (Detroit, MI)
- Join Henry Ford Health as a Thoracic Oncology Pharmacy Specialist and make a meaningful impact on patient care. Must have completed an ASHP accredited PGY1 and PGY2 ... Pharmacy Residency or equivalent experience. GENERAL SUMMARY: Shift: Monday...ordering + Infusion Center to help the clinic coordinate access of medication and supplies, education for preparation, administration,… more
- Penn Medicine (Philadelphia, PA)
- …individual will coordinate the activities and lead resolution of issues between Pharmacy , provider, insurance and patient for specialty medication in compliance ... referrals, screening patient demographic information, conducting benefits investigation, determining payor coverage for specialty drugs, and exploring… more
- AbbVie (Miami, FL)
- … and reimbursement support tools and services + Educate on product-specific acquisition and access options such as specialty pharmacy networks, specialty ... issues + Provide local expertise in regard to national/regional payor policies in order to educate providers on payer...biologics space (Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.) + Strong understanding of access… more
- Banner Health (CO)
- …**Must have 2 or more years of healthcare insurance authorizations** **(Imaging, Surgery, Pharmacy , or other procedures) is a must** **and 1+ years of health ... fast-paced, high volume department. This department is a part of the Patient Access team and we have opportunities for further education, career growth, and… more
- CenterWell (Austin, TX)
- …across eight states under two brands: CenterWell & Conviva. Operating as a payor -agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of ... providing a positive and welcoming environment for all. Responsibilities: The Acute Access APP works in our team-based care environment. This pivotal clinical role… more
- Henry Ford Health System (Jackson, MI)
- …programs and development of network-level performance reports for committees, payor applications, progress reports and governmental programs. PRINCIPLE DUTIES AND ... completion of required activities and reports to maintain compliance with payor and governmental programs including Comprehensive Primary Care Plus, State Innovation… more
- Sutter Health (Mountain View, CA)
- …technician work: final medication checks under California Board of Pharmacy (CA BOP) approved technician-check-technician program; second-level controlled substance ... emergencies, staff changes, workload, or technical development)._ **JOB ACCOUNTABILITIES:** PHARMACY SERVICES: + Assists in the provision of pharmaceutical services… more
- Ascendis Pharma (PA)
- …stakeholders within HCP offices, and health care systems + Apply knowledge of specialty pharmacy core services and connectivity to assist customers navigating ... physician offices. Additionally, the FRM will analyze reimbursement and access issues and act as the local access...the complexity of specialty pharmacy distribution + Partner with Patient… more
- Sanofi Group (Cambridge, MA)
- …is highly preferred with a deep understanding of the business of oncology and segment ( payor , specialty pharmacy and pharmacy / medical benefit ... for all of Sanofi's Pharma business [General Medicines & Specialty Care]. This senior leadership position will manage a...work closely with cross-functional teams, including Finance, Value & Access , Market Access Shared Services, Legal, &… more
- AbbVie (North Chicago, IL)
- …industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations + 1-2 years supervisory experience in ... funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations. + Proven leadership and coaching skills.… more
- Dr. Reddy's Laboratories (Remote, OR)
- …Payors and Health Systems. You will develop strong influential relationships with Payor customers including medical and pharmacy departments and be responsible ... Director National & Regional Payer Accounts to lead the execution of market access and reimbursement strategies to support DRL's portfolio as well as future pipeline… more
- Mount Sinai Health System (NJ)
- …improvement initiatives in medical management, patient satisfaction, patient access , referral management, clinical quality, system-based practice initiative practice ... performance and quality metrics related to physician productivity, patient access and communication, professionalism, and system-based practice initiatives. +… more
- Sanofi Group (Bridgewater, NJ)
- …Best Price and ASP pricing dynamics is highly preferred + Deep understanding of Payor , Specialty Pharmacy and Pharmacy benefit Management stakeholders ... with payers and distribution networks across all segments, to align with brand access and product distribution objectives. + Design and develop pricing models to… more
- Boehringer Ingelheim (Ridgefield, CT)
- …strategies and tactics are implemented. Represents brand team in discussions with Specialty Pharmacy Network. + Develops strategy for relevant health care ... of feedback from internal and external partners. + Liaise and align with Value and Access team, including trade and payor marketing, to ensure appropriate… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …benefit verifications, non-clinical case management, Prior Authorization and appeal support, and specialty pharmacy triage across a suite of clients and ... team of Benefit Investigations Specialists or Case Managers tasked with supporting access to specialty therapies. The incumbent ensures services managed include… more
- TEKsystems (Jeffersonville, IN)
- …Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. ... The responsibilities include education on access and reimbursement support tools available from PharmaCord and...for a specific patient, and educating HCP offices on payor processes and procedures. RELATIONSHIP MANAGEMENT: - Builds trusted… more