- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of ... other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential Response… more
- Highmark Health (Austin, TX)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job supports the VP, Pharmacy in managing the overall Pharmacy program administration associated with ... incumbent requires a thorough understanding of all aspects of the pharmacy product. **ESSENTIAL RESPONSIBILITIES** + Create and maintain strategic partnerships with… more
- HCA Healthcare (Austin, TX)
- …across the healthcare spectrum. The Clinical Manager shall also assist in managing the pharmacy when the Pharmacy Director or designee is unavailable. + ... to manage in a new era as a Clinical Pharmacy Manager where building a healthier tomorrow is more...HCA Healthcare facility. Be an impact as a(an) Clinical Pharmacy Manager where your passion for leading and creativity… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...National and Local Coverage Determinations, CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate.… more
- Cardinal Health (Round Rock, TX)
- …coordinates, directs and evaluates all clinical activities as delegated by the Director of Pharmacy , including supervision of refilling machines, medical ... directs and evaluates all administrative activities as delegated by the Director of Pharmacy , including scheduling of pharmacy technicians tasks, monitoring… more
- HCA Healthcare (Austin, TX)
- …compliance with departmental guidelines and state and federal regulations under direction of the Director of Pharmacy . You will be responsible for pharmacy ... hours volunteering in our communities. As a(an) Coordinator Inventory Pharmacy with St. David's Medical Center you can be...organization. We are looking for an enthusiastic Coordinator Inventory Pharmacy to help us reach our goals. Unlock your… more
- Walgreens (Cedar Park, TX)
- …demonstrates permanent assignment readiness and proficiency of learning topics with the Director of Pharmacy and Retail operations. + Seeks self-development by ... of working to lead "one-box" (full store operations across front-end and pharmacy ). Responsible for completing accelerated development track to Store Manager during… more
- Prime Therapeutics (Austin, TX)
- …the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for ... As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and… more
- CenterWell (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- CenterWell (Austin, TX)
- …and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 ... you to sit on-site at our Stockbridge, GA branch location.** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the… more
- CVS Health (Austin, TX)
- …to make a large impact in your next role?! In this high impact role as Director of Trade Relations - Contract Negotiator, you will assist the Executive Director ... in the negotiation strategies with pharmaceutical manufacturers and suppliers. Here, as Director Trade Relations, you will have an exciting opportunity to implement… more
- The Cigna Group (Austin, TX)
- …architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star ... (first 12-18 months)** + **North‑Star Architectural Vision for PBS & Pharmacy :** Publish a business‑aligned target state and pragmatic multi‑wave sequence… more
- Merck (Austin, TX)
- **Job Description** Associate Director , Field Access Management The Associate Director , Field Access Management serves as the leader to a team of subject-matter ... Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures.… more
- Molina Healthcare (Austin, TX)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Centene Corporation (Austin, TX)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Centene Corporation (Austin, TX)
- …+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Associate Director , Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role is ... are in place. This position reports directly into the Director , Strategic Planning Lead, who in turn reports into...+ Bachelors degree required, advanced degree in life sciences, pharmacy , or related field (Ph.D., PharmD) a plus +… more
- Sumitomo Pharma (Austin, TX)
- …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... dynamics including payer-reimbursement challenges + Buy and Bill and specialty pharmacy vendor management experience highly preferred; experience in supporting Cell… more
- Molina Healthcare (Austin, TX)
- …Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program ... experience. * Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare… more