- CVS Health (Dover, DE)
- …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 (Dover, DE)
- …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
- Humana (Dover, DE)
- …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
- CenterWell (Dover, DE)
- …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 (Dover, DE)
- …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
- Merck (Dover, DE)
- **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
- Organon & Co. (Dover, DE)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD ... generating potential solutions that enhance partnership. Collaborating with the National Account Director , the RPAD participates in the development of, as well as… more
- Otsuka America Pharmaceutical Inc. (Dover, DE)
- 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 (Dover, DE)
- …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
- Travelers Insurance Company (Dover, DE)
- …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... to achieve and sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training strategies, programs and… more
- Cardinal Health (Dover, DE)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible… more
- Parexel (Dover, DE)
- …action (CAPA) development and checks, when applicable **Collaboration** + Reports to Director of Clinical Site Operations (DCSO) or Director of Site ... in life sciences or professional degree in life sciences such as nursing, pharmacy , medical is required \#LI-CF1 \#LI-REMOTE EEO Disclaimer Parexel is an equal… more
- CVS Health (Dover, DE)
- …across the CVS Health enterprise. This high visibility position supports the Lead Director , Pharma Services Growth in articulating the vision and strategy of pharma ... care which may include PBM, Pharma, market access, account management, specialty pharmacy , or health plan experience** + **MBA or Management consulting experience**… more