- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director Clinical Pharmacy Member Support? At HealthTrust, you come first. HCA ... make a difference. We are looking for a dedicated Director Clinical Pharmacy Member Support...to identify opportunities to align new members to the Specialty GPO program, PBM, and SIMS program. + Collaborate… more
- Cardinal Health (Nashville, TN)
- …Accreditation & Operations Support Specialist contributes to Cardinal Health_** Reporting to the Director of Specialty Pharmacy Operations, the Specialty ... pharmacy operations that service hospital, health system, community, and clinic-owned specialty pharmacies. The Specialty Pharmacy Accreditation &… more
- CVS Health (Nashville, TN)
- …the network. + Drive clinical and cost interventions for medical and specialty pharmacy by leveraging data and analytics to make informed recommendations. ... care more personal, convenient and affordable. Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance management across all lines of… more
- Cardinal Health (Nashville, TN)
- **_What Clinical Specialty contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise ... research and patient care to internal business units and external customers. Clinical Specialty is responsible for providing quality, timely, granular and… more
- Humana (Nashville, TN)
- …but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for ... 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 … more
- Prime Therapeutics (Nashville, TN)
- …Relations Director Sr **Job Description** The Trade Client Relations Senior Director is responsible for proactively bringing innovative pharmacy and medical ... care to its members. The Trade Client Relations Senior Director has an in depth understanding of Prime's strategic...classes working in partnership with Prime's Client Engagement team, Specialty strategy team, and Clinical Program Managers… more
- Molina Healthcare (Bowling Green, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. +… more
- Grifols Shared Services North America, Inc (Clarksville, TN)
- …requirements. Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes. Ensure these solutions are optimized ... their staff, Market Access, the US Pulmonary National Sales Director and Regional Sales Directors and SP/Hub partners in...preferred and at least 2 years of rare disease, specialty pharmacy , pharma and/or biopharmaceutical experience. Minimum… more
- CenterWell (Goodlettsville, TN)
- …in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health ... care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of...coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more
- CenterWell (Nashville, TN)
- …in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment, and home health ... care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of...coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of… more