• Daiichi Sankyo, Inc. (Bernards, NJ)
    …contracts, trade/distribution agreements, as well as contracting relative to specialty pharmacy and patient support services. Provide advice and guidance on issues ... Serve as a member of Labeling and Pricing Committees and as legal representative on the promotional materials review team for market access team and materials… more
    HireLifeScience (11/02/24)
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  • Customer Service Representative , Medicare…

    Molina Healthcare (New York, NY)
    **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
    Molina Healthcare (01/21/25)
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  • Clinical Pharmacy Manager - World Trade…

    Mount Sinai Health System (New York, NY)
    …the WTCH clinic population. The Clinical Pharmacy Manager will act as the pharmacy representative for the WTCHP clinic(s) in coordination with other MSHS ... prescription portal for QA report and analyzing + Reviewing pharmacy claims to identify outliers, utilization and...supervisor, subject to reasonable accommodation . + Serve as pharmacy representative on behalf of MSHP as… more
    Mount Sinai Health System (11/07/24)
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  • Provider Relations Representative

    Molina Healthcare (Manhattan, NY)
    …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
    Molina Healthcare (12/05/24)
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  • Chief Medical Officer, Medicaid

    VNS Health (Manhattan, NY)
    …to Fraud, Waste, and Abuse of Medicare/Medicaid services. + Collaborates with pharmacy services to review PBM activities and denial of prior authorizations, ... of care and member/provider satisfaction. + Acts as a representative of the VNS Health Plans and an advocate...physicians regarding medical policies, utilization management, gaps in care, claims editing, use of resources and quality. + Performs… more
    VNS Health (11/20/24)
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  • Assistant General Counsel, Market Access

    Daiichi Sankyo Inc. (Basking Ridge, NJ)
    …contracts, trade/distribution agreements, as well as contracting relative to specialty pharmacy and patient support services. Provide advice and guidance on issues ... - Serve as a member of Labeling and Pricing Committees and as legal representative on the promotional materials review team for market access team and materials… more
    Daiichi Sankyo Inc. (11/16/24)
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