- Prime Therapeutics (Columbia, SC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions - RPH/PharmD required- REMOTE **Job ... of Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team. Responsible for managing current Medical Pharmacy… more
- Humana (Columbia, SC)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Highmark Health (Columbia, SC)
- …of care, care plans and through patient centered evaluation and engagement. The medical director will serve as a clinical champion - promoting and representing ... medical education needs in cooperation with the Executive Medical Director + Serve as a clinical champion...experience as an actively practicing physician in field of specialty + 3 experience in all aspects of medical… more
- Cardinal Health (Columbia, SC)
- …business units with Cardinal Specialty to drive integrated selling opportunities/ solutions to closure **Qualifications** + General and clinical understand of ... Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions , delivers comprehensive consulting, medical marketing and… more
- CVS Health (Columbia, SC)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise as well ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and...as directing case management when necessary. The Medical Director will act as a business and clinical… more
- Cardinal Health (Columbia, SC)
- …Payor Access & Operations Support contributes to Cardinal Health_** Reporting to the Director of Specialty Pharmacy Operations, the Payor Access & Operations ... **Cardinal Health Innovative Delivery Solutions ** With over 50 years of experience in...offer a variety of career opportunities in pharmacy leadership, clinical specialties, remote order entry, business management, medication therapy… more
- CVS Health (Columbia, SC)
- …in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Aetna is ... recruiting for a Lead Director , Business Development who will partner with business development...market and to support segment leaders with growing our specialty and innovative VBC portfolio. You will make an… more
- Takeda Pharmaceuticals (Columbia, SC)
- …of US healthcare. + Manage in a complex matrix environment including sales, clinical , solutions and services + Excellent project management skills + Work ... of Sales and National Head of IHS Sales, the Integrated Health System Director (IHSD) manages all aspects of customer engagement including pre and post-sales account… more
- Cardinal Health (Columbia, SC)
- …onsite staff. This is an individual contributor role that reports to the Sr. Director of Clinical Operations. Candidates can live anywhere in the United States ... Cardinal Health's Innovative Delivery Solutions (IDS) business helps providers transform hospital pharmacies...of care. The team's mission is to provide exceptional clinical , supply chain, analytics, and operational expertise to improve… more
- Huron Consulting Group (Columbia, SC)
- …structures and improving operational workflows within post-acute settings + Seeking specific clinical leadership experience in specialty pharmacy with a focus on ... Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new… more
- US Tech Solutions (Columbia, SC)
- …services to both health care providers and members. **Experience:** + 4 years recent clinical in defined specialty area. Specialty areas include: oncology, ... instability. Registered nurses MUST have 4 years or more of RECENT clinical experience. + Strong communication skills required to provide telephonic case management… more
- US Tech Solutions (Columbia, SC)
- …services to both health care providers and members. **Experience:** + 4 years recent clinical in defined specialty area. Specialty areas include: oncology, ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- US Tech Solutions (Columbia, SC)
- …proper processing of authorized or unauthorized services. **Experience:** + 4 years recent clinical in defined specialty area. Specialty areas include: ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Takeda Pharmaceuticals (Columbia, SC)
- …team members, cover multiple sites of care, and work with third-party specialty pharmacies to ensure patients have access to Takeda's IG portfolio. You ... will report to the Region Business Director . **Territory supports Upstate NY and VT** **How you...to drive a company leased vehicle or rental. + Clinical sales background with experience in rare disease, Neurology/Neuromuscular… more
- CenterWell (Columbia, SC)
- …leadership and oversight of the operational build and maintenance of the clinical policies. The Formulary Operations Management Advisor works on problems of diverse ... builds. Establishes strong relationships with stakeholders and collaborates to develop solutions . Performs data analysis and reporting to ensure optimal operational… more