- The Cigna Group (Bloomfield, CT)
- …Desk Audit ( Pharmacy Audit) owns the output of a single work area within Quality Review and Audit and typically manages a team of Quality Assurance/Audit ... job family roles. Responsible for developing and leading Total Quality Management strategies for work team which may include improvement of processes, coaching… more
- Prime Therapeutics (Hartford, CT)
- …every decision we make. **Job Posting Title** Dir, Specialty Clinical Solutions/Medical pharmacy exp required- REMOTE **Job Description** + Supports overall Medical ... Pharmacy Product line for health plans through validated program...analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical… more
- Walgreens (Enfield, CT)
- …pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with ... the pharmacist, under direct supervision, in the practice of pharmacy . Responsible for using pharmacy systems to...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Bloomfield, CT)
- …pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the ... **Job Description:** Our pharmacy technician positions have undergone an exciting transformation,...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Bloomfield, CT)
- …accountable pharmacist, and adheres to Company policies and procedures in relation to pharmacy errors and the Continuous Quality Improvement Program. + Ensures ... the accurate processing of insurance claims to resolve customer issues and prevent payment rejections....Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational quality and customer service.… more
- Walgreens (Springfield, MA)
- …pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the ... to provide the best patient experience through assisting the pharmacist and pharmacy team members in accordance with state and federal regulations. + Responsible… more
- Walgreens (Manchester, CT)
- …pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the ... to provide the best patient experience through assisting the pharmacist and pharmacy team members in accordance with state and federal regulations. Responsible for… more
- Prime Therapeutics (Hartford, CT)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... to elicit, define, and document the requirements for changes to Prime's claims systems **.** **Responsibilities** + Ensure understanding of business requirements and… more
- Prime Therapeutics (Hartford, CT)
- …Benefit Management) experience + Experience conducting complex analysis on large sets of pharmacy , claims , medical, and/or financial data + Basic to intermediate ... every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides… more
- Prime Therapeutics (Hartford, CT)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant ... + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing...may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Walgreens (Springfield, MA)
- **Job Description:** **Job Objectives** Provides pharmacy consulting services with empathy to patients regarding the effective usage of medications and awareness ... outcomes services. Responsible for ensuring the proper compounding, dispensation, review , and verification of prescribed medications within regulatory guidelines,… more
- Prime Therapeutics (Hartford, CT)
- …consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... Under general supervision, analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize...in the implementation of quality process improvement efforts **Minimum Physical Job Requirements** +… more
- Walgreens (Windsor, CT)
- …for worker's compensation processing for DC employees; including submission of initial claim , data entry into the worker's compensation system and notification to ... Walgreens and WBA** Walgreens (www.walgreens.com) is included in the US Retail Pharmacy and US Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq: WBA),… more
- Cardinal Health (Hartford, CT)
- …Supplemental, and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 ... with high volume production teams with an emphasis on quality * Intermediate to advanced computer skills and proficiency...a timely manner * Mediate effective resolution for complex payer/ pharmacy issues toward a positive outcome to de-escalate *… more
- Walgreens (Windsor, CT)
- …Walgreens and WBA Walgreens (www.walgreens.com) is included in the US Retail Pharmacy and US Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), ... an integrated healthcare, pharmacy and retail leader with a 170-year heritage of...digital platforms supported by the latest technology to deliver high- quality products and services in communities nationwide. The actual… more
- Prime Therapeutics (Hartford, CT)
- …writing SQL queries + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... reporting program goals, data storage, and tasks related to scope, quality , efficiency, budget, schedule and benefit. **Responsibilities** + Lead the development… more
- Cardinal Health (Hartford, CT)
- …communication + Clear knowledge of Medicare (A, B, C, D) + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 ... with high volume production teams with an emphasis on quality + Able to thrive in a competitive and...diagnostic testing, support services provided by the manufacturer and review benefit information. + Patient Navigators work closely with… more
- Evolent (Hartford, CT)
- …meetings with pharmacy and clinical leadership and Evolent leadership to review key performance indicators in relation to program adherence, with a focus on ... candidate is passionate about cultivating high-value relationships and high-value quality care that strategically aligns with Evolent's key performance benchmarks,… more
- Prime Therapeutics (Hartford, CT)
- …sale edits from providers and discharge planners + Proficient use of enrollment and claims point of sale systems for research and problem resolution. + Assists in ... all operational issues and assisting with system issues + Assists with quality monitoring and provides constructive feedback + Forms collaborative partnerships with… more
- CVS Health (Hartford, CT)
- …services with CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better ... with the team to develop and implement effective testing strategies, ensuring high- quality deliverables. The Senior Manager - Testing SME will also contribute to… more