- Organon & Co. (Nashville, TN)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD ... will develop and manage business relationships through productive business relationships as...solutions that enhance partnership. Collaborating with the National Account Director , the RPAD participates in the development of, as… more
- Fresenius Kabi USA, LLC (Nashville, TN)
- …Marketing to deliver coordinated and compliant customer solutions. Work closely with the Regional Business Director and Regional Director of Sales to ensure ... Map account decision-making structures and build multi-level engagement strategies (executive, pharmacy , clinical). Generate new clients, promotes new business … more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director Pharmacy Benefit Business Development? At HealthTrust, a division ... make a difference. We are looking for a dedicated Director Pharmacy Benefit Business...years minimum of previous experience in pharmacy benefits , PBM service HR consulting, business development,… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a PRN Director Pharmacy Solutions? At HealthTrust, a division of HCA, you come first. HCA ... incredible team members over the course of three years. ** Benefits ** Work from Home offers a total rewards package...a difference. We are looking for a dedicated PRN Director Pharmacy Solutions like you to be… more
- The Cigna Group (Memphis, TN)
- …Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. ... and execution plan for AI/ML technology for the Evernorth Pharmacy . This role will be responsible for leading and...finance and product teams to go from ideation to business case development, prioritization, portfolio funding, business … more
- Cardinal Health (Morristown, TN)
- …team on prescribed medications, supplies and related processes. **_Job Summary_** The Director of Pharmacy plans, organizes and directs all functions of ... and accrediting requirements are maintained at the best demonstrated practice. The Director of Pharmacy maintains a professional presence throughout the hospital… more
- CVS Health (Nashville, TN)
- …guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential ... heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team...processes, and being a leader working with other internal business units to develop new solutions to meet the… more
- Highmark Health (Nashville, TN)
- …multiple projects while successfully meeting all deadlines + Familiarity with pharmacy benefit management processes or operations **SCOPE OF RESPONSIBILITY** ... of care data **Substitutions** + None **Preferred** + Masters of Pharmacy or Masters of Business Administration + AMCP-ASHP accredited residency in managed care … more
- Humana (Nashville, TN)
- …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
- HCA Healthcare (Nashville, TN)
- …field required + 10 years minimum of previous experience in pharmacy benefits , PBM service HR consulting, business development, sales operations and 5 years ... an organization that invests in you as a Senior Director Business . At HealthTrust, a division of...incredible team members over the course of three years. ** Benefits ** HCA offers a total rewards package that supports… more
- RxBenefits (Nashville, TN)
- In this multi-disciplinary, cross functional role, the Senior Manager, Pharmacy Pricing will report to the Director , Pharmacy Pricing & Analytics. The Senior ... issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will be able to manage multiple projects… more
- Prime Therapeutics (Nashville, TN)
- …the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for ... + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics (P&T) or business committee decision making and… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews...Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or… more
- RxBenefits (Nashville, TN)
- …that meet client needs. The Director is ultimately responsible for a pharmacy benefits relationship that meets client intent for access, service and ... drive a mutually beneficial partnership. This role requires a strong background in pharmacy combined with exceptional business acumen to effectively oversee the… more
- Community Health Systems (Franklin, TN)
- …clinical and economic objectives + Review and define applications' advantages, risks, costs, benefits and impact on the enterprise business process and goals + ... technology requests to ensure alignment with organizational strategies for the pharmacy service line. **Key responsibilities include:** + Strategic analysis of the… more
- Humana (Nashville, TN)
- …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
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... community and help us put health first** $10K Sign-On Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following:… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a PRN Director Clinical Resource Management? At HealthTrust, a division of HCA, you come first. HCA ... incredible team members over the course of three years. ** Benefits ** HCA offers a total rewards package that supports...a difference. We are looking for a dedicated PRN Director Clinical Resource Management like you to be a… more
- CenterWell (Nashville, TN)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... of our caring community and help us put health first** The Associate Director , Product Management Conceives of, develops, delivers, and manages products for customer… more
