• Remote Bilingual Lead Clinical

    Healthfirst (LA)
    …are consistent with the latest guidelines or otherwise supported by the clinical compendia + Provides clinical pharmacy support to pharmacy technicians ... + Precepts Pharmacy Residents and Students + Ensures all clinical criteria is in compliance with Center of Medicare...criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New York State Department… more
    Healthfirst (02/20/25)
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  • Pharmacist

    Actalent (Buffalo, NY)
    Pharmacist Must live near Buffalo, New York Job Description The clinical pharmacist position is responsible for and participates in a wide range of provider, ... patient, and employer initiatives and programs. The pharmacist supports all lines of business including Medicare, Commercial, Exchange (Marketplace), and Medicaid more
    Actalent (03/21/25)
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  • Pharmacist

    Actalent (Tempe, AZ)
    HIRING a remote Pharmacist ! Job Description: The Clinical Specialist manages accessibility, quality, and cost-effectiveness of drug and medical therapy for ... management and cross-departmental functions. Responsibilities : + Responsible for providing clinical support services to client plan(s) contracting for clinical more
    Actalent (03/18/25)
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  • Pharmacist

    Actalent (Tempe, AZ)
    Description The Clinical Specialist manages accessibility, quality, and cost-effectiveness of drug and medical therapy for members and providers. This position ... and cross-departmental functions. What You Get To Do: * Responsible for providing clinical support services to client plan(s) contracting for clinical services *… more
    Actalent (03/18/25)
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  • Instructor, Licensed Clinical Social Worker…

    University of Colorado (Aurora, CO)
    …collaboration with the medical team, including 3 geriatricians (2 MDs and 1 NP), a clinical pharmacist , a lead nurse, and a medical assistant. This position will ... **Instructor, Licensed Clinical Social Worker for Care Management and Integrated...+ Assist patients in applying for public benefits, including Medicaid , Medicare, and long-term care services. + Advocate for… more
    University of Colorado (03/04/25)
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  • Pharmacy Services Specialist - MED

    Idaho Division of Human Resources (Boise, ID)
    …Division of Medicaid , has a tremendous opportunity for a forward-thinking, innovative Clinical Pharmacist to join our pharmacy program in Boise. The Pharmacy ... 2025/02/27 Posting End Date: 2025/03/27 Category: Professional Work Type: Full Time Remote : Flexible Hybrid Location: Boise, ID, United States Minimum Salary: 57.69… more
    Idaho Division of Human Resources (03/04/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Rochester, NY)
    …accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society… more
    Excellus BlueCross BlueShield (03/19/25)
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  • Prior Authorization Specialist

    US Tech Solutions (RI)
    …reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with ... status and results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as appropriate. **Experience:** +… more
    US Tech Solutions (02/06/25)
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  • Community Health Worker III

    Arab Community Center for Economic and Social Serv (Dearborn, MI)
    …testing, and Point of Care testing + Provide smoking cessation opportunities with clinical pharmacist + Document details of engagement with clients + Conduct ... to assist the individual/family + Aid clients in obtaining healthcare services ( Medicaid , family planning, connections to medical homes, etc.) + Completes (or closes… more
    Arab Community Center for Economic and Social Serv (02/24/25)
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  • Director, Pharmacy (Institutional)

    SSM Health (Shawnee, OK)
    …at our SSM Health St. Anthony Hospital - Shawnee and is not remote work eligible. To request additional information, confidentially submit your interest, or nominate ... and long term goals and oversees the operation of the pharmacy. Provides clinical , operational and financial oversight and direction for the development of pharmacy… more
    SSM Health (03/10/25)
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