- Corewell Health (Grand Rapids, MI)
- Job Summary The Medicare Quality Specialist , Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and ... jargon to ensure understanding + Process refill requests through pharmacy or provider + Assist with correcting pharmacy...CMS requirements and standards + Other projects assigned by Medicare Quality Manager and/or Director How Corewell… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Pharmacy Quality Specialist will provide assistance to Pharmacists and/or Advanced Practice Clinicians to support Medication Therapy ... Management (MTM) and quality programs. The Pharmacy Quality Specialist will complete...review or target intervention. This position will also support Medicare Star and other quality initiatives. **What… more
- Medical Mutual of Ohio (OH)
- …provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured ... and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Collaborates with internal and… more
- Community Health Network (Indianapolis, IN)
- Clinical Pharmacy Specialist - Ambulatory Job Ref 2401531 Category Allied Health Job Family Pharmacy Department Ambulatory Pharmacy Schedule Full-time ... Monday - Friday 8:00am - 5:00pm, Full-time. Bi-weekly, Benefited. **Clinical Pharmacy Specialist -Ambulatory Care** **Join Community** Community Health Network… more
- BrightSpring Health Services (Uniondale, NY)
- …those who are willing to learn claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference. ... Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing exceptional customer service and meeting… more
- BrightSpring Health Services (Englewood, CO)
- …Inc. is a leading provider in Home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the ... managing the Ready to Bill unbilled revenue. The Billing Specialist will report to the Billing Manager and work...Ready to Bill queue on a daily basis; perform Quality Assurance to ensure accurate and timely creation of… more
- Catholic Health Initiatives (Bismarck, ND)
- …during the year in the comment section.) + Maintains proficiency in Pharmacy Materials Management Specialist duties/responsibilities + Able to process order ... by enriching the lives of patients through the highest quality of care. We seek to continue our tradition...in wholesaler ordering system + Actively participates in Retail Pharmacy operations as evidenced by + participates in ongoing… more
- CenterWell (Columbus, OH)
- …computations. Typically works on semi-routine assignments. The Clinical Programs Pharmacy Technician Representative 2 Community Resource Specialist works ... reliable pharmacy services and is committed to excellence and quality . Through our home delivery and over-the-counter fulfillment services, specialty, and retail… more
- Banner Health (AZ)
- …and innovative employment options by offering remote and hybrid work settings As a Quality Improvement Specialist with Banner Plans & Networks you will call upon ... City/State:** Arizona, Arizona **Department Name:** **Work Shift:** Day **Job Category:** Risk, Quality and Safety The future is full of possibilities. At Banner… more
- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring...pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly… more
- Louisiana Department of State Civil Service (LA)
- …from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised in ... Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4712236) Apply Medical Certification Specialist 1-2… more
- Novant Health (Charlotte, NC)
- … SPECIALIST (remote role)** **Novant Health** is seeking a Medication Management Specialist , to join our ambulatory pharmacy team, to deliver optimal ... of care, every time. **Preferred Experience/Credentials** + 5+ years of outpatient pharmacy or managed care + Customer service oriented + Highly motivated individual… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to… more
- Banner Health (Mesa, AZ)
- **Primary City/State:** Mesa, Arizona **Department Name:** Quality Improvement-Corp **Work Shift:** Day **Job Category:** Risk, Quality and Safety Great careers ... order to achieve desired results across the continuum of care. CORE FUNCTIONS 1. Quality Leadership and Integration - Facilitates the integration of quality into… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance management with various ... report and providing patients with the IM Letter from Medicare prior to discharge. **Responsibilities** A day in the...day in the life of an Integrated Case Management Specialist at Hackensack Meridian _Health_ includes: + In collaboration… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality . It is recognized for excellence ... who care about your success. As an Environmental Service Specialist with us you are essential to ensuring every...areas including the Operating Room, GI, Cath Lab, IR, Pharmacy Clean Rooms, Sterile Processing, and terminal cleans following… more
- University of Virginia (Charlottesville, VA)
- …UVA Health, Population Health department strives to improve the patient experience, the quality of care and outcomes while managing costs for multiple populations of ... in-home or community care, personalized advocacy, behavioral health, clinical and pharmacy support and escalation for interventions in real-time patient care… more
- Penn Medicine (Philadelphia, PA)
- …to consensus on strategies and/or actions necessary to improve clinical quality and/or safety outcomes. Develops, maintains and documents in requisite databases ... as PA DOH, The Joint Commission (TJC) and Center for Medicare and Medicaid Services (CMS) regulations. Responsibilities: + Essential Accountabilities:Ensure internal… more