- Beth Israel Lahey Health (Westwood, MA)
- …a difference in people's lives.** Responsible for managing all aspects of the Medication Authorization and Access team which includes prior ... authorizations/financial clearance, patient assistance program, and denial management. The manager will lead, support, and manage all the staff and functions of the… more
- Brockton Hospital (Raynham, MA)
- …Team Lead and the Manager of Ambulatory Pharmacy Services, the Medication Access Coordinator is responsible for answering phone calls, documentation and ... data entry related to providing medication prescription refills and medication prior authorizations for patients as requested. This position may be held by a… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Management staff. Oversee staff performance with regard to prior authorization , medical necessity determinations, concurrent review, retrospective review, continuity ... work closely with the Directors of Pharmacy, pharmacy benefits manager (PBM), and the State's PBM team. + Prepare...develop and maintain collaborative contact to assure members have access to the appropriate resources and to avoid duplication… more
- Parkview Health (Fort Wayne, IN)
- …the Access Center, to include the PPG Schedulers, RN Triage team, and the Medication Authorization team to ensure callers needs are met for items related to ... Summary Reporting to PPG Call Center Manager and working in the Centralized Refill group,...working in the Centralized Refill group, assists patients with medication management, refills and other duties as assigned. Works… more
- Mount Sinai Health System (New York, NY)
- …knowledge of third party payer plans and how they are processed, of medication reimbursement, including the prior authorization process, proficiency in the ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy … more
- AdventHealth (Tarpon Springs, FL)
- …include length of authorization , total number of visits, and/or units of medication . Obtains PCP referrals when applicable . Alerts physician offices to issues ... as required. Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists. Assists with departmental… more
- Mount Sinai Health System (New York, NY)
- …pharmacy benefit questions. 5. Provides a high level of customer service by triaging medication access questions including medication rejections at point of ... of the World Trade Center Health Program (WTCHP) Clinical Pharmacy Manager , this World Trade Center Pharmacy Benefits Coordinator interacts with patients,… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Since 1985, BHCHP's mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families ... to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care...ON BONUS We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to… more
- J&J Family of Companies (Columbus, OH)
- …of all required training Market Access Expertise: + Extensive knowledge of medication access channels (ie, pharmacy and medical benefit including buy & bill ... Field Reimbursement Manager (Oncology) - Ohio Region - Johnson &...authorization and/or billing and coding + Strong market access acumen as it relates to payer approval processes… more
- J&J Family of Companies (Springfield, IL)
- …of all required training Market Access Expertise: + Extensive knowledge of medication access channels (ie, pharmacy and medical benefit including buy & bill ... Field Reimbursement Manager (Oncology)- (Central Local Account Team, Lower Midwest...authorization and/or billing and coding + Strong market access acumen as it relates to payer approval processes… more
- J&J Family of Companies (Sacramento, CA)
- …of all required training Market Access Expertise: + Extensive knowledge of medication access channels (ie, pharmacy and medical benefit including buy & bill ... Field Reimbursement Manager , Immunology - Rheumatology - Sacramento- Johnson &...authorization and/or billing and coding + Strong market access acumen as it relates to payer approval processes… more
- VCA Animal Hospitals (Miami, FL)
- …animal feces, and, contagious diseases.** **Tools and Resources** **The Assistant Hospital Manager will have access to the following: computer, telephone, fax, ... **Assistant Hospital Manager ** **Direct reporting to Hospital Manager ...and biannual audits** **Associate safety management and control drug access ** **Recording of missing controlled drugs that equate to… more
- Option Care Health (Irving, TX)
- …and retaining a diverse workforce. **Job Description Summary:** The Pharmacy Manager is a licensed professional who is responsible for planning, organizing, ... pharmacy practice professional standards, and other regulatory entities. The Pharmacy Manager is responsible for the coordination of patient services with the… more
- Endo International (Orlando, FL)
- …for talented individuals to join our team. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access ... be an expert and provides education, training and hands-on assistance related to access of the above products. **Job Description** The Field Reimbursement Manager… more
- Elevance Health (Altamonte Springs, FL)
- … medication resources or assistance programs. + Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; ... whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver… more
- Amicus Therapeutics (Princeton, NJ)
- Case Manager Location Princeton, NJ Requisition ID 2303 # of openings 1 Apply Now ... (https://phh.tbe.taleo.net/phh04/ats/careers/v2/applyRequisition?org=AMICUS&cws=37&rid=1350) Case Manager Amicus Therapeutics is a global, patient-dedicated biotechnology company… more
- Centene Corporation (Jefferson City, MO)
- …person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. This ... therapeutic outcomes while maintaining economic efficiency in the delivery of medication therapy. Interface with external clients and marketing staff to facilitate… more
- North Shore Community Health (Salem, MA)
- Clinical Outreach and Recovery RN Care Manager Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Job Type Full-time Description ... sites at Gloucester, Peabody, and Salem Family Health Centers, ensuring convenient access to care. Additionally, NSCH extends its reach through school-based health… more
- Centene Corporation (Austin, TX)
- …person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **LTSS ... Case Manager - Behavioral Health - LPC, LCSW, or Psych RN**...care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter… more
- Centene Corporation (Topeka, KS)
- …person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Must ... Reside in Kansas.** **Centene is seeking a LTSS Service Care Manager RN to join our Sunflower Plan team. The ideal candidate will have with the Kansas TA Waiver… more