- Fidelity TalentSource LLC (Boston, MA)
- …harnessing the full potential of personal-level healthcare data, including personal medical, pharmacy , and expense claims data. By facilitating engaging digital ... or Kanban is preferred.Leadership and team management: The ability to lead cross-functional teams, foster collaboration, and drive a high-performance culture is… more
- Humana (Columbus, OH)
- …real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal role in resolving outstanding ... drive your career forward. Join us and take the lead on building solutions that make a difference! The...on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers inquiries… more
- Colorado State University (Fort Collins, CO)
- …Completing required spreadsheets for casual sales + Managing expired medication + Assisting the lead pharmacy technician with order points on drugs + Help keep ... Strong customer service skills + Expert in processing insurance claims , handling rejections, and prior authorizations Knowledge, Skills, Abilities,...+ Takes on additional tasks and projects assigned by pharmacy manager and lead pharmacy … more
- Elevance Health (Indianapolis, IN)
- ** Pharmacy Internal Auditor** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacy Internal Auditor** is responsible for… more
- Trinity Health (Fort Wayne, IN)
- …or physician of results when needed. 5. Adjudicates and reviews prescription insurance claims and patient financial assistance plans of medications to be ... **POSITION PURPOSE - located in Fort Wayne, Indiana** The Patient Assistance Pharmacy Technician in Training will participate in a work learning program to… more
- Walgreens (Jersey City, NJ)
- …and supports the pharmacy manager in analyzing performance data including pharmacy financial , customer service, and implementation of procedures for ... **Job Description:** **Job Summary:** Engages in post-graduate pharmacy activities under direct supervision of licensed pharmacist to fulfill the State Board of … more
- UPMC (Pittsburgh, PA)
- Children's Hospital of Pittsburgh is hiring a Senior Pharmacy Technician who will provide pharmaceutical care to patients by demonstrating proficient abilities in ... (including cytotoxic compounding and TPN compounding), navigating and utilizing the pharmacy information system and filling and distributing medications in the… more
- UPMC (Pittsburgh, PA)
- **UPMC Mercy is hiring a Full-Time Pharmacy Technician, Intermediate to support our Pharmacy department!** This position will work rotating shifts primarily ... Sign On Bonus of $5,000 with a 2 year commitment to UPMC. Pharmacy Technician career advancement and certification opportunity available through completion of a free… more
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Technician, Senior to join their dedicated team! The Pharmacy Technician, Senior provides pharmaceutical ... (including cytotoxic compounding and TPN compounding), navigating and utilizing the pharmacy information system and filling and distributing medications in the… more
- Elevance Health (Metairie, LA)
- ** Pharmacy Quality Improvement Specialist** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The Pharmacy Quality Improvement Specialist is responsible… more
- The Cigna Group (Philadelphia, PA)
- …Summary** Accountable for sourcing activities and associated strategies across the Pharmacy Operations category as it relates to the identification, negotiation and ... of the various products and services to support Cigna's pharmaceutical and claims operations life cycle. This includes leading sourcing projects of various sizes… more
- Elevance Health (Columbus, OH)
- **Account Service Manager Sr - Pharmacy Account Management** **Location:** This position will work a hybrid model (remote and office). The ideal candidate must live ... plan design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Presents monthly, ad hoc, mid-year,… more
- Elevance Health (Altamonte Springs, FL)
- **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of ... address payor concerns. + Evaluates the payment status of outstanding third-party claims and resolve impediments to payment by providing information to internal and… more
- BrightSpring Health Services (Austin, TX)
- …meansadvancement opportunitiesfor individuals who are looking for career progression! Pharmacy technician experience required Pharmacy tech license required ... reimbursement Non-retail/Closed-door environment SCHEDULE 12:30pm-9pm M-F; 8am-3pm Weekends Our Pharmacy group focuses on providing exceptional customer service and… more
- Omnicell (Fort Worth, TX)
- …insurance, retirement, educational, and well-being programs to ensure quality, value, and financial protection to help you and your family live well. **In-Office ... Worth, TX 76137 **Day in the Life:** As a Lead Reconciliation Analyst, you'll serve as the primary liaison...for independent pharmacies. Your role will involve engaging with pharmacy owners, accountants, pharmacy technicians, and other… more
- Pfizer (New York, NY)
- …this individual will report directly to Field Access Director. The Field Access Lead (FAL) will perform their duties under the strategic vision of the Pfizer ... change updates, payer policies (eg, prior authorization, step edits, specialty pharmacy coverage) and patient support + Coordinate reauthorization process at… more
- AbbVie (Mettawa, IL)
- …(MABI) & Market Access Insights (MAI) to maintain understanding of claims , rebate, and formulary data architecture. This involves understanding the organization's ... environment. This includes maintaining understanding of Vendor Agnostic Layers (VAL), Claims , Rebate and Supply Chain Foundations, data pipelines & ecosystems,… more
- Prime Therapeutics (Columbus, OH)
- … pricing strategies, financial contract management, profit drivers and the organization's financial value statement + Lead the development of financial ... pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + 3… more
- Beth Israel Lahey Health (Burlington, MA)
- …position acts as a care coordination specialist between specialty/retail pharmacy and the prescribers. Responsible for documenting, submitting, communicating ... outcomes and appeal all pharmacy and medical buy and bill prior authorizations. Involved in all aspects of obtaining patient access to prescribed medications such as… more
- CareOregon (Portland, OR)
- …Skills and Abilities + Skilled in at least one healthcare data domain (eg, medical claims , pharmacy claims , dental claims , clinical data, etc.) + ... methods and data analysis plans related to healthcare utilization, cost trends, financial forecasting, member, and provider experience. + Lead and direct… more
