Calculate appropriate billable units based on dosing, indication, weight, BMI and other clinical considerations. Develop clinical criteria and medical policies for the review of medications. Ensure all clinical criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New...
Broad clinical pharmacy knowledge and sharp clinical decision-making skills acquired through several years of clinical practice. Pharmacist Clinical Content Manager. Pharmacist Clinical Content Manager. This team of dedicated pharmacists, physicians, pharmacy technicians, and medical editors creates...
The Pharmacist – MA Clinical Support position is responsible for providing clinical expertise and excellent communication skills to support beneficiaries in the CVS Accountable Care organization. The Pharmacist – Clinical Support will also be responsible for managing a caseload, analyzing data and o...
The Principal Clinical Program Pharmacist is responsible for implementing the strategy and developing clinical product(s). Develop and manage complex clinical product initiatives including clinical criteria. Gather, analyze, and synthesize market information, clinical guidelines and member claims da...
The Clinical Pharmacist provides clinical pharmacy services to patients in order to optimize medication related healthcare outcomes. Deliver MTM services, including but not limited to, Comprehensive Medication Reviews, Disease Specific Medication Reviews, and Targeted Interventions to assess appropr...
The Principal Clinical Program Pharmacist is responsible for implementing the strategy and developing clinical product(s). Develop and manage complex clinical product initiatives including clinical criteria. Gather, analyze, and synthesize market information, clinical guidelines and member claims da...
The Clinical Pharmacist provides clinical pharmacy services to patients in order to optimize medication related healthcare outcomes. Deliver MTM services, including but not limited to, Comprehensive Medication Reviews, Disease Specific Medication Reviews, and Targeted Interventions to assess appropr...
The Principal Clinical Program Pharmacist is responsible for implementing the strategy and developing clinical product(s). Develop and manage complex clinical product initiatives including clinical criteria. Gather, analyze, and synthesize market information, clinical guidelines and member claims da...
The Clinical Advisor position is an exciting pharmacist opportunity to use your clinical background in a client-facing role. As a Clinical Advisor, you will utilize clinical and analytical skills in a managed care environment to positively impact the health of clients and members while helping reduc...
The Counter Adversary Operations is redefining the intelligence, threat hunting, and advanced security operations. As a Specialist Sales Manager for the Counter Adversary business you will have the exciting opportunity to help customers solve tough business and security challenges while driving grow...
CVS is hiring Work from Home Pharmacy Technicians in Florida! To be considered for this job, you must live within 75 miles of CVS Specialty pharmacy location below:. CVS Health has an exciting opportunity for a Pharmacy Technician to be a part of our Specialty Mail Order Pharmacy team! In this role ...
Position SummarySupports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Promotes and supports quality effectiveness of healthcare and Pharmacy Services. Evaluates, authorizes approval, and communicates deci...
Lead and manage multiple projects to ensure the realization of value, quality, and on-time delivery of defined scope. Coordinate internal resources and third parties/vendors for the flawless execution of multiple projects. Communicate project status regularly to various stakeholders. Develop and man...
The Pharmacy Network Manager is responsible for development and management of Prime’s retail, mail, specialty and quality-based pharmacy networks. Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 3 years of managed care ...
Oh, you're interested in project management? Let's see if this role is for you! In this exhilarating role, you'll take the reins and own every aspect of your assigned client's projects, driving them to spectacular success. We need a Rockstar Project Manager! With a winning combination of hard work a...
In addition, a Read-Ready Writer may assume any responsibilities of a Study Start-Up writer (Associate Medical Writer), as needed. Supervising the Associate Medical Writer in the creation, updating, modification and maintenance of the MedComm web pages for ease of access by IO, CPM, MA and any other...
We are seeking a highly skilled Senior Manager of Product Marketing to drive the strategic positioning and growth of Labcorp’s Clinical Trial Enablement Services offerings via the Real World Data (RWD) team. Gain a deep understanding of the RWD team’s target market, including sponsors, CROs, and cli...
The Program Implementation Manager will be responsible for leading program launches for our Patient Affordability/Support solution offerings. Projects will require close teamwork with our Client Success Account Managers, Product leads, Engineering, and Sales, for both existing offerings as well as c...
For further inquiries regarding the following opportunity, please contact one of our Talent Specialists</b></p> <p><b>Samreen |</b> <b>224 303 4454</b></p> <p><b>Varsha | </b><b>630 847 0953 </b></p> </div> &l...
Reporting to the Senior Director of Pharmacy Services, the Pharmacy Program Manager is primarily responsible for pharmacy benefits configuration, including operational implementations in accordance with accreditation and regulatory requirements, as well as other processes and/or programs in support ...
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Clinical Care Manager- Remote, Licensed in California. Monitors inpatient a...
Oversee and ensure the overall profitability of the regional operations center. Plans and organizes daily activities related to production and operations. Coordinates with other support departments such as human resources, finance, and IT and BA to ensure successful production operations. We process...
Reporting to the Director of Behavioral Health and Long Term Services and Supports (LTSS) Network Strategy, the Manager of LTSS Network Strategy is responsible for contracting the LTSS Network and like services for the applicable WellSense suite of products across multiple states. Mentor, monitor an...
Alcon is looking to hire a Medical Writer Lead to join our Medical Writing Team in Fort Worth, TX. You will be responsible for representing Clinical Writing & QC on the Clinical Trial Team and accountability for the accuracy of content crafted by the Medical Writer (specifically for IBs, FTSs, CSRs,...
The Pharmacy Program Manager position is a 100% remote role requiring a HIPAA-compliant workspace. A Pharmacy Program Manager is a Clinical Pharmacist providing pharmacist support for an interdisciplinary care management team and members under assigned plan sponsors through conducting comprehensive ...