Search jobs > Oakland, CA > Director pharmacy

Medical Director - Pharmacy Appeals

VirtualVocations
Oakland, California, United States
Full-time

A company is looking for a Medical Director - Pharmacy Appeals to review Medicare drug appeals and ensure compliance with regulations.

Key ResponsibilitiesReview moderately complex to complex Medicare drug appeals for coverageCollaborate with clinicians and support staff to provide optimal value-based careParticipate in Peer to Peer discussions, hearings, and support for CMS auditsRequired QualificationsMD or DO degree5+ years of direct clinical patient care experience post-residency or fellowshipCurrent and ongoing Board Certification in relevant medical fieldsA current and unrestricted medical license in at least one jurisdictionNo current sanctions from Federal or State Governmental organizations

3 days ago
Related jobs
Promoted
VirtualVocations
Oakland, California

A company is looking for a Medical Director - Pharmacy Appeals to review Medicare drug appeals and ensure compliance with regulations. ...

CVS Health
California, Work At Home, US
Remote

Responsibilities of this Medical Director role are related to Medicare Appeals. Direct daily work on part C appeals (both provider and member/nonparticipating providers) and Part D appeals. Medical Management - Medicare Complaints, Grievance & Appeals experience. Provide after hours and weekend cove...

Promoted
VirtualVocations
Oakland, California

A company is looking for a Pharmacy Technician to provide member medication counseling and assistance. ...

Promoted
Department of Veteran Affairs
San Francisco, California
Remote

As both Medical Director and physician, the HBPC Medical Director is expected to be trained in and demonstrate a high degree of knowledge in evidence-based geriatric medicine to include knowledge and application of geriatric principles, knowledge and use of geriatric assessments, primary care manage...

Promoted
CHG Healthcare
San Francisco, California

Come practice in San Francisco proper.You can enjoy Alamo Park, looking over the Bay and enjoying a wonderful ocean breeze and moderate weather.You will be able to enjoy energetic communities and all the benefits that northern California living has to offer.CompHealth has relationships with hospital...

Promoted
Soliant
Oakland, California

Minimum 1+ years pharmacy experience required. Soliant is seeking an Inpatient Pharmacy Tech in the East Bay area. ...

Promoted
HealthRIGHT 360
San Francisco, California

The Medical Director is primarily responsible for the provision of productive and quality medical practice at Haight Ashbury Medical Clinic and the Integrated Care Center Clinic. Medical Director - Integrated Care Center Medical Clinic. HealthRIGHT 360 gives hope, builds health, and changes lives fo...

Promoted
University of California
San Francisco, California

Under Pharmaceutical Services, the Pharmacy Technician 2, provides pharmaceutical care to patients at all acute care pharmacy areas and specialized services to researchers on campus. Licensed Pharmacy Technician by the California Board of Pharmacy and in good standing. Pharmacy Technician - Acute Ca...

Curative
San Leandro, California

This leader in mental health is needing a medical director to coordinate, and supervise the medical and psychiatric care provided at the facility. A medical degree from a medical school accredited by the American Medical Association or the American Osteopathic Association and successful completion o...

AIDS Healthcare Foundation
Oakland, California

Full benefits including medical/dental/vision, a 401K or 457B retirement plan, and malpractice/tail coverage. Must possess a Medical Board license MD/DO/RNP (State specific) in Internal/Family Medicine/Adult Gerontology/Infectious Disease. ...