- Daiichi Sankyo, Inc. (Seattle, WA)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders. Summary: The Associate Director , Field Reimbursement (ADFR) is a critical front-line member of the DSI… more
- Insmed Incorporated (Baton Rouge, LA)
- …of the field-based Field Access team, and will report to the Director , Field Access Managers. This is a non-supervisory position.ResponsibilitiesA key component of ... as prescribed by HCP Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission… more
- VNS Health (Manhattan, NY)
- …to, Provider Relations, Claims, Medical Director , third party administrator, pharmacy benefit manager, to achieve resolution of appeals and grievances. + ... a minimum of three years' experience in a Grievance and Appeals or related area such as medical or utilization management in a Managed Care setting required +… more
- CVS Health (Sacramento, CA)
- …**Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
- Baptist Memorial (Covington, TN)
- …assistance for their prescriptions. The individual in this position supports the BSP Director , BSP Pharmacy Staff and Clinical Pharmacists to ensure that all ... patients are getting the most out of their specialty pharmacy services. The Pharmacy Technician - Specialty...in treatment + Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... the necessary co-management of our members related to their medical , behavioral health and pharmacy needs. This...+ 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina Medicare members have access to all medically necessary ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs… more
- Beth Israel Lahey Health (Westwood, MA)
- …120,000 square foot facility in Westwood, MA, provides state of the art pharmacy services to our systems patients and employees. We specialize in patient-centered ... provide the highest level of service and become the pharmacy of choice for all our patients and employees....health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing… more
- Molina Healthcare (Long Beach, CA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Centene Corporation (Springfield, IL)
- …teams to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing ... perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the...complex cases and medical necessity appeals . + Participates in provider network development and new… more
