- Daiichi Sankyo, Inc. (Seattle, WA)
- …national payer landscapes with expertise in formulary decisions, reimbursement policy, utilization management criteria, prior authorization processes and appeal ... journey dynamics, and key billing/reimbursement processes. Ensure strong understanding and utilization of Specialty Pharmacy and third party services. Conduct… more
- Henry Ford Health System (Troy, MI)
- … pharmacy services, decrease waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental in guiding the ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership...provided by the primary care team. He/she works with utilization management reports, corporate data stores, and… more
- ManpowerGroup (Durham, NC)
- Our client, the largest health care industry, is seeking a utilization management specialist to join their team. If you are detail-oriented, experienced in ... or call center environments, and have a healthcare or pharmacy background, we encourage you to apply for this...you to apply for this remote opportunity. **Job Title:** Utilization Management Specialist **Location: REMOTE**… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Motion Recruitment Partners (Durham, NC)
- Utilization Management Specialist Durham, NC **100% Remote** Contract $17/hr - $17/hr Our client, a nationally recognized and award-winning company in the ... health insurance vertical, has a contract opening for a Utilization Management Specialist . They have...+ Outbound call experience, or call center experience + Pharmacy experience as a Pharm tech or experience working… more
- Robert Half Office Team (Durham, NC)
- …healthcare industry, located in Durham, North Carolina, and we're looking to bring a Utilization Management Specialist on board. This role involves making ... records, ensuring accuracy to avoid impacting claims payment. * Support the care management department by making outreaches to members or providers to meet The… more
- Novant Health (Winston Salem, NC)
- **Overview** **NOVANT CORPORATE PHARMACY ** ** PHARMACY BENEFITS SPECIALIST ** Novant Health is an integrated system of physician practices, hospitals, ... way on their journey to health and wellness. The Pharmacy Benefits Specialist at Novant Health works...for employees, and healthcare providers to enhance understanding of pharmacy benefits, drug utilization , and cost-effective medication… more
- Beth Israel Lahey Health (Wakefield, MA)
- …taking a job, you're making a difference in people's lives.** The Clinical Pharmacy Specialist - Population Health works collaboratively with other health care ... and patients, and guideline development and implementation. Additionally, the Clinical Pharmacy Specialist supports the safe, effective and efficient use… more
- Henry Ford Health System (Bingham Farms, MI)
- … pharmacy services, decrease waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental in guiding the ... provided by the primary care team. He/she works with utilization management reports, corporate data stores, and... management strategies. EDUCATION/EXPERIENCE REQUIRED: For Ambulatory Clinical Pharmacy Specialist : Completion of a PGY1 … more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …and clinicians are recognized for clinical and operational excellence. **Inpatient Clinical Pharmacy Specialist - Critical Care - Memorial Regional Medical ... Critical Care (BCCCP) are_ **_strongly preferred_** _._ The Critical Care Clinical Pharmacy Specialist is responsible for providing expert pharmaceutical care to… more
