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Pharmacist Managed Care jobs

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MANAGED CARE ANALYST

The Managed Care Rebate Analyst must interpret contract language and input and maintain plans, products, and rebate programs in the Model N/Flex System. This position must have a thorough understanding of PBM networks and contract...

CompanyTeva Pharmaceuticals
AddressParsippany, NJ
CategoryInformation Technology
Date Posted 4 weeks ago See detail

Managed Care Analyst

Teva Pharmaceuticals

Parsippany, NJ

The Managed Care Rebate Analyst must interpret contract language and input and maintain plans, products, and rebate programs in the Model N/Flex System. This position must have a thorough understanding of PBM networks and contract...

4 weeks ago seen See more...

Managed Care Authorization Coordinator

Brockton Visiting Nurse Association

Brockton, MA

From $22 an hour

Patient demographic information. Physician information. Referral source information. Insurance information. Authorization/reauthorization information. Disciplines/services requested. 401(k). 401(k) matching. 403(b) matching. Denta...

4 weeks ago seen See more...

Director Managed Care

Hca Healthcare

Brentwood, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Managed Care Paralegal

Hca Healthcare

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Case Manager/Care Coordinator

Volunteers Of America Greater New York

New York, NY

life insurance, paid time off, retirement plan

The position requires a minimum of 60 college credits (BA preferred) plus two years of relevant work experience. . Familiarity with homelessness, mental health and/or substance abuse population required.. The position also require...

a month ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

Must be able to understand Managed Care contracts, create project spreadsheets forsubmission to payers, write reconsideration appeals and send to MCOs, and be able tocommunicate both internally and externally for resolution of c...

a month ago seen See more...

Patient Commercial Insurance or Managed Care Accounts Receivable Representative, Hybrid

University Of Maryland Medical System

Baltimore, MD

Works and maintains assigned receivables through work queues, age trail balance reports (ATBs), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of unco...

a month ago seen See more...

Assistant Nurse Manager-Care Management

Department Of Veterans Affairs

Olin, NC

Competitive

Facilitates the team building process. Serves as a mentor to staff. Promotes an environment that is conductive to quality nursing practice and staff satisfaction. Promotes a positive climate for professional growth, attitudes and...

a month ago seen See more...

Senior Director, Managed Care Credentialing and Payor Enrollment Operations

Ascension

Remote

From $126,962.96 a year

Department: Executive Office Nursing and Operations Infrastructure. Schedule: Full-Time, 8-hour day shift, Monday-Friday, Partially Remote with 30% travel. Facility: Ascension Standardize provider enrollment processes. Ensure prov...

a month ago seen See more...

Billing Managed Care Coordinator, Radiation Oncology

Brigham And Women's Hospital

Boston, MA

This position requires close attention to detail and will work daily with our Managed Care Supervisor along with the Managed Care teams at BWH & DFCI and the administrative personnel within our department.PRINCIPAL DUTIES AND RESP...

2 months ago seen See more...

Managed Care Analyst III

Teva Pharmaceuticals

Parsippany, NJ

Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify risks and compliance issues and present findings both verbally and in writing to key internal and exter...

2 months ago seen See more...

MANAGED CARE OPERATIONS ANALYST

Cooper University Health Care.

Camden, NJ

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. Develop and maintain reporting and modeling c...

2 months ago seen See more...

Coastal Central Florida Private Practice/Geriatric Managed Care - 401K Plan

Enterprise Medical Recruiting

Lorida, FL

A geriatric fellowship would be a plus but not mandatory. The group manages Medicare Advantage HMO plans for patients who are over the age of 65. Practice is capitated. The group is looking for a good clinician who also understand...

2 months ago seen See more...

Manager - Managed Care & Prior Authorizations

Arkansas Children's

Little Rock, AR

Provides expertise in statutory and regulatory requirements and payer policies related to prior authorization for medical services and transplants and transports. Collaborates with admissions, physicians, utilization review/case m...

2 months ago seen See more...

Medical Director Opportunity - Palm Springs, CA - Cutting Edge Managed Care Organization

Curative

Palm Springs, CA

MD/DO degree required. Licensed in California. No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management. A part of one of the flagship ACOs, now a 2nd generati...

2 months ago seen See more...

RN-Case Manager/Care Coordinator

Veterans Health Administration

Fresno, CA

Federal employees - Excepted serviceCurrent excepted service federal employees. The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Veterans. Provides direct patient care and guides the care provided by sign...

2 months ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

Must be able to understand Managed Care contracts, create project spreadsheets for submission to payers, write reconsideration appeals and send to MCOs, and be able to communicate both internally and externally for resolution of c...

2 months ago seen See more...

Nashville, Tennessee - Family Medicine Physician - Great Compensation for Managed Care

Inspire Healthcare

Nashville, TN

Job Description An adult/geriatric medicine group is hiring in Nashville, Tennessee Looking for a physician to work in an outpatient office setting Focus is simply on developingrelationship and continuity of care Group handles all...

2 months ago seen See more...

Managed Care Pricing & Analytics Modeling Analyst

Ardent Health Services

Brentwood, TN

Conduct financial modeling, analysis and reporting related to Managed Care contract negotiations Concisely summarize and communicate the results of modeling activities in time sensitive environment Maintain working knowledge of cu...

2 months ago seen See more...

Resident, PGYI Managed Care Pharmacy

Kaiser Permanente

Hyattsville, MD

Practices patient, population and medication therapy management during rotations as assigned. Conducts tasks and projects assigned throughout the residency year. This includes, but is not limited to, supporting initiatives in serv...

2 months ago seen See more...

Assistant General Counsel - Managed Care Reimbursement

Prime Healthcare Management Inc

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

2 months ago seen See more...

Assistant General Counsel - Managed Care Reimbursement

Prime Healthcare

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

2 months ago seen See more...

RN Care Manager Independence Center - Saint Louis, United States - BJC HealthCare

Bjc Healthcare

United States

Alert healthcare providers to co-morbid medical and behavioral conditions, coordinate consumer enrollment in health programs and monitor the inclusion of effective health care strategies in patient treatment plans. Tracks, monitor...

3 weeks ago seen

Case Manager Extended Care Coord RN-Per Diem

Kaiser Permanente

Woodland Hills, CA

In conjunction with physicians and healthcare team, develops an individual care plan based on patient assessment/evaluation and diagnostic tests. Monitors/evaluates patient progress and modifies treatment plan as appropriate in co...

4 weeks ago seen See more...

Care Manager - Georgia

Chosen Care, Inc.

Alpharetta, GA

$50,000 - $55,000 a year

Pay range: $50,000-$55,000 / year 100% Company paid Medical Coverage for Employee 100% Company paid Dental Coverage for Employee 100% Company Paid Group Life 100% Company Paid Long Term Disability Vision Coverage Short Term Disabi...

4 weeks ago seen See more...

Primary Care Chronic Care Manager (LPN/RN)

Integrated Laboratory Providers

Madison Heights, MI

$55,000 - $65,000 a year

401(k). 401(k) matching. Dental insurance. Health insurance. Paid time off. Vision insurance. Hybrid work. Nursing: 1 year (Preferred). Case management: 1 year (Preferred)....

4 weeks ago seen See more...

RN Outpatient Care Manager

Infirmary Health

Mobile, AL

$65K - $82.3K a year

Current Alabama RN license Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama* Infirmary Health abides by the NLC requirements and guidelines for the state of Alabama....

4 weeks ago seen See more...

Supervisor, Care Management Support

Humana

Indiana, United States

$59.5K - $75.3K a year

Supervises a team of Care Management Support associates; coordinates and provides day-to-day oversight to associates. Collaborates with management and professionals/specialists in selection of methods, techniques, and analytical a...

4 weeks ago seen See more...

Center Manager II Urgent Care Kissimmee

Adventhealth Centra Care

Kissimmee, FL

$21.27 - $31.91 an hour

Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit. Fulfilling work with people who treat you like family. Excellent benefits, market-driven wages and career development opportu...

4 weeks ago seen See more...

Greater MKE Manager Mission and Spiritual Care

Advocate Health

Milwaukee, WI

United States, Wisconsin, Milwaukee

Provides leadership and support at the hospital for the Mission and Spiritual Care (MSC) Department, providing for an appropriate and comprehensive ministry of Spiritual Care, counseling, consultation, education, worship, sacramen...

4 weeks ago seen See more...

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