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As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A signifi...

AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs-wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes...

Company Overview
Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the hea...

Job Summary:
Erlanger's 340B team oversees four entities, numerous child sites, and an expansive contract pharmacy relationship within the program. The Sr Pharmacy 340B-BI Analyst will support Pharmacy leadership in evaluating the program's strategic growth, financial impacts with institutional and manufacturer changes, contract pharmacy relationships, and compliance monitoring.
This role will ...

Responsibilities
The Sr. Revenue Integrity Pharmacy Analyst is responsible for expert review of pharmacy related charge audits, denials, quarterly HCPCS updates, and value analysis. They will review and analyze pharmacy claims, collaborating with pharmacy IS, Billing and Managed Care to ensure compliance with billing regulations while maximizing reimbursement. Additionally they provide support ...

Title:
Clinical Pharmacy Assistant (Specialty Pharmacy) - Remote/Hybrid Capabilities!
Job Type:
RegularCompany:
Roswell Park Comprehensive Cancer CenterDepartment:
PharmacyTime Type:
Full timeWeekly Hours:
40FTE:
1Shift:
First Shift (United States of America)
Summary:
About the Role
This hybrid/remote role plays an important part in helping ensure patients receive safe, effective m...

***Must have BOTH a current VA Pharmacy and PTCB License***
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically.
The Reimbursement Specialist carries out benefit investigation ...

AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs-wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes...

AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs-wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Provider Relations Analyst Sr (Contract Negotiation) - RemoteJob Description
The Provider Relations Analyst Sr is responsible for contracting effor...

Job Summary
The Pharmacy QA Specialist plays a critical role in the pharmacy review process, supporting PBM clients by ensuring the accuracy, completeness, and quality of pharmacy-related determinations and documentation.
This role is responsible for coordinating with clients, pharmacists, and internal teams to ensure that all reviews are completed in accordance with client requirements, regula...

Overview
this is a remote/hybrid role.
Scope of Responsibilities: Works under general supervision. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees
Job Summary: Responsible for all aspects related to entering of medication orders and workflow management.
Responsibilities
Job Duties:
* Responsible for daily preparation of call center w...

Overview
This position may be onsite or remote.
Job Summary: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (internal and external) to ensure payment for services.
Travel: Limited travel may be required. Travel to healthcare providers...

Our Company
Amerita
Overview
Amerita is hiring a Benefits Investigation Specialist for a remote role.
Join our home infusion team This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow-up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Apply today and become part ...

Summary of Job
Support eligibility and benefits configuration and deployment, including collaboration with pharmacy benefits manager (PBM) and Cognizant, formulary teams, for configuration. Responsible for Quality Assurance and Testing for operations and implementations. Coordinate and manage the pharmacy plan/ benefit design implementation process in partnership with PBM to ensure the accuracy...

Overview
The IT Service Technician II uses specialized knowledge & skills to perform hardware support and repairs for user departments across the company. The IT Service Technician II resolves hardware, software, and communication problems/conflicts/defects.
Who We Are
VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering m...

Overview
The IT Service Technician uses specialized knowledge & skills to perform hardware support and repairs for user departments across the company. The IT Service Technician resolves hardware, software, and communication problems/conflicts/defects.
Who We Are
VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission...

Location Address:
9521 San Mateo NEAlbuquerque, NM 87113-2237
Compensation Pay Range:
Minimum Offer $18.33Maximum Offer $27.25Now Hiring: Clinical Pharmacy Review Specialist
Summary:
Build your Career. Make a Difference. Presbyterian is hiring a skilled Clinical Pharmacy Review Specialist to join our team.Type of Opportunity: Full timeJob Exempt: NoJob is based: Reverend Hugh Cooper Administrat...

Overview
Careers close to home and your heart
Since our founding in 1997, we've been making long-term care better for our residents and more rewarding for our team members. We're a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. If you're looking for a place that embraces you for who you are, helps you achie...

The Pharmacy Outreach Specialist is responsible for patient outreach, coordinating with practices and pharmacies to promote medication adherence and improve patient health outcomes and pharmacy quality measures.
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home across US time zones.
Primary Duties
Patient Outreach
...