Pharmacy Jobs - Remote Work From Home & Flexible
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9 days agoPerforms review of medication lists to understand and eliminate barriers to medication therapy while serving as the member'sPharmacyNavigator in order to achieve the following: Proper Medication Adherence. Minimize any gaps in therapy. Prevention of...
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27 days agoContribute to improve patient health outcomes and define strategies for medication management. The Director ofPharmacyManagement develops and implements quality programs in alignment with value based care contracts that ensure the highest level of...
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New!YesterdayTake inbound calls come from physicians' offices and from members. Make outbound calls to providers. Make outbound calls/faxes to retailpharmacies. Follow up on new prescription requests and transfers. Place outbound calls to physician offices to...
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28 days agoAnswers and resolves patient inquiries within committed time frames. Understands the physical, psychological and social challenges of specific disease states and assists the patient with drug therapy andpharmacycare issues. Promotes drug...
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30+ days agoAssist in preparation and submission ofpharmacyclaims to third party insurance carriers.Secure appropriate medical documentation as required by third party insurance carriers. Follow up on unpaid claims or balances.Re-verify benefit coverage criteria.
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New!3 days agoHandle anypharmaciesconcerns& ensure resolution and satisfaction related to payments & remittance advices among others.Provide accurate responses topharmacies, third party providers &pharmacyservices administration organizations on payment inquiries.
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30+ days agoDevelop and oversee effective retail, specialtypharmacynetwork and manufacturer/life-science program strategies and execution. 10+ years of relevant experience in apharmacynetwork management related role, including 3+ years of leadership experience...
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New!2 days agoIn this role you will manage our clinicalpharmacyanalytics, processes, and tools while also serving as the main analytics conduit with our Therapeutics Affinity Group and nationalpharmacyleadership. Support and contribute to the development of...
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New!5 days agoEstablishes and maintains strong customer relationships with physician practices to streamline communication to the patient, payers, pharmacist, nurse, lab and other healthcare related parties. Maintains current notes and documentation related to...
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28 days ago协助麦哲伦的实现PharmacyCompliance Program & educates the management team & staff about compliance & the appropriate components across all lines of business and all states for all clients regarding the compliance program.
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30+ days agoProvide input and monitor team goals (i.e., Objective Key Results, Key Performance Indicators, and project deliverables) ensuring the team is delivering accurate results.8+ years of experience inPharmacyClaims Operations, including 4+ years of...
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30+ days agoProvides analytical support for local health plan or business unit, in support of strategic decision making and cost efficiency.Develops/maintains subject matter expertise in data extraction and quality assurance as well as current and historical costs.
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16 days agoAs a Call Center ClinicalPharmacyTechnician working remotely, you will be responsible for high volume inbound call center serving calls from Members,Pharmaciesand Prescribers for Medicaid/Medicare or commercialpharmacybenefits management business.
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30+ days agoThe regional Director of SpecialtyPharmacyOperations will oversee the operations and financial performance of all assigned client site specialtypharmacyteams. They will be responsible for overall performance of all client site programs within an...
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Featured13 days agoThe responsibilities of thePharmacyService Representative are to assist with and provide resolution to colleagues and customers with any and all escalated issues regardingpharmacyservices, customer service and work flow concerns.
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28 days agoPrincipal implementation liaison on the project team translating and documenting customer expectations, business processes and goals to ensure implementation success. Lead a detailed business discovery and develop recommendations to execute a delivery...
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30+ days agoThis role creates new analysis of high-cost drug trends and builds complex models to forecast impacts of management strategies for health plan clients. The ideal candidate brings expert skills in data analysis, experience building automated models...
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27 days agoProvides analytical support for local health plan/business unit, in support of strategic decision making & cost efficiency.Develops/maintains subject matter expertise in data extraction & quality assurance as well as current & historical cost experience.
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27 days agoThe CX Senior Analyst, Telemedicine &Pharmacyposition is vital in supporting the Customer Experience (CX) organization, where the candidate will be the subject matter expert on all telemed and fulfillment operations related cross-functional processes...
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30+ days agoContribute to a library of test preparation materials by creating a variety of resources and learning content to help students prepare for exams. In this role, you would be helping us to design a course curriculum and advising us on other key decisions...
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30+ days agoWe're looking for experts to contribute to our library of test preparation materials by creating a variety of resources and learning content to help students prepare for exams. Our projects include work such as writing learning content, developing case...
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30+ days agoDeveloping reports and analytics using Excel. Works with partners to help guide and assist in creating a data feed according to defined specifications. Proactively communicates with trading partners and clients to expedite their onboarding.
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30+ days agoConduct assessments of medication adherence patterns, including factors contributing to non-adherence. Provide counseling about how to take medications correctly. Provide medication refill reminders. Deliver education about financial assistance...
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New!2 days agoPlans, organizes, monitors, and oversees projects utilizing cross-functional teams to deliver defined requirements and meet company strategic objectives. Bachelor's degree and 3+ years of project management exp. Proficient with project mgmt tools. Remote.
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Featured30+ days agoIn this role, you and your team of HR professionals will be responsible for developing and executing various strategies for the Division. Utilizing the human resources centers of excellence, you will to advise to develop divisional people strategies...
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20 days agoBuild partnerships with drug manufacturers andpharmacygroups to develop a channel sales cycle for the sales team. Work closely with the Partnerships Sales Team to develop a channel sale process for newpharmacies. Partner with Data and Business...
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30+ days agoAnalyze clientpharmacybenefit arrangement to configure Request for Proposal evaluation tool and analyze system results to verify accuracy ofPharmacyvendor submissions. Analyze client contract and benefit plan details to configure contract oversight...
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27 days agoDevelop financial pricing models to monitor performance againstpharmacyclaims data and identify financial pricing opportunities to drive savings & meet client/pharmacycontractual obligations using analytic tools and complex financial pricing methods.
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FeaturedNew!2 days agoLead and support process and performance improvement projects within the SpecialtyPharmacy. The manager will conduct deep business process reviews of front end and back endpharmacyoperations to improve efficiency, quality, customer experience, and...
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18 days agoDemonstrate and promote CHAMP behaviors. Conduct timely, accurate medication order review that considers all patient characteristics including laboratory values and vital signs. Demonstrate competency inpharmacyautomation and technology as applicable.
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30+ days agoYou will be key in analyzing, strategizing, and helping to develop, manage, and expandpharmacyprograms. You will be working on various high priority programs and initiatives that you can mold and grow into a best-in-class portfolio.
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30+ days agoSupport sales and marketing teams by providing clinical support and attending/presenting at prospect and broker meetings. Perform high-levelpharmacyanalyses taking into consideration standards of practice and financial impact.
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30+ days ago8+ years of experience inPharmacyClaim Operations, including 4+ years of supervisory experience. Experience applying analytical and troubleshooting skills to claims administration operations. Experience working with SQL and Excel tools.
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2 weeks agoPrepare and submitpharmacyclaims to third-party insurance carriers, ensuring accuracy and adherence to billing guidelines and regulations. Obtain and organize necessary medical documentation required by third-party insurance carriers to support claim...
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30+ days agoYou'll identify, respond to, and triage any situation our clients bring up. Ensuring that excellent service is delivered to ourpharmacies, payers, health plans, unions and more is of the utmost importance. We'll need your strategies to place clients...
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30+ days agoResponsible for producing and leading trend projects and reporting (retrospective and forecasted). Monitors critical metrics and informs leadership of potential risks. 5+ years of direct, relevant experience inpharmacy, healthcare or financial analytics.
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New!YesterdayAnalyze and producepharmacy数据报告不同复杂性的屁股ess competitiveness & accuracy of financial pricing programs against adjudicated claims to identify trends and draw insights to provide pricing recommendations. Apply...
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17 days agoIn this role, you will help support the discovery, elaboration, testing, and implementation of a financial platform integration. Business Analysis. Product Management experience. Background inPharmacyand/or Finance industry preferred.
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New!6 days agoCreate, prepare, review, proof, edit and manage documents, including corporate records, correspondence, reports and presentations. Research and analyze issues in a wide variety of subject areas of health care law affectingPharmacyBenefit Management...
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30+ days agoPresent performance results and recommendations toPharmaciesand Clients. Lead and direct the work of a team of analysts to ensure that client standard and ad-hoc projects are completed in a timely and accurate manner. Lead staff through the migration.
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New!YesterdayEngage directly withpharmacycustomers who contact company for a variety of topics. This will primarily be via inbound calls and other communication platforms. Research and problem-solve to determine appropriate solutions for the customer and follow...
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30+ days agoAdvocate for patients and coordinate their care with external organizations such as insurance companies,pharmacies, and specialists. Serve as a primary touchpoint for patient communication across multiple channels: chat, email and phone.
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Featured16 days agoIn this role, you will be assisting members with theirpharmacybenefit plans. You will take inbound calls and answer questions regarding prescription insurance, medication coverage and mail order prescriptions so that our members better understand...
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Featured16 days agoYou will be assisting members with theirpharmacybenefit plans. You will take inbound calls and answer questions regarding prescription insurance, medication coverage, and mail-order prescriptions so that our members better understand their coverage and
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Featured2 weeks agoIn this role, you will be assisting members with theirpharmacybenefit plans. You will take inbound calls and answer questions regarding prescription insurance, medication coverage and mail order prescriptions so that our members better understand...
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FeaturedNew!2 days agoYou will be responsible for serving as a consultative partner working directly with clients and key stakeholders helping to support all activities related to our clients'pharmacybenefit plans (i.e. setting up new plans, optimizing plan changes...
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New!6 days agoDevelop health care cost trend analytics as part of a dynamic team. Build, deploy, and maintain dashboards and analyses that support the identification of meaningful medical andpharmacycost trends. Bachelor's degree and 3+ years in managed care.
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New!YesterdayCredential and re-credential various providers, including physicians, healthcare delivery organizations, orpharmacies, according to applicable specifications. Maintain and update credentialing database. Assist with coordinating credentialing committee...
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30+ days agoIn this role, you will be a core part of the Go-to-Market leadership team for our rapidly scaling PaaS business across priority segments including healthcare providers, payers,pharmacyretailers & digital health innovators.
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Featured8天前You will be assisting members with theirpharmacybenefit plans. You will take inbound calls and answer questions regarding prescription insurance, medication coverage and mail order prescriptions so that our members better understand their coverage...
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