• Medicare Quality Specialist

    Corewell Health (Grand Rapids, MI)
    Job Summary The Medicare Quality Specialist , Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and ... jargon to ensure understanding + Process refill requests through pharmacy or provider + Assist with correcting pharmacy...CMS requirements and standards + Other projects assigned by Medicare Quality Manager and/or Director How Corewell… more
    Corewell Health (03/04/25)
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  • Specialist 3rd Party Rx Ops Pharmacy

    Walgreens (Deerfield, IL)
    …"An Equal Opportunity Employer, including disability/veterans". **Job ID:** 1503865BR **Title:** Specialist 3rd Party Rx Ops Pharmacy Tech Services **Company ... Commercial, Government, 340B and Walgreens Direct Bill contracts. Enters plans into pharmacy system and provides issue resolution and support for the stores.… more
    Walgreens (01/07/25)
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  • Specialist 3rd Party Rx Ops Pharmacy

    Walgreens (Deerfield, IL)
    …. "An Equal Opportunity Employer, including disability/veterans". **Job ID:** 1523205BR **Title:** Specialist 3rd Party Rx Ops Pharmacy Tech Services **Company ... Commercial, Government, 340B and Walgreens Direct Bill contracts. Enters plans into pharmacy system and provides issue resolution and support for the stores.… more
    Walgreens (12/20/24)
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  • Clinical Pharmacy Specialist

    Sanford Health (Fargo, ND)
    …**Job Summary** The Ambulatory Care Pharmacist at Sanford Health delivers innovative and high- quality care as a part of our healthcare team. The pharmacist provide ... well as nursing and other support staff. o Utilize pharmacy consults and collaborative practice agreements to assist providers...the clinic support staff. o Conduct Office Visits or Medicare Annual Wellness Visits at assigned clinic(s) o Assist… more
    Sanford Health (01/07/25)
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  • Director Pharmacy Health Engagement

    Highmark Health (Harrisburg, PA)
    …and consistent pharmacy case management, medication therapy management, member-facing pharmacy quality strategic initiatives, and delivery of targeted member ... for outcomes. Exhibits a passion for patient care and commitment to providing high- quality pharmacy services that optimize health outcomes aligned to Highmark's… more
    Highmark Health (03/11/25)
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  • Clinical Information Specialist

    Medical Mutual of Ohio (OH)
    …remote Serves as business unit project lead in professional writing for Clinical Quality and Health Services (CQHS) and Pharmacy Department responses for the ... provide peace of mind to more than 1.6 million Ohioans through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured… more
    Medical Mutual of Ohio (03/08/25)
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  • Quality Improvement Specialist

    Banner Health (Phoenix, AZ)
    …City/State:** Phoenix, Arizona **Department Name:** **Work Shift:** Day **Job Category:** Risk, Quality and Safety Find your path in health care. Banner Health is ... hospital in Arizona along with Banner - University Medical Center Tucson. Our Quality Improvement department is responsible for all quality and safety… more
    Banner Health (03/09/25)
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  • Claims Specialist -Part Time

    BrightSpring Health Services (Uniondale, NY)
    Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring...pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly… more
    BrightSpring Health Services (02/06/25)
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  • Field Reimbursement Specialist

    Amgen (Chicago, IL)
    …and transform the lives of patients while transforming your career. **Field Reimbursement Specialist - Chicago, IL** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Specialist (FRS) will manage defined accounts within a specified...the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for… more
    Amgen (01/26/25)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to… more
    LA Care Health Plan (03/04/25)
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