Remote Medical Director, Pharmacy Appeals
2 weeks ago
A leading healthcare organization is seeking a Medical Director to oversee Medicare drug appeals and ensure optimal care for members. This remote role involves complex case analysis and collaboration with clinical teams. The ideal candidate must have an MD or DO degree and at least five years of clinical experience, preferably with Medicare populations. Applicants should demonstrate excellent communication skills and a strong background in quality management. The position offers a competitive salary ranging from $223,800 to $313,100 annually, depending on experience and location.
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Director, Pharmacy Appeals
2 weeks ago
Helena, United States CVS Health Full timeA leading health solutions company in Helena, Montana, is looking for a Lead Director, Pharmacy Appeals, to oversee a team managing pharmacy reimbursement appeals. The ideal candidate will have extensive experience in healthcare, particularly with pharmacy appeal processes, and strong leadership skills. Responsibilities include developing solutions,...
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Lead Director, Pharmacy Appeals
2 weeks ago
Helena, MT, United States CVS Health Full timeAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for...
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Remote Medical Director, Utilization
2 weeks ago
Helena, United States Humana Inc Full timeA healthcare organization in Montana seeks a Medical Director to manage clinical services and conduct utilization management. The role requires an MD or DO degree, at least 5 years of clinical experience, and strong communication skills. The position is remote but may involve some travel for training and meetings. The compensation ranges from $223,800 to...
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Remote Medical Director, Utilization
2 weeks ago
Helena, United States Humana Inc Full timeA healthcare organization in Montana seeks a Medical Director to manage clinical services and conduct utilization management. The role requires an MD or DO degree, at least 5 years of clinical experience, and strong communication skills. The position is remote but may involve some travel for training and meetings. The compensation ranges from $223,800 to...
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Director, Home Health Grievances
2 weeks ago
Helena, United States Montana Staffing Full timeDirector Denials ManagementBecome a part of our caring community and help us put health first. The Director Denials Management provides leadership for the audit, appeal, and review process to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics,...
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Accounts Receivable Specialist
1 week ago
Helena, United States Remote Staffing Full timeAccounts Receivable Specialist (Remote)This is a remote position open to any qualified applicant in the United States. In this role, the successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis of physician payer denials, experience in identifying procedures...
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Director of Pharmacy
6 days ago
Helena, United States The Staff Pad Full timeDirector of PharmacyHelena, MTThe Staff Pad has partnered with a leading healthcare organization to hire a Director of Pharmacy to oversee hospital, retail, specialty, and ambulatory pharmacy services. This leadership role is responsible for clinical quality, medication safety, regulatory compliance, financial performance, and strategic growth of pharmacy...
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Director of Pharmacy
3 days ago
Helena, MT, United States The Staff Pad Full timeJob Description Director of Pharmacy Helena, MT The Staff Pad has partnered with a leading healthcare organization to hire a Director of Pharmacy to oversee hospital, retail, specialty, and ambulatory pharmacy services. This leadership role is responsible for clinical quality, medication safety, regulatory compliance, financial performance, and strategic...
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Director of Pharmacy
4 days ago
Helena, MT, United States The Staff Pad Full timeJob Description Director of Pharmacy Helena, MT The Staff Pad has partnered with a leading healthcare organization to hire a Director of Pharmacy to oversee hospital, retail, specialty, and ambulatory pharmacy services. This leadership role is responsible for clinical quality, medication safety, regulatory compliance, financial performance, and strategic...
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Director of Pharmacy
3 days ago
Helena, United States The Staff Pad Full timeDirector of Pharmacy Helena, MT Over the next 12 months, our leadership team is hiring a Director of Pharmacy to spearhead hospital, retail, specialty, and ambulatory pharmacy services. This role ensures clinical quality, medication safety, regulatory compliance, financial performance, and strategic growth while collaborating with medical staff and executive...