Director, Pharmacy Appeals

Regional Director Of PharmacyCardinal Health's Innovative Delivery Solutions (IDS) business helps providers transform hospital pharmacies into a strategic asset delivering value that supports the patient throughout the continuum of care. The team's mission is to provide exceptional clinical, supply chain, analytics, and operational expertise to improve...

Grievances and Appeals Corporate Medical Director page is loaded## Grievances and Appeals Corporate Medical Directorlocations: Remote Kentuckytime type: Full timeposted on: Posted Todayjob requisition id: R-397312# The following information aims to provide potential candidates with a better understanding of the requirements for this role. **Become a part of...

Corporate Medical Director**Become a part of our caring community and help us put health first**The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Advises executives to develop...

A leading healthcare services provider in Kentucky seeks a Director of Denials Management to oversee processes ensuring revenue recovery while maintaining compliance in clinical practices. This role requires a Bachelor’s degree in Nursing and significant experience in home health/wellness, focusing on performance improvement and regulatory standards. The...

A leading pharmacy benefit manager is seeking a Trade Client Relations Director to analyze pharmacy and medical rebate strategies. This remote role requires a Bachelor's degree and 7 years of experience in Trade/Rebates or similar fields. Responsibilities include collaborating to track rebate opportunities, leading Medicare initiatives, and developing...

A leading healthcare company is seeking a Corporate Medical Director to provide medical interpretation and ensure appropriate service delivery. Maximise your chances of a successful application to this job by ensuring your CV and skills are a good match. This remote role involves advising executives and overseeing Medical Directors, contributing to...

A health management company is seeking a Clinical Account Director to oversee client-specific clinical programs and drug strategy recommendations. Responsibilities include managing formulary decisions, providing consultation on clinical programs, and supporting clients in the Health Insurance Marketplace. Ideal candidates will have a PharmD or Bachelor of...

A health management company is seeking a Clinical Account Director to oversee client-specific clinical programs and drug strategy recommendations. Responsibilities include managing formulary decisions, providing consultation on clinical programs, and supporting clients in the Health Insurance Marketplace. Ideal candidates will have a PharmD or Bachelor of...

A leading healthcare company is seeking a Director of Product Management for CenterWell Pharmacy Digital. This role involves leading digital product strategy and managing a team to enhance patient experiences across web and mobile platforms. The ideal candidate will have robust experience in product management within healthcare, proven leadership skills, and...

Strategic Vendor Relationship ManagerYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: This position is...