Pharmaceutical Policy Specialist

6 days ago


New York, New York, United States Oscar Health Full time
Job Summary

We're seeking a highly skilled Clinical Policy Developer to join our Clinical Policy team at Oscar Health. This individual will be responsible for reviewing, developing, and amending policies referencing standards of care, third-party criteria, and other sources to ensure they support the most up-to-date standards.


Responsibilities
  • Review, develop, and amend policies referencing standards of care, third-party criteria, and other sources to ensure they support the most up-to-date standards.
  • Track edits, amendments, evidence submissions, and feedback in accordance with Clinical Policy operational standards.
  • Develop an in-depth understanding of regulatory and quality requirements applicable to our programs.
  • Ensure processes and documentation are in place and in compliance with State, Federal, and NCQA requirements.

Required Skills and Qualifications
  • PharmD degree
  • Active, unrestricted pharmacist license
  • 3+ years of experience with clinical research, policy development, and/or medical writing
  • 3+ years of experience reviewing prior authorizations
  • 3+ years of experience communicating, both written and verbally, across all levels of stakeholders


  • New York, New York, United States Northwell Health Full time

    Job Title: Pharmaceutical SpecialistAt Northwell Health, we are seeking a skilled Pharmaceutical Specialist to join our team.About the Role:Prepares and distributes pharmaceuticals to patients to provide quality pharmaceutical care directed at appropriate medication therapy and positive outcomes.Processes physician orders to provide pharmaceutical care...


  • New York, New York, United States Axelon Full time

    Axelon is seeking a skilled and licensed Pharmaceutical Specialist to work in a fast-paced environment. As a pharmaceutical specialist, you will be responsible for providing and compounding prescribed medications, drug mixtures, and IV solutions.The role offers the opportunity to work with healthcare professionals to provide high-quality patient care. If you...


  • New York, New York, United States Flatbush BH Pharmacy Corp Full time

    Job Title: Pharmaceutical Care SpecialistWe are seeking a highly skilled Pharmaceutical Care Specialist to join our team at Flatbush BH Pharmacy Corp. As a key member of our pharmacy staff, you will be responsible for providing exceptional pharmaceutical care to patients, ensuring safe and effective use of medications.About the Role:As a Pharmaceutical Care...


  • New York, New York, United States Azend Pharma Full time

    Job SummaryWe are seeking an experienced Pharmaceutical Specialist to join Azend Pharma as a Clinical Pharmacist Consultant. This role involves receiving incoming prescriptions, reviewing them for accuracy, and filling them with the correct medicine and dose.ResponsibilitiesReview incoming prescriptions for accuracy, suitability to patient, and potential...


  • New York, New York, United States Vitalis Consulting LLC Full time

    About Vitalis Consulting LLCVitalis Consulting LLC is a reputable institution seeking an exceptional Pharmaceutical Formulation Specialist. As a key member of our team, you will be responsible for compounding specialized and complex therapies within a clean room environment. We offer a competitive salary of $160,000 (negotiable), plus attractive benefits.We...


  • New York, New York, United States Centene Corporation Full time

    Company OverviewCentene Corporation is a diversified, national organization offering competitive benefits and a fresh perspective on workplace flexibility.We are seeking a skilled Pharmaceutical Care Specialist to join our Medical Management/Health Services team. This role will play a critical part in ensuring our 28 million members receive the most...


  • New York, New York, United States Northwell Health Full time

    Job Title: Pharmaceutical TechnicianSummary:We are seeking a highly skilled Pharmaceutical Technician to join our team. The successful candidate will be responsible for preparing and distributing pharmaceuticals to patients, providing quality pharmaceutical care directed at appropriate medication therapy and positive outcomes.Key Responsibilities:Process...


  • New York, New York, United States NYULMC Full time

    About the RoleWe are seeking a highly skilled Pharmaceutical Specialist to join our team at NYU Langone Health. As a member of our pharmaceutical team, you will play a critical role in ensuring the safe and effective use of medications. Your expertise will help us maintain high standards of quality and excellence in patient care.In this role, you will be...


  • New York, New York, United States Medcal pharmacy Full time

    Job OverviewWe are seeking a highly skilled Pharmaceutical Compounding Specialist to join our team at Medcal Pharmacy. This role requires expertise in compounding sterile and non-sterile medications, as well as the ability to collaborate with healthcare professionals and patients.Responsibilities:Formulate customized medications to meet patient...


  • New York, New York, United States Lifelancer Full time

    About the Role: We are seeking a highly skilled Pharmaceutical Science Liaison Specialist to join our team at Lifelancer. As a key member of our Life Sciences talent-hiring platform, you will play a crucial role in connecting talented individuals with opportunities in pharma, biotech, health sciences, healthtech, and IT domains.


  • New York, New York, United States 24 Seven Talent Full time

    Company Overview:24 Seven Talent is a leading provider of talent solutions in the pharmaceutical and biotechnology industries. Salary:$90,000 - $110,000 per annum Job Description:We are currently seeking an experienced Regulatory Compliance Specialist to join our team on a temporary basis. As a key member of our submissions team, you will be responsible...


  • New York, New York, United States Walmart Full time

    About the RoleWe are seeking a highly skilled Pharmaceutical Care Specialist to join our team at Walmart. This role is ideal for an individual with a strong passion for providing exceptional patient care and a commitment to community health.The successful candidate will be responsible for processing and accurately dispensing prescription orders, counseling...


  • New York, New York, United States Lifebit Biotech Ltd Full time

    Pharmaceutical Sales Opportunity at Lifebit Biotech LtdSalary Range: £60,000 - £75,000 per annumLifebit Biotech Ltd is a leading provider of real-world molecular and clinical trials data solutions to the pharmaceutical industry. We are seeking an experienced Account Executive to join our team and drive sales growth in this exciting market.The successful...


  • New York, New York, United States Fresenius Medical Care Full time

    **Job Summary**Fresenius Medical Care North America is seeking a skilled Pharmaceutical Sales Specialist to provide support to dialysis facilities and healthcare professionals within assigned sales territory. As a key member of our team, you will be responsible for driving sales growth, building strong relationships with customers, and staying up-to-date on...


  • New York, New York, United States Havas Health & You Full time

    Company Overview:Havas Health & You is a leading healthcare marketing and communications agency that partners with pharmaceutical companies to develop innovative solutions for health and wellness advertising.Job Summary:We are seeking an Entry-Level Pharmaceutical Advertising Specialist to join our team. This role will involve working closely with our...


  • New York, New York, United States Pioneer Data Systems Full time

    Pioneer Data Systems: A Pioneer in the Pharmaceutical IndustryWe are seeking an Executive Support Specialist to join our team at Pioneer Data Systems, a world-leading pharmaceutical company based in New York City. This is a hybrid role that offers the opportunity to work with a dynamic team and contribute to the success of our organization.Estimated...


  • New York, New York, United States Daiichi Sankyo, Inc. Full time

    Job OverviewThe Senior Pharmaceutical Quality Assurance Specialist will support the Global Quality Lead(s) and Regional Quality Leads in ensuring compliance with global R&D QA strategy, activities, and deliverables. This role will review and monitor the status of Quality Events, CAPAs, and GCP compliance matters.About Daiichi Sankyo:Daiichi Sankyo Group is a...


  • New York, New York, United States Daiichi Sankyo, Inc. Full time

    Job OverviewWe are looking for a talented Director of Pharmaceutical Compliance to join our team at Daiichi Sankyo, Inc.About the CompanyDaiichi Sankyo Group is committed to delivering innovative pharmaceutical therapies to improve healthcare standards globally. With a strong portfolio of medicines for cardiovascular diseases and a focus on oncology, rare...


  • New York, New York, United States RxData Full time

    Job DescriptionThis role offers an excellent opportunity to join RxData as a Global Pharmaceutical Access and Pricing Specialist. As a senior professional in this field, you will lead analysis of secondary and primary research data to generate meaningful insights and recommendations for Pricing and Market Access project work. Key responsibilities...


  • New York, New York, United States RemoteOnline Full time

    About the JobAt RemoteOnline, we are seeking a skilled Pharmaceutical Data Entry Specialist to join our team. As a key member of our data entry department, you will play a critical role in ensuring the accuracy and efficiency of our data management processes.Job Responsibilities:Data Entry: Enter various types of data, including statistical, financial,...