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... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding ... broad understanding of pharmacy, managed care, and specialty to develop and/or .....
... and intakes with the Program Director/Care Manager; Aids in the selection ... and procedures: Assists the Program Director in assuring compliance with all ... as requested; Collaborates with the..
... every day. Reporting to the Director, Value Analysis, the Corporate Supply ... Responsibilities Partners with Supply Chain Medical Director to spearhead safety initiatives, clinical ... with members of the..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The Director, Health Services Nursing serves as ... clinical (inpatient and some OP medical necessity oversight ) decisions, as ... building out clinical capabilities. The Director will be responsible..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Assess discharge plans Coordinates with..
... Managers in partnership with the Medical Director (s) is responsible and accountable ... and commercial carriers, including managed care and other market forces on ... other market forces on..
... with the Cystic Fibrosis Program Director and the Ambulatory Medicine Leadership ... to ensure coordination of patient care across the continuum. EEO/AA/Disability/Veteran Responsibilities ... with the Cystic Fibrosis Program..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline ... external vendors and providers. The Director, Pharmacy Clinical Trend and Pipeline ... understanding of pharmacy and managed care to develop..
... vendors and providers. Responsibilities The Director, HPS Clinical Programs requires a ... broad understanding of pharmacy, managed care, and patient centered clinical programs ... broad understanding of pharmacy, managed..
Description The Associate Director, Clinical Pharmacy monitors drug development ... monitors drug development pipeline, and medical literature, while providing clinical support ... Utilizes broad understanding of managed care and PBM..
... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..
Job Information Humana Oncology Market Director in Bridgeport Connecticut Description The ... Bridgeport Connecticut Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
... the Interstitial Lung Disease Program Director and the Ambulatory Medicine Leadership ... as a Pulmonary Fibrosis Foundation Care Center Network, as a Scleroderma ... to ensure coordination of patient..
... are committed to providing quality medical care and treatment that is coordinated ... benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients..