EmploymentCrossing Jobs

Sr. Clinical Strategy Consultant - Work at Home - USA-KY-Louisville

Sat, 08 Apr 2023 00:00:00 CDT

Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This ...

Staff Utilization Management Pharmacist (Contract Position) - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Manager, Pharmacy and Medical Trend - USA-KY-Louisville

Wed, 17 Aug 2022 00:00:00 CDT

Job Information Humana Manager, Pharmacy and Medical Trend in Louisville Kentucky Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, bo...

Senior Clinical Pharmacy Advisor, Clinical Program Innovation - USA-KY-Louisville

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Louisville Kentucky Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with br...

Director, Clinical Pharmacy - USA-KY-Louisville

Wed, 06 Apr 2022 00:00:00 CDT

Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders acro...

Pharmacy Technician 2 - USA-KY-Louisville

Mon, 02 May 2022 00:00:00 CDT

Description The Pharmacy Technician 2 obtains new prescriptions and prescription refill information. The Pharmacy Technician 2 performs varied activities and moderately complex administrative/operati...

RN-Care Manager, Behavioral Health-RN in an eNLC state required-Remote Opportunity - USA-KY-Louisville

Fri, 24 Jun 2022 00:00:00 CDT

Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by ...

Senior Quality Improvement Professional - Remote KY - USA-KY-Louisville

Mon, 18 Jul 2022 00:00:00 CDT

Description The Senior Quality Improvement Professional will focus organizational efforts on improving Kentucky Medicaid clinical quality performance measures to achieve optimal performance and quali...

Senior Product Manager, Specialty Pharmacy Growth - USA-KY-Louisville

Wed, 05 Oct 2022 00:00:00 CDT

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Phar...

Formulary And Medical Strategies Senior Professional - USA-KY-Louisville

Wed, 30 Nov 2022 00:00:00 CST

Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of busine...

Clinical Research Nurse - USA-KY-Louisville

Fri, 27 Jan 2023 00:00:00 CST

Location: Health Sciences Center

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R100203

Minimum Requirements:

RN Care Manager - Remote, nationwide - USA-KY-Louisville

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Oncology Staff Utilization Management Pharmacist - USA-KY-Louisville

Thu, 04 May 2023 00:00:00 CDT

Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authoriz...

Medical Trend - Clinical Pharmacist lead - USA-KY-Louisville

Wed, 03 May 2023 00:00:00 CDT

Description The medical utilization management lead will oversee projecting and tracking of medical trend bender strategies, assist with medical strategy value assessments, and support pipeline medic...

Senior Pharmacy Clinical Advisor - PDP Pharmacy Stars - USA-KY-Louisville

Thu, 04 May 2023 00:00:00 CDT

Description The Senior Pharmacy Clinical Advisor is an integral part of the Pharmacy Stars team which is accountable for Humana's medication related Star measure performance. The Senior Pharmacy Clin...

Director, Pharmacy Clinical Pipeline - USA-KY-Louisville

Sun, 04 Jun 2023 00:00:00 CDT

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position w...

Staff Pharmacist FT - USA-KY-Louisville

Sun, 21 May 2023 00:00:00 CDT

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ...

Rx Clinical Programs Pharmacy Lead - Care Management - Pharmacy Integrated Program Strategies - USA-KY-Louisville

Tue, 30 May 2023 00:00:00 CDT

Description The Pharmacy Clinical Programs Pharmacist Lead will be a part of an interactive team with broad exposure and scope within Humana. This individual will develop and invest in both clinical ...

Remote Systems Clinical Pharmacist - USA-KY-Louisville

Sat, 03 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

Associate Director, Pharmacy Trend - USA-KY-Louisville

Sun, 18 Jun 2023 00:00:00 CDT

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understand...