Remote Director, Pharmacy Claims & Reimbursement
$185k - $190kClarest Health OHIO, LLC
- Remote job
Clarest Health OHIO, LLC is seeking a Director of Pharmacy Claims & Reimbursement to lead a team ensuring optimal pharmacy reimbursement and claims resolution. The role is remote but requires candidates to be within proximity to Arizona, with periodic on-site attendance for collaboration. This position offers a competitive salary range of $185k - $190k plus bonuses along with comprehensive benefits. #J-18808-Ljbffr Clarest Health OHIO, LLC
$185k - $190k
Clarest Health is searching for a Director of Pharmacy Claims & Reimbursement to lead efforts in optimizing pharmacy reimbursement and Medicare Part D services. The successful candidate will work remotely but must reside near Phoenix, Arizona, with periodic on-site attendance...Remote jobReimbursementClaims- ...Career Opportunity : Director of Revenue Cycle Management... ...OH - Lincoln Heights (Remote Position) About The... ..., Women's Health, and Pharmacy. Benefits: ~... ...adjustment initiatives, claims management, payer relations, and reimbursement performance. The...Remote workReimbursementClaimsTemporary work
$181.4k - $326.5k
...Interventional Business Units, the Senior Director of Medical Affairs, Vascular... ...to support registration, reimbursement, and market adoption. Lead... ...clinical validity of product claims and ensure medical accuracy... ...may vary for Field-based and Remote roles. Salary Range...Remote workReimbursementClaimsHourly payWork at officeShift work- ...related conditions.Role overiewThe Director of Revenue Cycle Management... ...dedicated, HIPAA-appropriate remote workspace|Would be a... ...clearinghouse relationships, claims submission workflows, and electronic... ...tracking denial rates, DSO, reimbursement rates, and appeals outcomes...Remote workReimbursementClaimsContract work
$130k - $155k
...Overview The Director of Pharmacy is responsible for supporting the AVP of Medical Cost Containment... ...a team of 8 pharmacists through a remote setting, overseeing a countrywide prior... ...program specific to workers compensation claims. Monitor, analyze, and trend clinical...Remote workClaimsWork at officeFlexible hours- ...Description Job Description The Director of Credentialing is responsible for leading... ...updates, and expirables to prevent reimbursement delays or claim denials. Partner with Revenue... ...relationship management and customer service orientation This is a remote position....Remote workReimbursementClaimsLocal area
$220k - $275k
Job Overview The Director, Payer Contracts is responsible... ...York City office or remote on the East Coast in... ...contract, rebate, and claims administration. Monitor... ...understanding of pharmacy channel stakeholder economics... ...pricing, physician reimbursement and interplay between...Remote workReimbursementClaimsContract workWork experience placementWork at officeVisa sponsorshipWork visa$110k
...maintains evidence related to employment claims. Monitors and examines EEOC, DOL, and... ...Plans ~ Employer Funded Health Reimbursement Account (HRA) ~3 Dental Plans ~ Vision... ...creating misleading email accounts, conducting remote "interviews," and making artificial job...Remote workReimbursementClaimsLocal area$57.38 - $95.64 per hour
...In this role you will manage claims and litigation case information... ....This role is mostly remote with some onsite/travel requirements... ...guidelines. Apprises Director of Claims and VP Business Health... ...rights of recovery and rights of reimbursement with regard to Medicare Secondary...Remote workReimbursementClaimsDaily paidWork experience placementFlexible hoursShift work$161k - $205k
The Director, Revenue Cycle Management (RCM) leads all financial operations... ...related to billing and reimbursement, overseeing accounts... ...knowledge of reimbursement billing, claim resolution, and collection techniques... ...in‑office (Del Mar, CA) and remote work, 2-3 days in office per...Remote workReimbursementClaimsWork at officeFlexible hours2 days per week3 days per week$124.34k - $180.9k
## Director, PharmacyApplyremote type: Onsitelocations: Salem... ...for managing the pharmacy program, including drug formulary... ...in medical settings reimbursed through the medical claims adjudication process.**Qualifications... ...(if applicable)****Remote Type**Onsite**Work...Remote workClaimsTemporary workShift work- ...FMLA, ADA, EEOC). Manages unemployment claims and represents the company during appeal... ...Plans ~ Employer Funded Health Reimbursement Account (HRA) ~3 Dental Plans ~ Vision... ...creating misleading email accounts, conducting remote "interviews," and making artificial job...Remote workReimbursementClaimsWork experience placementLocal area
- ...well. Whether you're managing claims, supporting clients, or... ...with purpose. Overview The Director of Learning & Capability is responsible... ...: Less than 10% #LI-JA1 #Remote Compensation and benefits We... ..., FSA) Educational expense reimbursement Paid parental leave Other benefits...Remote workReimbursementClaimsFull timeLive outWork at officeLocal areaFlexible hoursShift work
$220k - $270k
...Pathways . Job Overview The Director, Payer Analytics is... ...on payer coverage, reimbursement, and access to support... ...York City office, or remote in the United States.... ...alerts, (medical and pharmacy), formulary, and access... ...and analyzing patient claims data (e.g. IQVIA LAAD,...Remote workReimbursementClaimsContract workWork experience placementWork at officeVisa sponsorshipWork visa- ...voice matters. Vital Care is the premier pharmacy franchise business with franchises... ...insurance. 401(k) matching and tuition reimbursement. Employee assistance programs include mental... ...Management experience emphasizing intake, claims processing, collections, and payment posting...ReimbursementClaimsPermanent employmentTemporary workWork at officeLocal areaFlexible hours
$150k - $240k
...we are looking for a Director, Fraud Investigations... ...analyze evidence (including claims data, medical records,... ...billing/coding fraud, pharmacy fraud, provider... ...thrive in a fast‑paced, remote‑first environment and... ...equity opportunities Reimbursement for office setup expenses...Remote workReimbursementClaimsFor contractorsWork experience placementWork at officeFlexible hours- BrightSpring Health Services seeks a Claims Specialist to effectively manage pharmacy claims in a non-retail... ...role focuses on maximizing payer reimbursements and providing exceptional customer... ...technician skills. This position offers remote flexibility and numerous benefits...Remote jobReimbursementClaims
- ...SUMMARY Leads and oversees all pharmacy operations for a payer-owned, mail-order... ...pharmacy, including cost of goods sold (COGS), reimbursement, margin optimization, and vendor/... ...spending accounts ~ Flexible work options: remote and in-person opportunities ~...Remote workReimbursementFull timeContract workFlexible hours
$72.09k - $119.3k
...across McKinstry, reporting to the Senior Director of HR Business Partnership. This role... ...changes, comp changes, unemployment claims, exit interviews, payroll liaison,... ...University ~ McKinstry Moves onsite gyms or reimbursement for remote workers See benefit plan...Remote workReimbursementClaimsWork at officeLocal areaVisa sponsorship$204k - $340k
...Director, Global Real-World Evidence & Health Outcomes Scientist... ...lifecycle to support market access, reimbursement and positioning. The role... ...and flexibility for remote work. Plan, design, and execute... ...health economics, epidemiology, pharmacy, health or life sciences. 5+...Remote workReimbursementWork at officeLocal area$111.8k - $175.67k
...in compliance with executed reimbursement Agreements and maintain all assigned... ...resolution. Gather Payer claim level data files, reconcile... ...necessary documentation to Director, Commercial Contracting Operations... ...with Takeda's Hybrid and Remote Work policy. Takeda Compensation...Remote workReimbursementClaimsMinimum wageFull timeContract workTemporary workLocal areaFlexible hours$68.5k - $104.1k
...Associate ManagerApplyremote type: Fully Remote Location Specificlocations: USA - CA (... ...through efficient, high-quality chat-based claims and inquiry support. This role leads a... ...home also receive a monthly connectivity reimbursement to help offset internet costs.When...Remote workReimbursementClaimsContract workWork at officeWork from homeVisa sponsorshipWork visa$220k - $300k
...allowance Work‑from‑home office stipend Lunch reimbursement for in‑office employees Flexible PTO... ...the @cresta.ai domain. Any outreach claiming to be from Cresta via other sources should... ...official Cresta employee, reach out to ****@*****.*** #J-18808-Ljbffr Remote JobsRemote workReimbursementClaimsInternshipWork at officeWork from homeHome officeFlexible hours- ...a licensed pharmacist for an interim Director of Pharmacy contract role at a hospital in St Louis... ...suite and the Area Director of Pharmacy. Remote training will be provided by the Area... ...Housing Available Travel and License Reimbursement Impacting Patient Care You will lead...Remote workReimbursementWeekly payPermanent employmentContract workInterim roleLocal areaMonday to FridayWeekend work
$105k - $115k
OVERVIEW Position: Associate Director - Spending Account Operations Location: Remote. Preference to Boston, MA area. About... ...high‑performing team focused on claims processing, funding... ...Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), and Commuter...Remote workReimbursementClaimsLocal areaFlexible hours- ...ideal candidate will be comfortable working remotely/work from home within the U.S. or from... ...(e.g., FHIR) and familiarity with claims and other healthcare administrative/clinical... ...Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock...Remote jobReimbursementClaimsTemporary workPart timeWork at officeWork from homeFlexible hours
$19 - $22 per hour
...but may offer hybrid and/or remote opportunities once requirements... ...and navigating complex reimbursement issues. This position also provides... ...authorization process and claims appeals Report any reimbursement... ...with Major Medical & Pharmacy Benefit Coverage 2 to 3...Remote workReimbursementClaimsTemporary workLocal areaImmediate startFlexible hours- ...Pharmacy Technician - Part-Time Location: Remote available in the following states: AZ, CA, CO, FL, GA, IA, ID,... ...processing, insurance verification, claims resolution, prior authorizations... ...claims adjudication and reimbursement processes FSA/HSA payment considerations...Remote workReimbursementClaimsFull timePart timeSeasonal work
$110.2k - $188.8k
...connecting people with the care, pharmacy benefits, data and resources... ...together. The Associate Director, Actuarial is a key role within... ...the flexibility to work remotely* from anywhere within the U.S... ...Saving Programs) Analyze revenue/claim data from multiple sources...Remote jobClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$98.38k - $122.98k
...Position Type Full-Time Remote No Company Lumicera... ...Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services... ..., and submit appropriate claims for third-party reimbursement; consult with physicians and nurses...Remote workReimbursementClaimsFull timeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Director, Pharmacy Claims & Reimbursement. Be the first to apply!
- director mba Phoenix, AZ
- director of inventory management Phoenix, AZ
- director of public policy Phoenix, AZ
- director of implementation Phoenix, AZ
- director of materials management Phoenix, AZ
- director of employee engagement Phoenix, AZ
- director of automation Phoenix, AZ
- director of outreach and engagement Phoenix, AZ
- director of process improvement Phoenix, AZ
- senior director epidemiology Phoenix, AZ


