Pharmacy Benefit Specialist II - Improve Member Care
Community Health Choice
Community Health Choice in Houston, Texas is looking for a Pharmacy Program Specialist II to perform a criteria-based review of pharmacy and medical benefit requests in accordance with established guidelines. This role requires a strong understanding of pharmacy coverage and ensures adherence to regulatory timelines. Ideal candidates will need a Bachelor's degree, certification as a pharmacy technician, and over 3 years of relevant experience. The position prioritizes delivering excellent customer service while collaborating closely with clinical reviewers. #J-18808-Ljbffr Community Health Choice
- Academy of Managed Care Pharmacy in Houston, Texas, is looking for a Pharmacy Program Specialist II to conduct criteria-based reviews of pharmacy and medical benefit requests. The specialist will work closely with clinical guidelines and prior authorization protocols,...Suggested
- Built to Care. Driven to Improve. At Community Health Choice, we’re a nonprofit... ...to better outcomes. The Pharmacy Program Specialist II performs a criteria-based... ...of pharmacy and medical benefit requests in accordance... ...functions, and promoting member adherence, while...SuggestedWork at office
- ...Non‑profit Managed Care Organization (MCO),... ...serves over 400,000 members with the following programs... ...CHIP Perinatal benefits for unborn children... ...The mission is to improve members’ experiences... ...independent. Job Summary The Pharmacy Program Specialist II performs criteria‑...SuggestedWork at office
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- ...Hospital is seeking a Clinical Pharmacy Specialist to join our nationally... ...pediatric oncology and hematology care while collaborating with a... ...team dedicated to improving outcomes for children, adolescents... ...Specialist serves as an integral member of the healthcare team,...Local areaImmediate start
- ...Harris Health seeks a Pharmacy Program Specialist II in Houston, TX, to perform criteria-based reviews of pharmacy benefit requests as per clinical guidelines. Ideal candidates will have a Bachelor's degree in healthcare/business and be a registered pharmacy technician...
- ...common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our... ...with policy interpretation, the performance improvement process and related plans, investigations, terminations...Work experience placementLocal area
$112.44k - $187.41k
...your career. Option Care Health, Inc. is the largest... .... With over 8,000 team members including 5,000... ...providing safe and appropriate pharmacy services to Option Care... ...systems for schedule II narcotics, controlled... ...2,439.64-$187,406.90 Benefits: -Medical, Dental, &...Work from homeFlexible hours- ...supervision of the Director of Pharmacy, processes the... ...information to health care professionals and... ...physicians and other staff members on availability of new... ...Pharmacy Performance Improvement Program and medication... ...Years of Experience Benefits Texas Orthopedic...Temporary workReliefFlexible hoursShift work
$53.46 - $79.52 per hour
...more than 2,300 clinics, care sites and 158 hospital-... ...known in our world by improving the health of the... ...medications prepared by other pharmacy personnel.... ...Health offers a generous benefit package, including but... ...benefit eligible team members may receive a minimum of...Full time- ...ACLS and PALS / NICU. The Pharmacy Clinical Specialist performs advanced clinical... ...residents on clinical patient care rotations. Collaborate with... ..., and continuous quality improvement projects. Essential Functions... ...support. Serve as a member on Medical Staff Committees...Full time
- ...At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for... ...residents on clinical patient care rotations within areas of... ...patients, physicians, family members and co-workers in a manner... ...and reporting of quality improvement program findings. Participates...Full time
$169k
Hematology/Oncology Pharmacy Specialist to $169K in Houston Join a dedicated... ...providing advanced pharmaceutical care to patients undergoing... ...and effective medication use, improve clinical outcomes, and... ...daytime schedule. Comprehensive benefits. Experience: Completion of...$126.78k - $164.82k
Clinical Pharmacy Specialist-Oncology-PGY1-LBJ Hospital Clinical Pharmacy Specialist - Oncology... ...TX Job Reference #: 175250 Day 1 Benefits - Available the first day of hire... ...specialist will serve as a vital member of the interdisciplinary care team, providing direct patient...Full timeTemporary workTraineeshipFlexible hoursWeekend work- ...delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say... ...Hospital is Growing! The Children's Pharmacy team seeks a residency trained... ...clinical pharmacy programs to improve patient care with an additional...Shift work
- ...common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of... ...develops, implements, and monitors clinical pharmacy programs to improve patient care with an additional focus on...ReliefShift workWeekend work
- ...Houston Methodist, the Pharmacy Administrative Specialist position is an... ...coordinating pharmaceutical care to the patients of... ...focus area designed to improve operational... ..., physicians, family members and co-workers in a manner... ...center with a level II neonatal intensive care...Local areaShift work
- ...Claims Benefits Specialist We are searching for a Claims Benefits Specialist someone who works... ...procedure or identified by another team member Collaborate with Provider Relations... ...more than 375,000 members who receive care from our network of more than 1,100 primary...Full timeWork at officeLocal areaShift work
- ...CareMed Specialty Pharmacy in Houston, TX is looking for a Full-Time Pharmacy Prior Authorization Specialist. You'll ensure that patients receive necessary medications through... ...experience. Join a mission-driven team and enjoy benefits like a $5,000 sign-on bonus, medical,...Full timeRemote workRelocation package
$24 per hour
...looking for professional career growth? Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Pharmacy located in Houston, TX. Shift time... ...Practices first call resolution to help health care providers and patients with their pharmacy needs,...Temporary workWork experience placementRelocation packageMonday to FridayFlexible hoursShift work$112.44k - $187.41k
...growth of your career. Option Care Health, Inc. is the largest... ...States. With over 8,000 team members including 5,000 clinicians, we... ...provides safe and appropriate pharmacy services to Option Care... ...alignment with market data. Benefits Medical, Dental and Vision Insurance...Work from homeFlexible hours$20 - $22 per hour
HR Benefits Assistant - Be the Go-To Benefits Guru! Are you passionate about helping people and obsessed with... ...dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursShift work$5,000 per month
...State}! Join our closed-door pharmacy team where you'll work in a... ...pharmaceutical needs of long-term care and senior living clients. If... ...*Sign On/Relocation Bonus Benefits and perks for you! Medical... ...errors Opioids (Schedule II) diversion + respiratory depression...Hourly payFull timeLocal areaRemote workRelocation packageFlexible hoursShift workNight shiftWeekend workDay shiftAfternoon shift$44 - $79 per hour
...global organization that delivers care, aided by technology to help... ...with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ...to work as effective team members. This position is for a Clinical...Hourly payMinimum wageFull timeWork experience placementLocal areaFlexible hoursShift work- The Pharmacy Division is dedicated to ensuring... ...in patient care, research, and education... ...quality improvement, while effectively... ...employees enjoy a benefits package designed to... ...for prospective new members not yet ready for... ...Clinical Pharmacy Specialist leads. • Works with...Daily paidContract workWork experience placementLocal areaRelocation package
- ...high quality, efficient care while creating... ...experiences for every member of our community. When... ...Position is benefits eligible. Position... ...supervising the activities of pharmacy technical support staff... ...Program and the Process Improvement Program. Maintains...Part timeWeekend workDay shiftAfternoon shift
$58 per hour
...more than 2,300 clinics, care sites and 158 hospital-... ...known in our world by improving the health of the... ...all aspects of clinic pharmacy operations within a hematology... ...against Cost-to-Benefit Ratio. Counsels, and... ...benefit eligible team members may receive a minimum of...Full time- ...Overview The Pharmacy Division is dedicated to ensuring... ...programs in patient care, research, and education... ...setting—while still benefiting from MD Anderson\'s renowned... ...with pharmacy team members and interdisciplinary... ...learning to practice improvement. Set high performance...Full timeWork experience placementImmediate startRelocation packageFlexible hoursShift workAfternoon shift
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