Director of pharmacist work from home jobs - 187 jobs
Associate Director\Software Engineer - Remote
Gallin Associates
Remote job
Job Profile:
Lead and have accountability for the delivery of software solutions on large or more complex projects (AI, NPL, etc.), driving compliance with and contributing to the development of relevant standards
Solves complex and escalated aspects of a project, performing coding, debugging, testing and troubleshooting throughout the development process
Outline an end-to-end approach to creating a full SDLC that will enable software to be built and deployed at scale across multiple environments
Provides a leadership role for the work group, ensuring the appropriate expectations, principles, structures, tools and responsibilities are in place to deliver the project
Requirements:
Bachelor's degree
Minimum of 8 years applied experience
Advanced knowledge of C#/Java and\or Python
Microsoft/Google/AWS certificates
Knowledge of embedding models and their application in NLP tasks like similarity matching, clustering, and information retrieval
Experience with systems like Kubernetes, and container engines like Docker
Automation tools such as GitHub, ADO
Experience combining AI models with external tools or environments for autonomous decision-making
A leading financial services firm is seeking a Vice President, Managing Director for their Stock Plan Services. This remote position requires extensive experience in Relationship Management within the equity compensation field. You will be accountable for maintaining client relationships, ensuring satisfaction, and managing operational effectiveness and profitability. The ideal candidate will have strong analytical skills, demonstrate excellence in client service, and bring over 10 years of industry experience. A comprehensive benefits package and a dynamic work environment are offered.
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$105k-165k yearly est. 2d ago
Director, Enterprise Client Success - Remote
Skillnet Solutions Inc. 3.8
Remote job
A leading consulting firm is seeking a Director of Client Success to drive growth and ensure that enterprise clients gain maximum value from the firm's solutions. This remote position requires deep retail expertise and a proven record of managing enterprise accounts. The role focuses on client relationship management, business transformation, and leading strategic initiatives across various retail technologies. Ideal candidates will have extensive experience in client success and strong financial management skills.
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$117k-165k yearly est. 1d ago
Managing Director - Application Services
Astrix Technology 4.1
Remote job
**Managing Director, Application Services**
**
**Reports To:** Chief Operating Officer
**FLSA Status:** Exempt
**ROLE**
The Managing Director, Application Services - Life Sciences, serves as a strategic business leader with an ownership mindset responsible for leading the Application Services business within Astrix. This role carries full P&L responsibility and accountability for revenue growth, margin improvement, and operational excellence across platform design, operations, and managed services.
The Managing Director will scale Astrix's core Lab Informatics capabilities, expand into Regulatory, Clinical, and select Manufacturing domains, and drive European market growth. Success in this role depends on building high-performing teams, developing differentiated service offerings, and forging strategic partnerships that position Astrix as a leader in digital enablement for the life sciences industry
**ESSENTIAL DUTIES AND RESPONSIBILITIES**
Duties include but are not limited to the following:
+ Strategic Leadership & P&L Ownership
+ Define and execute the Application Services strategy aligned with enterprise goals and market dynamics.
+ Own the full P&L for the Application Services business, driving top-line growth and margin expansion.
+ Lead expansion into European markets and adjacent domains with a clear, measurable growth roadmap.
+ Develop and evolve differentiated service offerings that meet emerging client needs and regulatory demands
+ Team Leadership & Organizational Development
+ Lead and mentor senior leaders across:
+ Platform Design - overseeing architecture, engineering, and innovation.
+ Platform Operations & Managed Services - driving reliability, SLA performance, and operational excellence.
+ Build and sustain a high-performance culture across development, platform services, and client delivery teams
+ Platform Strategy & Execution
+ Oversee the design, development, and delivery of digital platforms supporting laboratory, clinical, regulatory affairs, and select manufacturing operations.
+ Ensure platforms are secure, compliant, and optimized for performance, scalability, and cost-efficiency
+ Operational Excellence
+ Advance service maturity through automation, service catalog development, and ITIL-based best practices.
+ Establish and monitor KPIs, SLAs, and continuous improvement initiatives across all platform services
+ Risk, Compliance & Quality
+ Ensure adherence to GxP, HIPAA, GDPR, and other applicable life sciences regulations.
+ Embed quality-by-design principles and continuous validation into all service delivery activities
**SUPERVISORY RESPONSIBILITIES**
This position provides leadership and direction to senior managers and functional leaders within Application Services.
**QUALIFICATIONS**
**EDUCATION and EXPERIENCE**
+ Bachelor's degree in Engineering, Computer Science, or related field; MBA or advanced degree preferred.
+ 15+ years of experience in application services or platform leadership, including 5+ years in a senior leadership role.
+ Deep domain expertise in life sciences (pharma, biotech, CROs), particularly within laboratory, clinical, regulatory, and manufacturing environments.
+ Proven success scaling global teams and digital platforms in regulated industries.
+ Strong knowledge of cloud platforms (AWS, Azure, GCP), modern architectures (microservices, APIs), and enterprise systems (e.g., Veeva, LabWare, LabVantage, Medidata, etc.).
+ Exceptional leadership, communication, and stakeholder management skills
**PREFERRED SKILLS & ATTRIBUTES**
+ Experience with digital health platforms, real-world data integration, or AI/ML-driven applications.
+ Prior leadership in life sciences technology services or consulting.
+ Strong grasp of SDLC, DevOps, and Agile/SAFe methodologies.
**WORKING CONDITIONS**
**PHYSICAL** **DEMANDS**
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the associate is regularly required to sit; use hands to finger, handle or feel. The associate is occasionally required to stand; walk; talk or hear; climb or balance; stoop, kneel, crouch or crawl; reach with hands and arms. The associate must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
**WORK** **ENVIRONMENT**
This role is largely expected to work from home.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$64k-101k yearly est. 2d ago
Director, Pharmacy Networks
Rightway 4.6
Remote job
ABOUT THE ROLE:
We are seeking a Director of Pharmacy Networks that will serve as a strategic leader responsible for overseeing and optimizing Rightway's pharmacy network operations, contract negotiations, and compliance initiatives. This role requires a dynamic professional who can manage complex relationships with pharmacy partners while ensuring operational excellence and regulatory compliance across all network activities.
WHAT YOU'LL DO:
Oversee networks, adjudication, and pharmacy network configuration while monitoring performance metrics and implementing improvement strategies
Oversee and manage pharmacy audits, develop audit protocols, and ensure adherence to regulatory requirements and industry standards
Negotiate contracts for the entire pharmacy network and lead strategic relationship management with key pharmacy partners
Develop pricing strategies and guardrails for contracting, lead pharmacy rate negotiations, and serve as final contract approver
Partner with Finance and Accounting teams on pharmacy remittances, payments, and other financial reporting
Coordinate specialty negotiation strategy with specialty pharmacy teams while collaborating closely with internal Rightway specialty operations team
Oversee pharmacy analytics and compliance reporting, generating performance reports and providing data-driven insights for strategic decision-making
Collaborate cross-functionally with internal teams to drive operational excellence and ensure contract terms align with Rightway's business objectives
Other duties as assigned to support Rightway's mission and objectives
WHO YOU ARE:
Bachelor's degree in Business Administration, Healthcare Management, Pharmacy, or related field; Master's degree preferred
7+ years of experience in pharmacy benefit management, healthcare contracting, or provider relations
3+ years of leadership/management experience with demonstrated ability to oversee cross-functional teams
Proven experience in contract negotiation and vendor relationship management
Strong background in pharmacy operations, network management, and adjudication processes
Experience with pharmacy audits, compliance reporting, and regulatory requirements
Proficiency in data analytics and reporting tools with ability to translate data into actionable insights
Knowledge of healthcare regulations, pharmacy benefit laws, and industry compliance standards
Excellent communication, negotiation, and stakeholder management skills
Strong analytical and problem-solving abilities with attention to detail
Ability to work in a fast-paced environment and manage multiple priorities effectively
EXTRA CREDIT:
PharmD, MBA, or relevant advanced degree
Experience with pharmacy benefit management (PBM) operations
Previous experience in a healthcare technology or digital health company
Professional certifications in healthcare management or contract negotiation
SALARY: $160,000-180,000
Offer amounts for both remote and in office roles are influenced by geographic location.
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from *************************** email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient's care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We're headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We're seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:
1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to-and hear-each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate grit
Changing healthcare doesn't happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members' care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members' success.
Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.
$160k-180k yearly Auto-Apply 9d ago
Director Pharmacy Compounding Services - Advisory
Premier 4.7
Remote job
What you will be doing:
This Director role is a hybrid position that primarily serves as a pharmacy consultant within Premier Advisory, leading billable client engagements focused on performance improvement. The Director drives engagement results by managing client relationships, guiding project resources and timelines, overseeing development and implementation of client deliverables, managing risks and project economics, and supporting business development through sales calls, RFP responses, and statements of work. When not assigned to client work, the Director supports Premier Pharmacy Compounding Services by providing compounding and cGMP subject matter expertise and advancing key programs such as stability studies, compounding training and education, drug development support, insourcing and supplier augmentation analyses, and 503B onsite outsourcing facility evaluations.
Key Responsibilities
Responsibility #1 - 45%
Lead billable Advisory engagements by executing and overseeing data analyses, guiding interpretations and conclusions, and producing clear verbal and graphic presentations that meet project objectives and standards. Perform quality assurance on all deliverables.
Determine client needs by leading client interviews and applying appropriate tools and analytical methods. Summarize findings, develop accurate conclusions, and draft recommendations and solutions for leadership and client review.
Execute project plans in accordance with engagement statements of work and to client satisfaction, including implementation support as applicable.
Guide the team in developing presentations and deliverables that communicate strategy, outcomes, and value.
Generate billings revenue by leading engagements in project delivery.
Responsibility #2 - 20%
Guide and lead project management activities for assigned engagements, including workplan development, milestone tracking, and day to day execution.
Manage budget and expenses for assigned projects and actively manage project profitability.
Manage staff assigned to projects, including mentoring, coaching, and development.
Participate in risk and issue identification and mitigation with the project leadership team.
Identify opportunities for add on sales and communicate leads to engagement leadership and participate in activities to support closing those opportunities.
Responsibility #3 - 5%
Actively listen for market opportunities during engagements and through collaborative networks and communicate potential leads to practice leadership.
Contribute to development of sales presentation deliverables using prescribed formats and technology and proactively seek opportunities to participate.
Identify opportunities to improve profitability across engagements and internal operating model.
Complete all required training requirements annually and aid in developing training materials for the practice in areas of expertise.
Responsibility #4 - 15%
During non-billable periods, support Premier Pharmacy Compounding Services by conducting onsite evaluations of 503B outsourcing facilities, pharmaceutical testing labs, and other suppliers.
Develop evaluation summary documents based on audit findings and maintain evaluation documentation on a quarterly basis.
Develop methodology and strategy for pharmacy compounding augmentation analyses, provide augmentation analyses for customers, and provide augmentation support services to suppliers.
Provide subject matter expertise on pharmaceutical compounding and current good manufacturing practices to Premier staff, members, and customers.
Responsibility #5 - 15%
During non-billable periods, develop and maintain the stability study program, including operational toolkits for each stability study, and engage with members and suppliers on drug development needs.
Develop compounding training and educational resources for customers, stay current with compounding standards, regulations, and guidance, and present and publish on compounding related topics.
Oversee and maintain finances and tracking of program performance for compounding services in SalesForce and Workday, including review of fee and volume reports for accuracy, timeliness, and completeness, and assist with pharmacy audits as needed.
Provide strategic initiatives that develop new sources of revenue and establish new lines of business across Advisory and Compounding Services support areas.
Required Qualifications
Work Experience:
Years of Applicable Experience - 7 or more years
Education:
Bachelors (Required)
Preferred Qualifications
Skills:
Public speaking and thought leadership, including presenting to client and member audiences
Business analytics, including ability to direct and quality assure analyses and translate results into recommendations
Ability to coordinate and deliver effective written and verbal presentations that communicate outcomes, recommendations, and strategy
Ability to oversee and mentor others in the delivery and production of client deliverables
Strong client relationship and collaboration skills across cross functional teams
Experience:
Pharmacy compounding experience, including sterile, nonsterile, and hazardous drugs
Experience evaluating 503B outsourcing facilities, pharmaceutical testing labs, and other suppliers
Hospital and health system experience, including operations, finance, or decision support analytics
Qualitative analysis and strategic problem-solving experience
Experience leading cross functional teams and driving successful outcomes
Education:
Doctor of Pharmacy (PharmD)
Master's degree
Additional Job Requirements:
Remain in a stationary position for prolonged periods of time
Be adaptive and change priorities quickly; meet deadlines
Attention to detail
Operate computer programs and software
Ability to communicate effectively with audiences in person and in electronic formats.
Day-to-day contact with others (co-workers and/or the public)
Making independent decisions
Ability to work in a collaborative business environment in close quarters with peers and varying interruptions
Working Conditions: Remote
Travel Requirements: Travel 1-20% within the US
Physical Demands: Sedentary: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met.
Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $141,000 - $234,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges.
Employees also receive access to the following benefits:
· Health, dental, vision, life and disability insurance
· 401k retirement program
· Paid time off
· Participation in Premier's employee incentive plans
· Tuition reimbursement and professional development opportunities
Premier at a glance:
Ranked #1 on Charlotte's Healthiest Employers list for 2019, 2020, 2022, and 2023 and 21st Healthiest Employer in America (2023)
Named one of the World's Most Ethical Companies by Ethisphere Institute for the 16th year in a row
Modern Healthcare Best in Business Awards: Consultant - Healthcare Management (2024)
The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting
For a listing of all of our awards, please visit the Awards and Recognition section on our company website.
Employees receive:
Perks and discounts
Access to on-site and online exercise classes
Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people.
Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer.
Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at ************.
Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier's Privacy Policy.
$70k-113k yearly est. Auto-Apply 3d ago
Director, Pharmacy Health Plan
Government Employees Health Association 4.8
Remote job
Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care.
G.E.H.A has one mission: To empower federal workers to be healthy and well.
The Director of Pharmacy Health Plan will guide and improve our Federal Employee Health Benefit (FEHB) and Postal Services Health Benefits (PSHB) environment as market, member, and regulatory needs change.
We are looking for a strategic Health Plan Pharmacy leader to manage delegated PBM contract oversight (inclusive of utilization and formulary management), oversee clinical initiatives and programs (Medication Therapy Management, HEDIS/Quality) and monitor disputed claims processes. This leader will also partner closely with the VP of Pharmacy and other enterprise leadership to drive business outcomes and meet regulatory, affordability, clinical quality, and corporate goals.
In this role, your leadership will:
• Evolve our pharmacy management model by partnering with stakeholders and vendors to better outline the total cost of care capabilities.
• Collaborate with internal and external partners to achieve business goals aligned with short-term and long-term strategies.
• Empower others to support G.E.H.A in improving member experience and growth.SKILLS
In this role, you will do:
Pharmacy Strategy & Operations Oversight
Set strategic direction for program development, achieving appropriate outcomes and business performance measures related to access, affordability, quality, and experience, including business performance, clinical pharmacy operations, PBM and vendor oversight, utilization management, and formulary.
Ensure operational excellence of the pharmacy benefit program at G.E.H.A.
Partner with internal stakeholders regarding clinical programming, product development, benefit design, and vendor negotiations.
Manage department staff (clinical and non-clinical) performance, development, and succession planning. Foster departmental development and ensure high performance to support the organization's mission and strategic goals.
Lead cross-functional initiatives with internal and external partners to improve pharmacy program efficiency and innovation.
PBM Contract Oversight & Performance Management
Day to day management of the commercial PBM and Medicare Part D / EGWP administrator relationships for the FEHB and PSHB lines of business.
Analyze and track PBM performance against key performance indicators, ensuring alignment with corporate goals.
Oversee changes in pharmacy benefits implemented by the PBM, ensuring compliance and strategic alignment.
Regulatory Compliance & Accreditation
The role ensures compliance with all relevant contracts, accreditation criteria, and federal regulations, including those from OPM for Federal Employee Health Benefits (FEHB) and Postal Services Health Benefits (PSHB) along with those for CMS for Medicare Part D / Employer Group Waiver Plan (EGWP) through our administrator.
Monitor and interpret the CMS and OPM landscape, implement OPM Carrier Letters, develop policies and procedures to maintain compliance, and partner with the GEHA Compliance teams to provide documentation and notification of compliance initiatives.
Financial & Clinical Program Leadership
Lead the development and execution of financial strategies for drug pricing, discounts, rebates, and reimbursement to optimize plan cost savings.
Oversee department budgetary aspects of the pharmacy department, ensuring fiscal accountability and cost-effectiveness.
Collaborate with teams across the clinical division to implement clinical programs that enhance quality, patient safety, and medication adherence.
Requirements
Licensed pharmacist (PharmD) required.
10+ years of experience in managed care pharmacy, pharmacy benefit management, or the PBM industry.
5-7+ years of experience managing PBM relationships and contracts.
5+ years in leadership roles with a focus on operational and strategic oversight.
Expertise in formulary management, utilization management, and regulatory compliance in both commercial and government programs.
Preferred Qualifications
An advanced degree (e.g., Master's in Healthcare Administration or Business Administration) is preferred.
Knowledge of FEHB federal benefits and Medicare Part D / EGWP regulations.
Strong problem-solving and decision-making skills.
Proficiency in data analysis, financial modeling, and performance metrics.
Ability to manage multiple initiatives and meet deadlines in a demanding environment.
Excellent verbal, written, and collaboration skills.
Experience with accreditation standards and regulatory compliance frameworks.
Demonstrated ability to lead cross-functional teams and drive organizational change.
Work-at-home requirements
Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
Latency (ping) response time lower than 80 ms
Hotspots, satellite and wireless internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
How we value you
Competitive pay/salary ranges
Incentive plan
Health/Vision/Dental benefits effective day one
401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
Robust employee well-being program
Paid Time Off
Personal Community Enrichment Time
Company-provided Basic Life and AD&D
Company-provided Short-Term & Long-Term Disability
Tuition Assistance Program
While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.
Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.
The hiring range for this position is $174,632 - $220,920 USD. At G.E.H.A, the current maximum salary for this role is $246,168 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization.
G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees.
G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.
$56k-89k yearly est. Auto-Apply 60d+ ago
PRN Director Pharmacy Solutions
HCA Healthcare 4.5
Remote job
**Introduction** Do you want to join an organization that invests in you as a PRN Director Pharmacy Solutions? At HealthTrust, a division of HCA, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
**_Note: Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated PRN Director Pharmacy Solutions like you to be a part of our team.
**Job Summary and Qualifications**
The Pharmacy Solutions and Member Support Director PRN serves as a Subject Matter Expert (SME) for Pharmacy Solutions (consulting) and a Pharmacy Member Support leader. As a Pharmacy Solutions leader and SME, this position will identify, support and participate in client advisory engagements. As a Pharmacy Member Support leader, this position will engage with members for contract alignment and optimization. In both aspects of this position, the leader will build strategic alliances with key stakeholders as it relates to a successful pharmacy program for clients/members.
Integrated Delivery Network (IDN) Senior Leaders (e.g. CFO, COO, CMO) and Senior Pharmacy (e.g. CPO, VP, DOP) Leaders, Pharmacy Leaders (e.g. clinical, operational), Physicians, Value Analysis Leaders, HealthTrust Contracting Team.
What you will do in this role:
Leadership
+ Participates in and leads client engagement activity including program assessment, targeted recommendations/strategy design and implementation
+ Defines a vision, identifies milestones of success, identifies gaps, determines with whom to work and partner and sets actionable goals that are consistently achieved
+ Manages projects within scope, time and budget
+ Leads client discussions and meetings to present analysis and facilitate client decision making
+ Supports organizational growth and maturation of services
+ Provides market feedback to identify improvements to current solution offerings
+ Interfaces with Marketing to develop and maintain go-to-market collateral (e.g. white papers, case studies) related to services
+ Mentors and assists with staff development
+ Provides leadership in the area of expense management and clinical alignment to contribute to the facility or IDNs overall strategic plan especially as it relates to the pharmacy services service line.
+ Assess and provide leadership in the area of expense, clinical, quality, leadership and operational standards to guide and support organization's strategy.
+ Assimilates information from variety of sources, able to analyze and interpret data, make strategic recommendations and execute a course of action for pharmaceutical savings opportunities and standardization
+ Develops, implements, and coordinates within the hospital or system:
+ A system approach to identify pharmaceutical savings opportunities as relevant
+ Policies and procedures related to expense management in the pharmacy services service line
+ Product standardization and utilization within the pharmacy services service line
Customer Service
+ Meets and builds relationships with senior executives (CEO, CFO, COO, etc.) by presenting and discussing industry trends, best in class strategies and gaining buy-in for consulting services
+ Responsible for managing customer expectations, delivering cost savings and other deliverables according to
+ Client deliverables and engagement scopes of work
+ Estimated timelines
+ Minimizing overlap of focus with contracts already negotiated or those in process by the contracting team
+ Utilizing customer participation in the process to achieve goals and objectives
+ Provides on-site quarterly business reviews (QBR) as applicable
+ Interacts and develops relationships with internal and external stakeholders to better understand needs and challenges which may include clinicians, physicians, supply chain, and hospital leadership
+ Continuously defines and improves customer solutions
+ Provides educational opportunities to customers to understand the expense management program
+ Builds and maintains strong, effective working relationships with a variety of stakeholders within the facility and corporate pharmacy services line, HealthTrust, Supply Chain, organization's leadership and Regional Value Analysis Teams
+ Provides RX market dynamics opportunities (Shortages/Recalls/Bulk Buys etc.)
Financial
+ **Establishes and meets expense savings goals for customers as requested.**
+ **Collaborates with organizations to track and analyze financial data which may include but not limited to pharmacy services supply expense and pharmacy cost per adjusted patient day**
+ **Provides cost saving enhancement strategies for the pharmacy services service line working with customer's representatives and HealthTrust contracting and Expense Management teams**
+ **Develops standardized documents, processes, and calculations for use by the team to quantify savings solutions**
+ **Provides opportunity identification**
+ **Provides purchasing analysis review and portfolio penetration assessment**
Project Management
+ Directs multiple projects and tasks in a fast-paced environment that includes:
+ Strong organizational skills, including the ability to plan, implement, and execute
+ The ability to focus and execute exceptional time management
+ Demonstrates the ability to develop a project plan for major and complex projects
+ Develops milestones for projects to determine outcomes are achieved that includes facilitating customer teams that lead to building consensus and contract implementation
+ Assign goals to support team members as appropriate and monitors goal achievement
**General Knowledge / Competencies**
+ **Demonstrates basic knowledge of pharmacy practice standards and hospital pharmacy services service lines**
+ **Must have general and broad knowledge of concepts within pharmacy practice in order to be able to design plans to execute strategies**
+ **Must have specific knowledge in area(s) of expertise**
+ **Provides effective communication which includes verbal, listening, writing, and presentation skills to a variety of stakeholders from executives to staff.**
+ **Demonstrated ability to work in a professional, multi-disciplinary, matrix reporting team as a group leader, facilitator, or participant**
+ **Demonstrates a track record of success**
+ **Demonstrates effective problem-solving skills which includes understanding issues, able to simply and process complex issues, understanding the difference between critical details and unimportant facts.**
+ **Guides individuals and groups toward desired outcomes, setting high performance standards and delivering quality services**
+ **Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.**
+ **Practice and adhere to the Code of Conduct philosophy and mission and value statement**
What qualifications you will need:
+ B.S. in Pharmacy or Pharm.D. preferred
+ Minimum of five years in a healthcare related role with experience directly related to the duties and responsibilities specified.
+ Minimum of 5 years in hospital and/or health system experience
+ Previous experience in supply chain, value analysis, purchased services and/or sourcing that includes pharmacy service line knowledge and experience required.
+ Minimum of 2 years of consulting experience (relevant industry experience may substitute the consulting requirement)
**CERTIFICATE/LICENSE**
As appropriate to education, professional experience and area(s) of expertise
In today's challenging business environment of cost pressures, supply disruptions, and workforce shortages, it is crucial for providers to efficiently manage expenses and enhance performance. HealthTrust, in collaboration with 1,800 hospitals and health systems, offers a specialized group purchasing organization (GPO) membership model designed to deliver immediate and sustainable cost savings. Their team of experts provides tailored value acceleration engagements to address specific needs, delivering unparalleled benefits. With nationwide purchasing power and a focus on overall spending management, HealthTrust offers unmatched pricing advantages on supplies, along with industry-leading benchmarks and best practices. The dedicated team is committed to guiding and implementing performance enhancements in cost, quality, and outcomes.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years. HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our PRN Director Pharmacy Solutions opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$42k-72k yearly est. 60d+ ago
Staff Specialty Operations Pharmacist
Centerwell
Remote job
**Become a part of our caring community and help us put health first** The Staff Specialty Operations Pharmacist applies clinical and operational knowledge to ensure effective and compliant processing specialty medication prescription orders to be mailed to patients' homes and/or provider offices from CenterWell Specialty Pharmacy. This position interacts directly with providers, patients and teammates to solve clinical and/or escalated issues including drug interactions, therapy regimens and medication stability. Work assignments vary and frequently require interpretation and independent determination of the appropriate courses of action while following established guidelines and department procedures. The Staff Specialty Operations Pharmacist makes decisions with minimal direction, occasionally in ambiguous situations and receives guidance where needed.
Hours: Operations Pharmacist department hours are Monday-Friday 8am-11pm EST and Saturday 8am-6:30pm EST. The permanent schedule will consist of 1-2 closing shifts (2:30pm-11pm EST) per week with remaining shifts being 10:00am-6:30pm EST (11:30am-8:00pm for AZ associates) and rotating Saturday coverage.
Location: This is a remote role. Must reside in Arizona or Ohio.
As a member of the Specialty Operations Team, you will perform a variety of tasks based upon business need.
Daily work assignments include inbound phone calls with patients/providers, reviewing prescriptions for accuracy and appropriateness of therapy, checking for drug interactions and utilizing resources/guidelines to assist in professional decision making.
**Use your skills to make an impact**
**Required Qualifications**
+ Pharmacy degree from an accredited college of pharmacy (Bachelor of Science or PharmD)
+ Active PHARMACIST license from the Arizona or Ohio Board of Pharmacy
+ Candidate must reside and work within the state of Arizona or Ohio.
+ 3 or more years of experience as a pharmacist in a high-volume retail, hospital or mail order pharmacy practice environment
+ Ability to participate in Federal prescription programs
+ Ability to work independently and within a team setting to achieve goals and meet deadlines
+ Proven problem-solving skills and strong ability to utilize resources for professional decision-making
+ Work ethic that is focused, accurate and highly productive
+ Excellent verbal and written skills with ability to communicate effectively within the team and to patients or caregivers
+ Proficient with computers and comfortable trouble-shooting technology issues
+ Comprehensive knowledge of Microsoft Office applications, including Word, Excel, Outlook and OneNote
+ Ability to provide hard-wired internet connection and a private workspace
**Preferred Qualifications**
+ Proficient in Spanish - If applicable, please specify this on application/resume when applying
+ Pharmacist Board Certification - Oncology, Specialty, Geriatric, Pharmacotherapy, Ambulatory
+ Previous experience in a Specialty Pharmacy setting
+ Previous experience with pharmacy benefits management
+ Previous Commercial, Medicare and/or Medicaid experience
+ Previous clinical experience in managed care
**Additional Information**
+ This is a remote position however all candidates must reside in Arizona or Ohio.
+ Operations Pharmacist department hours are Monday-Friday 8am-11pm EST and Saturday 8am-6:30pm EST
+ Permanent schedule for this position will consist of 1-2 closing shifts (2:30pm-11pm EST) per week with remaining shifts being 10:00am-6:30pm EST (11:30am-8:00pm for AZ associates) and rotating Saturday coverage.
+ Holiday shifts are rotated based on business operational hours and coverage needs
+ Overtime may be available and is communicated by leadership - Overtime may be voluntary or mandatory based on business needs
+ WAH is not a substitution for caregiver needs - Associate must be able to work assigned schedule
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$115.2k-158.4k yearly 14d ago
Associate Practice Director
Explore Charleston 4.0
Remote job
If you think your skills, experience and aspirations make you a good match for this position, we encourage you to apply. ABOUT THE ROLE Your role is focused on leading regional operations and business practices across multiple offices, supporting a multidisciplinary practice that includes at a minimum architecture, engineering, and interior disciplines. Reporting to Regional Practice Directors, you will work closely with Office Practice Leaders and Business Practice Directors (in offices where there are Business Practice Directors) to implement our firm's commercial, legal and process practices across the region. In this capacity, you will have primary responsibility for the "area of focus" outlined below across the region. In this capacity, you will focus on regional alignment, resource optimization, process standardization, and staff development initiatives. Importantly, you will serve as a key ambassador of our brand, responsible for demonstrating how our Living-Centered Design ethos comes to life in our culture and in the way we partner with clients across the region. AREA OF FOCUS Business Practices & Process Leadership Ensure best practices of project management and process leadership, including work planning, contracting, risk management, fee development, and resource management-are understood and implemented consistently across the region. Work collaboratively with firm-wide Business Office and Legal Team to ensure commercial and risk issues are properly addressed. Provide assessments, evaluation, mentorship and other appropriate actions to staff to achieve success and improve outcomes. Champion the implementation of project delivery methods including Design Technology, Quality and Sustainability processes as well as engineering and interior design practice integration areas. HERE'S WHAT YOU'LL NEED
Bachelor's degree in Architecture, Engineering, or related field
10+ years' minimum experience with a proven track record of office management success in the design industry required
Additional licensure, certifications and/or training relevant to this role is preferred
Strong communication and leadership skills with regional management experience
Business acumen and proven ability to execute strategy across multiple locations
Professional acumen and maturity demonstrated by the ability to communicate authentically and respectfully
Regular travel across the region is required
The salary range for this position is $158,200 to $197,800 annually. This salary range is the range we believe is the anticipated range of possible base compensation at the timing of the posting. We may ultimately pay more or less than the anticipated salary range for the position and based on the geographic area. Employees may be eligible for discretionary bonuses. We offer a full benefit package including medical, dental and vision coverage and flexible spending account options and voluntary insurances. We have paid time off, flex-time schedules, remote work options and a 401k plan and employee perk programs. For a general overview of our benefits, please visit our careers page at ********************************************** Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
ABOUT OUR FIRM CannonDesign is a design practice where strategy, experience, architecture, engineering, and social impact converge. We don't just dream up solutions - we create and bring them to life in ways to solve some of the biggest challenges facing our clients and the society. At the heart of everything we do is Living-Centered Design, a bold commitment to using our talents to not just improve the world but to truly reshape it for the better. It's more than a philosophy - it's who we are, and it drives us to make a meaningful, lasting difference every day. ABOUT WORKING HERE
We are relentless in our pursuit of client adoration (not simply satisfaction). Consistent delivery of the best service is what we are about.
We are committed to ensuring our practice provides equal opportunities for all employees, as we strive to connect with communities around us and focus on the future of design. We support equity, diversity, and inclusion efforts that benefit all employees through the leadership of our DEI Council, our Employee Resource Groups which are open to everyone, and other community initiatives.
We're about communication and transparency here. If you want to talk to someone about an idea you have, or a challenge that needs addressing, we're ready for you.
Please note that candidates can only apply to our positions on our company Careers site. It's not uncommon for scammers to create positions that look legitimate on other sites; never enter your information or apply for CannonDesign positions on any platform. Should an issue arise that you feel we should be aware of, please contact us. Please provide your resume and portfolio when applying.
As a condition of employment, all employees are expected to complete mandatory training, including compliance training, within required timeframes and adhere to our internal policies and our Code of Conduct. CannonDesign is an Equal Opportunity Employer. CannonDesign is committed to maintaining a work environment that is free from any and all forms of unlawful discrimination and harassment. It is therefore the firm's policy to prohibit discrimination and harassment against any applicant, CannonDesign employee, vendor, contractor, or client on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by applicable law. It is also CannonDesign's policy to prohibit any and all forms of retaliation against any individual who has complained of harassing or discriminatory conduct, or participated in a firm or agency investigation into such complaints.
$158.2k-197.8k yearly Auto-Apply 43d ago
Staff Fulfillment Pharmacist- Evening Shift- Accredo - Whitestown, IN
Carepathrx
Remote job
The Staff Pharmacist is responsible for verifying and dispensing medications within corporate and regulatory guidelines. The Staff Pharmacist will track order status. The Staff Pharmacist may also train less experienced pharmacists. This position will require product verification and the ability to be flexible.
Shift: 1:00 PM - 9:30 PM - Monday-Friday
ESSENTIAL FUNCTIONS
* Provide oversight and quality assurance to pharmacy technicians.
* Interpret physicians' or prescribers' prescriptions.
* Verify and confirm validity of controlled substances.
* Verify prescription information entered in the system by data entry or order entry.
* Back up other pharmacists as needed, perform additional duties as assigned by management, or train less experienced pharmacists.
QUALIFICATIONS
* Current resident pharmacist license in good standing.
* Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues.
* Good oral and written communication skills.
* Ability to read and interpret prescriptions.
* Strong focus on customer service, quality and accuracy.
* Ability to manage timelines and meet tight client deadlines.
* Ability to adapt in a changing environment.
* Ability to work a flexible schedule for peak volume times.
This position supports closing operations.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$105k-139k yearly est. Auto-Apply 37d ago
Outpatient Coding Manager - Remote
Tenet Healthcare Corporation 4.5
Remote job
Outpatient Coding Manager - Pediatrics/Primary Care Manages the Coding Section of Health Information Management (HIM) and functions as a resource and facilitator for all areas of hospital coding operations. Assures compliance with CMS, AMA and AHIMA standards for ethical coding, The Joint Commission Standards, Medical Staff Bylaws, Rules and Regulations, State and Federal Guidelines and department/organizational policies and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Plans, organizes, and supervises the work and systems of one or more of the following Health Information Management programs:
* In Patient, Observation, Day Surgery, Emergency Department and Outpatient Coding
* Post discharge physician queries
* 3M Encoder processes
* Coding Compliance Plan
* Dissemination of coding changes and updates
* Identification of coder educational needs through continual monitoring and auditing of coder accuracy
* Continual monitoring of charts not final coded. Establish DNFC targets by patient type and coder.
* Monitor and report individual coder productivity. Coach and counsel under performers.
* Assignment and reassignment of un-coded charts to specific coders as necessary to better manage the DNFC.
* Evaluate individual coder accuracy through focused audits. Identify education needs to facilitate coding accuracy improvement.
* Review all DRG reclassifications before and after assigning correction to the coder who completed the original coding. Track and trend patterns by payer, coder, MS-DRG and physician.
* Monitor the coding compliance manual. Monitor industry publications and implement changes as necessary.
* Gives input regarding section needs in preparation of annual budget and monitors expenditures for budget compliance.
* Attend meetings within and outside the facility as needed r requested to provide input and act as a coding information resource.
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense):
* Provides input regarding departmental budget specific to area of responsibility.
* Directly impacts days not final billed (DNFB), overall A/R and monthly revenue collection.
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
No. Direct Reports (incl. titles) Inpatient and Outpatient Coders
Coding Analyst
Coding Supervisor
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Computer training: HBOC Star; 3M Coding & Reimbursement software; SoftMed Systems; MS OFFICE; Horizon Patient Folder; Groupwise; DVI Dictation System; External Transcription Agency Systems
* Extensive knowledge of medical record documentation requirements mandated by Medical Staff Bylaws, Rules and Regulations
* State and federal regulations regarding patient confidentiality
* Excellent verbal/written communication and interpersonal skills
* Thorough/detailed knowledge of ICD-10-CM, ICD-10-PCS and CPT coding systems
* Skilled in formulating and writing statistical reports
* Skilled in performing quality assessment/analysis
* Must display strong interpersonal skills
* Works collaboratively with CDI, quality, and other facility leaders
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Associate Degree in Health Science Administration/HIM Technology, minimum
* Bachelor's degree, preferred
* Registered Health Information Technician (RHIT) certification
* Registered Health Information Administrator (RHIA) certification
* Minimum three years supervision of coding staff, required
* Five years of progressive management experience
CERTIFICATES, LICENSES, REGISTRATIONS
* Required: RHIA, RHIT, CCS, CCA, CCS-P, and/or CPC-H
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Duties may require bending, twisting and lifting of materials up to 25 lbs.
* Duties may require driving an automobile to off- site locations.
* Ability to sit for extended periods of time.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Work environment is at a moderate noise level.
* Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment.
* Works in a private office space in the coder's home per conifer Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
* Duties may require travel via, plane, care, train, bus, and taxicab.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience.
* Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$82k-122.9k yearly 60d+ ago
Practice Director (Remote)
Mosaic 2021
Remote job
Based in Nashville, Tennessee, Mosaic Consulting Group helps businesses of all sizes and across all industries leverage their investment in UKG HCM & WFM Technologies. We are more than a consulting company; we are a highly skilled team delivering value and exceptional service to our clients. Every day we strive to live up to our promise: Make a difference and inspire confidence.
Thanks to our commitment to exceptional client service and a thriving team culture, Mosaic has earned recognition on the Inc. 5000 list for four consecutive years, is a certified woman-owned business, and has been certified as a Great Place to Work for five years running. In 2025, we were honored to be named one of the Best Workplaces in Consulting & Professional Services™ and proudly recognized as the 2025 UKG Partner of the Year.
Due to our rapid growth, we are looking for a remote Practice Director to join our team. As a Practice Director at Mosaic, you will lead strategic delivery operations by overseeing the WFM functional team, establishing governance and SOPs, driving KPI-based improvements, and ensuring standardized processes. You'll mentor leaders, build capability in UKG Pro WFM modules, champion knowledge sharing, and spearhead automation and continuous improvement initiatives-all while aligning company goals and driving departmental revenue.
What you'll do:
Oversee the overall WFM Functional team.
Lead setup of governance processes and SOPs.
Identify and track KPIs and lead change initiatives.
Drive adherence to SOPs and standardized delivery processes.
Establish checklists and review cycles for consistent quality.
Identify opportunities for automation and AI to scale operations efficiently.
Drive company initiatives and ensure alignment with strategic goals.
Responsible for driving revenue for the department.
Team Leadership & Development:
Manage, mentor, and support Managers and Professional Services Leaders.
Build capability in UKG Pro WFM modules (Timekeeping, Accruals, Reports).
Drive knowledge sharing, training, and certification programs.
Continuous Improvement:
Identify repeatable tasks suitable for AI automation or process optimization.
Champion continuous service improvement initiatives.
How you'll be measured:
Delivery quality and adherence to governance standards.
Achievement of KPIs and revenue targets.
Team development and certification progress.
Successful implementation of automation and process improvements.
What we offer you:
Ability to lead strategic initiatives and influence company-wide delivery practices.
A competitive salary with bonus potential.
Comprehensive benefits, perks, and PTO package.
An award-winning company culture in a flexible, remote environment.
What makes you successful:
Need to haves:
Bachelor's degree in Business Administration, Human Resources, Information Systems, or a related field.
10+ years of experience in Workforce Management (WFM) or HCM delivery, with at least 5 years in a leadership role.
Proven ability to implement governance processes, SOPs, and KPI tracking.
Demonstrated success in revenue generation and P&L responsibility.
Strong background in UKG Pro WFM modules (Timekeeping, Accruals, Reports).
Experience driving automation and AI initiatives for operational efficiency.
Expertise in continuous improvement methodologies (e.g., Lean, Six Sigma).
Ability to work fully remote and travel up to 40% as needed.
Nice to haves:
UKG Pro WFM certification.
Project Management Professional (PMP) or similar certification.
Lean Six Sigma Green/Black Belt certification.
Experience managing large-scale delivery teams in a consulting environment.
$113k-166k yearly est. 41d ago
Solid Waste Solutions Practice Director
Aptim 4.6
Remote job
APTIM is seeking an experienced Practice Leader with 10+ years demonstrated experience on efforts related to emissions solutions for the solid waste industry. This role is a key element of APTIM's Solid Waste Services Group's growth strategy to expand our end-to-end consultancy services and recruiting/management/support of APTIM's solid waste emissions solutions subject matter experts including services/expertise related to air compliance & permitting, fugitive emissions reduction, leachate management & treatment, PFAS, renewable natural gas and wastewater. This is an excellent career opportunity for a motivated senior leader who can apply their solid waste industry experience in support of our team's growth to build market presence, bench strength, opportunity pipeline and revenues.
Key Responsibilities/Accountabilities:
Business Development
Collaborate with sales leaders to develop and implement strategic business and action plans; provide leadership, and deliver performance results to expand APTIM's solid waste emissions solutions business and client base.
Responsible for leveraging existing client relationships as new customer business to APTIM within an agreeable timeline.
Must have demonstrated proposal preparation skills along with ability to strategize and develop capture plans for new client pursuit and existing client retention/growth.
Support the pursuit and hiring of subject matter experts to bolster APTIM's bench strength and increase APTIM's competitive advantage.
Hire key staff to assist in broadening our reach an expanding our emission solutions service capacity.
Monitor market conditions, innovations and trends, technology, and competitors' performance, pricing and sales strategies to maximize competitive stance.
Participate in and attend technical seminars and industry events including regional and national trade shows to expand market penetration of APTIM's services, active participant on the company capabilities presentation team with customers.
Partner and coordinate with APTIM service line, business development and account managers to identify and support new solid waste emissions solutions opportunities.
Program Leader
Develop and manage strategic emissions solutions programs for a variety of solid waste clients with complex technical/regulatory issues. Design and direct large programs/projects and multi-person project teams. Achieve client expectations for scope, budget, schedule, and quality.
As a Practice Leader, you will directly affect the revenue, profitability, cash flow and repeat business of the company through the ability to develop client relationships and lead teams in successfully delivering quality consulting services.
Lead all aspects of project start-up including project planning, staffing, budgeting, create tasks and direction for the staff, manage project and client through ramp-up phase of the project.
Basic Qualifications:
Bachelor's or master's degree in chemistry, environmental science, engineering, geology, or related degree.
10+ years' solid waste emissions solutions consulting experience related to air compliance & permitting, landfill gas management, leachate management & treatment, PFAS, renewable natural gas and/or wastewater.
Solid waste industry experience with emissions solutions projects like the services listed above is preferred.
Proven track record in developing, managing, and executing client solutions.
Experience and confidence to grow business in a dynamic market environment.
Strong business acumen with deep industry relationships and vendor/product/service partnerships.
An established reputation in the marketplace.
Demonstrated leadership ability to build, coach, and mentor collaborative teams.
Excellent communication (written/verbal), strategic thinking, negotiation, presentation, and "people" skills.
Must be a self-starter, organized and have an ability to prioritize workload in a fast-paced environment.
Ability to travel as necessary to successfully perform duties.
Experience in Salesforce or similar CRM software.
Proficient Microsoft Office software.
ABOUT APTIM
APTIM is committed to accelerating the transition toward a clean and efficient energy economy, building a sustainable future for our communities and natural world, and creating a more inclusive and equitable environment that celebrates the diversity of our communities. We specialize in environmental, resilience, and sustainability and energy solutions, as well as technical and data solutions, program management, and critical infrastructure. For every challenge our clients face, there is an opportunity for APTIM to innovate a fit-for-purpose solution that will raise your organization or community to a new standard of excellence.
What you can expect from APTIM:
Work that is worthy of your time and talent
Respect and flexibility to live a full life at work and at home
Dogged determination to deliver for our clients and communities
A voice in making our company better
Investment into your personal and professional development
BENEFITS
APTIM is committed to providing a benefits package that accomplishes the primary purpose of our programs, which is to protect and promote the health and financial well-being of our employees and their families.
APTIM's health care and insurance benefits include the following programs: medical, dental, vision, prescription drug, basic life insurance, optional life insurance, spouse life insurance, child life insurance, basic accidental death & dismemberment, optional accidental death and dismemberment, short- and long-term disability with optional buy-ups, employee assistance program, health care spending account, dependent care spending account, health savings account and business travel accident insurance for themselves and their eligible family members, per plan guidelines. Multiple voluntary benefits are available to employees for enrollment including critical illness, hospital indemnity, accident insurance, etc.
APTIM also provides participation in a retirement program, paid absences such as vacation time (annual days determined by length of service) and sick leave to eligible employees in accordance with the APTIM sick pay policy and as required by law. The salary will range from $160K to $180K.
Watch our video:
About APTIM - In Pursuit of Better
#LI-Remote #LI-BS1
$160k-180k yearly 1d ago
Tax Practice Director - US Remote
Goldstone Partners
Remote job
We are a highly successful, rapidly growing regional retirement planning firm with affiliates across the country dedicated to helping individuals secure their financial futures. Leveraging our proven methodology to protect and grow our clients' assets is our passion. The company has helped thousands of households secure their retirement. With ambitious expansion plans, we are seeking passionate professionals in financial services who want to help us achieve them!
We Value: Compassion, Dependability, Growth
Job Description
As a senior member of our team, you'll combine advanced tax expertise with a proactive, revenue-focused approach-guiding prospective clients through sophisticated tax strategies that support their long-term financial goals. You are an experienced tax planning professional with a proven track record of winning new business, strengthening client relationships, and providing valuable education to pre-retirees, retirees, and high-net-worth households. Your ability to simplify complex tax strategies, build trust, and confidently lead the sales process will directly contribute to our growth. If you enjoy educating clients, driving revenue, and are passionate about helping people retire comfortably, let's talk!
You Value: Integrity, Impact, Professional Growth
How you'll spend your days:
Closing new tax planning engagements and expanding services with existing clients
Identifying opportunities to deepen existing client relationships through cross-selling and strategic tax guidance
Delivering personalized tax return preparation, planning, and advisory services-building trusted, long-term relationships with clients
Designing and delivering engaging educational content that positions the company as a tax thought leader
Guiding prospects from seminar attendee to client-nurturing leads, building proposals, and closing new tax planning engagements
Partnering with marketing to plan and promote tax education events, ensuring messaging that converts prospects into clients
Collaborating with advisors and planning teams to integrate tax strategies into comprehensive client proposals
Leading the full sales cycle for tax services-prospecting, qualifying, proposing, closing, and expanding
Managing your sales pipeline using Salesforce and delivering clear, accurate reporting on key performance metrics
Tracking and achieving growth goals, adjusting strategies to strengthen acquisition, conversion, and retention metrics
Qualifications
What you'll bring to the role:
Bachelor's degree in accounting and Certified Public Accountant (CPA)
5+ years of experience in tax planning and advisory for affluent households
Demonstrated success in new business development and closing engagements within tax, financial services, or wealth-related fields
Proven ability to create and deliver compelling educational content-seminars, classes, webinars, or workshops
Expertise using Salesforce CRM to manage pipelines, prospects, and revenue forecasting
Skilled at structuring Roth Conversions and other tax-efficient practices for clients with $500,000 to $10,000,000 in investable assets
Strong collaboration skills - comfortable partnering with marketing, advisors, planners, and leadership
Exceptional communication skills-clear, confident, and client-focused
Strategic mindset with a passion for measurable results, client satisfaction, and revenue growth
Ability to thrive independently while contributing meaningfully to a high-performing team
Additional Information
Our team members enjoy:
Competitive salary based on experience
Comprehensive benefits
Environment where you are empowered and can see your impact every day!
Goldstone Partners is helping this highly successful company find talented professionals who want to help us - and our clients - prosper. Applications are welcome for US Citizens who hold a Green Card.
$89k-136k yearly est. 3d ago
RXCare Staff Pharmacist- Remote- Carson City
Maxor National Pharmacy Services 4.4
Remote job
RXCare Pharmacist- Remote- Must be licensed in Nevada.
VytlOne is hiring a RxCare Pharmacist for Carson Tahoe Regional Medical Center. The RxCare Pharmacist will provide patient-centered services for the purpose of optimizing medication therapy to improve clinical outcomes.
Responsibilities
What You'll Do
Deliver RxCare services, including but not limited to, Comprehensive Medication Reviews, Disease Specific Medication Reviews, and Targeted Interventions to assess appropriateness of all medications, to optimize medication therapy and to improve clinical outcomes.
Document clinical encounter in electronic medical record, including medication reconciliation and referrals.
Communicate and document clinical recommendations to prescribers and interdisciplinary care teams.
Produce presentations and reports to be shared with senior leadership and/or externally.
Lead analysis and generation of insights related to specialty drug trends.
Collaborate with specialty pharmacy, managed care, health systems and external clients
Develop and maintain clinical patient education resources.
Qualifications
What We're Looking For
Bachelor's degree in pharmacy from a college accredited by ACPE. PharmD preferred.
Current license to practice Pharmacy in the state of Nevada.
Must be willing to travel to Carson Tahoe Regional Medical Center locations as needed.
5 years related work experience required in specialty pharmacy or related clinical services.
Demonstrated knowledge of pharmaceutical care, electronic medical records, pharmacy systems and design of clinical programs.
Knowledge and understanding of Medication Therapy Review - Comprehensive and Targeted, Personal Medication List (PML), Medication-Related Action Plan (MAP), Interventions and Referrals, and Documentation of Services and Follow-up.
Strong communication skills.
Why VytlOne?
Join a company with a century of pharmacy expertise, a culture built on innovation, and a mission to elevate patient care. We offer competitive pay, great benefits, and a workplace where your contributions truly matter.
💵 Compensation: $55 to $74 per hour.
📌 VytlOne is an EEO/AA/M/F/Vets/Disability employer.
$55-74 hourly Auto-Apply 2d ago
Client Success Director, Salesforce Practice
Verndale 4.1
Remote job
About the Client Success Director role
This role can be in our Boston office or Remote for those outside of MA The Client Success Director (CSD), Salesforce Practice, leads a Client Success team within Verndale's Salesforce practice and directly manages a portfolio of high-value accounts. The CSD is accountable for retention, profitability, and client satisfaction across their portfolio, while also providing leadership, coaching, and escalation support for the broader Client Success team. Partnering closely with the Practice Lead, Solution Consultants, and Delivery Leader within the Salesforce practice, the CSD ensures Verndale delivers measurable value and consistently strong client experiences.
Responsibilities
Directly manage a portfolio of 5-10 accounts, owning client relationships, renewals, and expansion opportunities.
Lead a Client Success team (CSMs and Coordinators) covering 10-15 accounts per CSM.
Serve as senior relationship owner and escalation point for strategic accounts.
Develop and maintain Client Success Plans and lead business reviews for direct accounts.
Oversee development of Client Success Plans for accounts in portfolio.
Partner with Practice Managing Directors to ensure alignment on revenue, renewals, profitability, and client satisfaction across the portfolio.
Set performance targets for renewals, retention, satisfaction, and margin contribution within the practice.
Support CSMs in account planning, QBRs, and escalation management.
Drive operational excellence in Client Success processes, including account health tracking, reporting, and renewals.
Collaborate with Client Partners to ensure seamless transitions when Maintain
Qualifications
Bachelor's degree; advanced degree a plus.
8+ years' experience in account management, client success, or consulting, with at least 3 years in a leadership role.
In-depth experience and familiarity with the Salesforce platform ecosystem.
Proven track record managing a $5M+ portfolio, including direct account ownership.
Strong leadership and coaching skills, with experience managing client-facing teams.
Excellent relationship management and executive communication skills.
Commercial acumen: ability to manage contracts, renewals, and profitability.
Experience collaborating with delivery/project management in a professional services environment.
Performance Indicators
Renewal and retention rates for personal portfolio and team portfolio.
Net revenue growth (expansion within Maintain accounts).
Profitability (margin health) of accounts.
Client satisfaction (CSAT, NPS).
Team engagement and performance against targets.
Ten Great Reasons to Work at Verndale
We are a rapidly growing company that is just as entrepreneurial today as when we were founded in 1998.
We are relentlessly curious and enthusiastically solve our clients' complex business problems through technology, data, and design.
We foster a culture that enables every person in the organization to do the best work of their career.
We offer regular training and professional development to move careers forward.
Client and employee satisfaction are our two most important business metrics.
We celebrate and champion diversity, equity, and inclusion.
We offer generous paid company holidays, vacation, and paid sick time to every employee starting on day one.
We provide top-of-the-line benefits including health, dental, vision, 401K, LTD, STD, Life Insurance, EAP, HRA and more.
We support a healthy work/life balance.
We are fully remote enabled and embrace the evolving definition of the workplace.
About Verndale
Verndale is a digital experience agency dedicated to driving growth by helping businesses create meaningful human connections in an increasingly digital world. With offices in Boston, Montreal, Los Angeles, Quito, and hubs across the Americas, we partner with marketing and technology leaders to deliver personalized web, mobile, and ecommerce solutions that elevate customer experiences.
At Verndale, we thrive on collaboration and innovation, offering a full range of services that span strategy, design, development, personalization, SEO, analytics, and digital advertising. We celebrate diversity and inclusion, striving to create a climate of respect essential for both individual and company success.
If you're ready to be part of a passionate team dedicated to making an impact and driving growth, we invite you to explore a career at Verndale.
Compensation & Benefits
$150,000 - $200,000In accordance with applicable law, the above salary range provided is Verndale's reasonable estimate of the base salary for this role. The actual amount may vary, based on non-discriminatory factors such as location, experience, knowledge, skills and abilities. In addition to salary, Verndale also offers a competitive benefits package.
Verndale is proud of the fun, diverse, and respectful company environment we enjoy on a daily basis. Competitive compensation and comprehensive coverage for medical, dental, life, disability and a 401(k) savings plan are offered to all full-time employees. Ample company paid holidays and personal time off make having a work-life balance possible. For some roles, remote work is a definite possibility; we believe in hiring the best and keeping our own happy and motivated.
Verndale is an Equal Opportunity Employer. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.
$150k-200k yearly Auto-Apply 60d+ ago
Home Infusion Staff Pharmacist - Longwood, FL
Cigna Group 4.6
Remote job
As a Staff Pharmacist, you will play a key role in delivering safe, high‑quality pharmaceutical care to home infusion and outpatient patients. You will compound sterile medications, support therapy management, collaborate with healthcare teams, and ensure compliance with accreditation and regulatory standards. Your work directly enhances patient outcomes and strengthens the overall quality of care.
Available Schedule:
Monday through Friday: 11AM-8PM CST with weekend and on-call rotation
Responsibilities
Compound sterile medications and infusions accurately for home, outpatient, long‑term care, and clinic settings.
Initiate and manage infusion therapies while completing required clinical and legal documentation.
Participate in Quality Assurance and Performance Improvement initiatives to support high standards of care.
Educate patients and caregivers about infusion therapies and support their transition to home care.
Provide clinical education and support to licensed healthcare professionals involved in infusion therapy.
Serve as pharmacist‑in‑charge while on duty, ensuring operational and regulatory compliance.
Maintain knowledge of equipment, supplies, and processes needed for safe therapy administration.
Follow all pharmacy and home infusion center policies and procedures.
Participate in inventory management, ordering, warehouse organization, equipment maintenance, and hazardous waste processes.
Participate in on‑call rotation for after‑hours clinical support.
Utilize pharmacy systems to review, authorize, prepare, dispense, and manage home infusion therapies.
Maintain familiarity with clinical literature, references, and therapy guidelines.
Protect patient confidentiality and comply with all privacy regulations.
Perform other duties as assigned.
Qualifications
Bachelor of Science in Pharmacy required. Doctor of Pharmacy (PharmD) preferred.
Active pharmacist license in good standing with the Florida Board of Pharmacy.
Completion of required continuing education to maintain licensure.
Experience in intravenous therapy in hospital or home infusion environments preferred
Experience with parenteral admixtures and clinical patient management.
Teaching experience with nurses, patients, or caregivers.
Strong clinical knowledge and familiarity with infusion therapy literature.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$94k-117k yearly est. Auto-Apply 6d ago
Supervisor - Remote Pharmacy Revenue Cycle Outpatient and Home Infusion
Ochsner Health 4.5
Remote job
**We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,** **and innovate. We believe** **that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.**
**At Ochsner, whether you work with patients** **every day** **or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!**
This job is responsible for the daily supervision and operational direction of the Outpatient and Home Infusion Billing and Collections teams. The Supervisor oversees all revenue cycle functions, including accurate and timely billing, claims submission, collections, and accounts receivable management for Medicare, Medicaid, commercial, and other third-party payers. In addition, this role provides enterprise-level system oversight and workflow configuration for pharmacy revenue processes, ensuring standardized workflows, system integrity, and alignment with organizational governance standards. The position ensures compliance with payer regulation and organizational policies while supporting optimal reimbursement, operational efficiency, and patient satisfaction.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
**Education**
Required - High School Diploma or GED.
Preferred - Associate's or Bachelor's degree in Healthcare Administration, Business, Accounting, or related field.
**Work Experience**
Required - 4+ years of medical billing, accounts receivable, or revenue cycle experience, including 1+ years of leadership, supervisory, or team lead experience.
Preferred - 5+ years of healthcare billing and collections experience, including home infusion or specialty pharmacy
**Certifications**
Preferred: Certified Pharmacy Technician (CPhT), Certified Revenue Cycle Representative (CRCR), or Certified Coding Specialist (CCS)
**Knowledge Skills and Abilities (KSAs)**
+ Proficiency in using computers, software, and web-based applications.
+ Strong understanding of healthcare billing, collections, and reimbursement methodologies across government and commercial payers.
+ Working knowledge of Epic or other revenue cycle systems, payer portals, and billing platforms.
+ Demonstrated knowledge of enterprise or system-level revenue cycle applications, including workflow configuration and optimization.
+ Understanding of system governance, change management, and standardized workflow controls in a healthcare revenue environment.
+ Effective verbal and written communication and leadership skills.
+ Ability to manage multiple priorities and deadlines in a fast-paced environment.
+ Strong analytical, problem-solving, and organizational abilities.
+ Demonstrated ability to coach, develop, and mentor staff in high-volume environments.
+ Understanding of CMS and accreditation standards relevant to home infusion billing.
**Job Duties**
+ Supervises daily billing and collections activities for outpatient and home infusion pharmacy services, ensuring timely, accurate, and compliant claim submission.
+ Provides leadership, scheduling, coaching, and performance management for direct reports; conducts regular feedback sessions, evaluations, and staff development activities.
+ Ensures claims are submitted accurately and in accordance with payer contracts, regulatory requirements, and organizational revenue integrity standards.
+ Reviews and resolves complex billing, payment, and denial issues, including appeals, underpayments, and payer escalations.
+ Monitors work queues, unbilled report, aging reports, and key revenue cycle metrics to maintain low accounts receivable days and minimize backlogs.
+ Collaborates with pharmacy operations, intake, billing and collections teams to ensure documentation completeness and claim readiness.
+ Provides enterprise-level oversight of pharmacy revenue cycle systems, including Caretend, supporting standardized billing workflows and consistent system usage across outpatient and home infusion services.
+ Configures, maintains, and optimizes revenue cycle workflows within enterprise systems (e.g., Caretend, EPIC), in partnership with Revenue System and IT, to support accurate billing, regulatory compliance, and operational efficiency.
+ Trains, develops, and mentors staff to enhance understanding of payer policies, workflows, and regulatory requirements.
+ Maintains updated knowledge of Medicare, Medicaid, and commercial payer billing rules, including infusion-specific modifiers, kit codes, and ABN processes.
+ Leads or participates in departmental and enterprise-level projects and process improvement initiatives to support revenue capture, system standardization, and operational efficiency.
+ Generates and analyzes KPIs to evaluate staff productivity and identify trends.
+ Communicates effectively with internal departments and external partners to resolve issues and ensure compliance.
+ Maintains compliance with HIPAA, CMS, and organizational policies and standards.
+ Promotes a positive attitude, solutions-oriented work environment and encourages team learning and development.
+ Performs other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
**Physical and Environmental Demands**
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
The incumbent has no occupational risk for exposure to communicable diseases.
Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.
**Are you ready to make a difference? Apply Today!**
**_Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website._**
**_Please refer to the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland,Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C._
**_Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or_** **_*******************_** **_. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications._**
Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
$96k-132k yearly est. 6d ago
Staff Pharmacist - PRN
Family First Health 4.0
Remote job
Family First Health is seeking a PRN Staff Pharmacist for our George Street, York location. Candidates should have a working knowledge of medical terminology and be computer proficient. As the Staff Pharmacist at Family First Health, you should have a positive and outgoing personality with excellent customer service skills and strong organizational skills.
This position is more than just a job, it's an opportunity to learn and grow with a terrific team. We're dedicated to offering trustworthy medical services and care. The Staff Pharmacist position will play a large role in that. If this sounds a like a good fit, we would love to hear from you.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Accurately and efficiently dispense prescribed medications, ensuring proper labeling, dosage, and instructions for patients.
Verify the accuracy of prescriptions, including medication, dosage, and patient information.
Check for potential drug interactions, contraindications, and allergies.
Provide clear, professional counseling to patients on medication usage, side effects, storage, and administration.
Work closely with healthcare providers to ensure safe and effective medication therapy management.
Collaborate with the pharmacy team to improve workflow and optimize patient care.
Conduct medication therapy management to ensure patients' prescriptions are appropriate, effective, and safe.
Monitor patient adherence and suggest alternatives when necessary.
Maintain accurate medication inventory levels to ensure availability of medications while minimizing waste and expired drugs.
Ensure proper storage of medications in accordance with pharmaceutical regulations.
Adhere to all state, federal, and institutional regulations, including the proper handling and dispensing of controlled substances.
Maintain accurate patient records in compliance with HIPAA and other relevant privacy standards.
Provides comprehensive medication review for identified populations with a goal of identifying drug related problems and optimizing guideline drive medication therapy
Provides disease state management for specific populations based on organizational needs
Educates patients on their medications and promotes effective medication use
Identifies patient specific barriers to adherence and develops plan to improve medication-taking behavior (ex. prepackaged medication packs, delivery, med synchronization, coordination with in-house pharmacy)
Assists in addressing medication access issues related to affordability, lack of transportation, shortages
Acts as subject matter expert on drug information and medication management for other departments within the FQHC when assigned
Create a seamless and exemplary pharmacy experience for patients at the health center through promotion of integration of clinical and operation pharmacy services
Meets key performance indicators as determine by department leadership
Other duties as assigned.
KNOWLEDGE/SKILLS/ABILITIES
Active, unrestricted PA Pharmacist license (RPh)
Bachelor's degree in Pharmacy (RPh) or Pharmacy doctoral degree (PharmD) from an accredited School of Pharmacy
Bi-lingual (English/Spanish) preferred
Experience caring for patients with complex, chronic medical and behavioral health needs
Familiarity with Federally Qualified Health Centers, Community Health Centers, or primary care practices strongly preferred
Confidence with technology used in communications, documentation, and record keeping including Zoom, Microsoft Teams, Microsoft Word, Microsoft Excel
Strong computer proficiency and experience;
Ability to work independently and within a multidisciplinary team
Ability to communicate well and in a caring and supportive manner with individuals of all backgrounds.
Ability to adhere to all Family First Health's policies, processes, and procedures, especially, Code of Conduct, Workplace Conduct, and the Remote/Telework Policy if indicated eligible to work remotely or telework.
Ability to articulate and advocate Family First Health's mission and values
Ability to maintain required clearances and licensure.
PHYSICAL DEMANDS
Mental/Physical Requirements:
Must
p
ossess the physical and mental abilities to perform the tasks normally associated with a Staff Pharmacist position such as:
Requires correct vision and hearing to normal range.
When teleworking or working remotely, requires working alone in a qualified work setting
CORPORATE COMPLIANCE RESPONSIBILITIES
Understands and adheres to Family First Health compliance standards as they appear in Family First Health Policies and Employee Handbook.
Maintains current knowledge of pertinent federal, state and Family First Health regulations, laws, and policies as they presently exist and as they change or are modified.