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The Pharmacy Financial Analyst leads critical financial and operational initiatives to optimize the performance of the organization's pharmacy services, with a focus on revenue cycle effectiveness, charge integrity, and reimbursement strategy. This role partners with Finance, Compliance, IT, Revenue Cycle, and Pharmacy Leadership to perform complex data analyses, monitor key financial indicator...

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring for a Manager, Clinical Pharmacy for Prior Authorization- Remote!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is fully remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE...

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring for a Manager, Clinical Pharmacy for Prior Authorization- Remote!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is fully remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE...

Remote, Work from Home in FL, PA, OH, IL, and Missouri
Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask and unrelenting drive to help others? As a Customer Service Associate Representative, you will be r esponsible for validating potential clinical and/or financial opportunities using scripted questions. Forward all pot...

Delivers specific delegated Customer Service tasks assigned by a supervisor. Receives requests by mail, telephone, or in person regarding insurance claims/policies. Responds to inquiries from policy holders, providers and/or others for information and assistance. Performs research to respond to inquiries and interprets policy provisions to determine most effective response. Mails or routes clai...

Posting Date
06/19/2025
2000 16th St, Denver, Colorado, 80202-5117, United States of America
The Clinical Program Director directs the overall clinical strategy, portfolio of clinical solutions, outcomes and tracking for specified clinical program and manages leaders of clinical programs. This includes trend management, key capabilities, specialty programs including client relationships to...

Pharmacy Account Manager (Non-IC) Senior Advisor – NY/NJ Market
Work from Home: Preferably in NY or NJ
As part of Cigna Pharmacy Management, the Senior Pharmacy Account/Clinical Executive (Senior Advisor) is the primary pharmacy benefits subject matter expert supporting Cigna Pharmacy clients within an assigned geographical market(s) and client size band.
The Pharmacy Account Senior Advisor...