Clinical Pharmacy Specialist - Rancho Cucamonga

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. · The Team You'll Join: We are hoping you will join us as a Pharmacy Services Specialist (Clinical Programs - Stars) and help ...

+Job summary · Join Us in this Amazing Opportunity to shape the future of healthcare as a Pharmacy Services Specialist. · +Utilize specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima Health departments, health networks an ...

The Pharmacy Services Specialist will assist participating pharmacies, members, providers in assuring efficient timely effective provision pharmaceutical products services CalOptima Health members. · Conducts outbound calls improve Star measure performance medication adherence ot ...

Under the supervision of a Licensed Pharmacist, the Pharmacy Technician is capable of performing the following duties: Prepare, count, label, package and dispense pharmaceuticals for Pharmacist approval. · Independently manage prior authorization process. · Courteously assists al ...

Under the direction of the Pharmacist in Charge assists in managing and training the Pharmacy Department Team. · ...

The company is looking to hire an experienced pharmacy biller to perform clerical and administrative functions and ensure all billing operations run smoothly. · ...

Under indirect or direct supervision and based on the understanding of patient variables such as age sex and other physical characteristics monitors or manages the medication therapy of hospitalized ambulatory patients as assigned confers with and assists medical personnel in the ...

We are looking for an experienced pharmacy prior authorization specialist to help with authorization of medications in a busy Rheumatology office. · Review and process prior authorization requests for pharmaceutical medications. · Utilize medical coding knowledge (CPT, ICD-9, ICD ...

We're looking for a detail‑oriented team member to support our pharmacy operations by managing prescription filing and documentation. · Accurately file and retrieve prescription records. · Maintain organized physical and electronic filing systems in compliance with HIPAA and phar ...

The Medical Access Assistant Specialist assists injured workers and others in locating providers within the medical provider network scheduling appointments upon request for the injured worker. · ...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possibl ...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possibl ...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possibl ...

We are seeking a Sr. Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits du ...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.  · This is a remote position. Candidate must resi ...

The Medical Only Claims Specialist manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision supporting the goals of the Claims Department and of CorVel. · This is a remote position.Bachelor's degree or a ...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of ...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of ...

The Lien Admin works together with the Lien Specialists and Management team to facilitate expedited closure of claim files. This is a remote role. · ...

CorVel is seeking a Medical Access Assistant (Provider Relations Specialist). · The Medical Access Assistant Specialist (Provider Relations Specialist) assists injured workers in locating providers within the medical provider network and scheduling appointments. · This position i ...