Job Summary: Responsible for the implementation of healthcare strategies and driving patient health outcomes. Executes patient intervention pharmacy programs and ensures compliance of clinical pharmacy services. Responsible for executing against identified partner-established pharmacy programs. Drives Pharmacy financial performance
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within
Essential Duties and Responsibilities: - Manage day-to-day operational aspects of a project and scope including facilitating and preparing all planning activities and artifacts. - Oversee and manage large multi-project programs including planning, organizing, staffing, leading, and controlling