*Sign On Bonus offered for external candidates* Springfield Behavioral of Pennsylvania, part of the Optum family of businesses, is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our team in Springfield, PA. As a
Appeals Pharmacist Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to
Clinical Assessor, Registered Nurse Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of
Hybrid Pharmacist - 4 Days Retail/1 Day Remote (MO) (SPRINGF... Hiring Immediately
*This role will be based out of our various retail locations throughout Missouri along with one day per week working from home supporting centralized services* Job Summary Responsible for ensuring the proper compounding, dispensation, review, and
