Pharmacy Pricing Appeals Analyst Capital Rx LLCPharmacy Pricing Appeals AnalystNew York, NY$27.31–$34.13 / hourThis role supports timely and accurate appeal resolution by validating pharmacy appeal requests, researching PBM and pharmacy claims, reviewing invoices and acquisition cost documentation, analyzing reimbursement outcomes, documenting appeal decisions, and maintaining appeal records in tracking systems and workflow tools. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Pharmacy Clinical Coordinator Critical Care Garnet HealthPharmacy Clinical Coordinator Critical CareMiddletown, New York$161,971–$194,366 / yearFull timeIf you’re interested in a health system that’s both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Clinical Coordinator - Critical Care on our Pharmacy team at/in Garnet Health Medical Center Middletown. When determining a team member’s compensation and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Subject Matter Expert, Pharmacy & Healthcare Supply Chain TranslucentSubject Matter Expert, Pharmacy & Healthcare Supply ChainNew York City, New York$175,000–$250,000 / yearBuild proprietary benchmarks and datasets to evaluate models and AI agents against real-world sourcing and pharmacy tasks including, but not limited to: distributor and contract price audit, GPO tier compliance, 340B capture and integrity review, item master normalization, and cost-to-reimbursement analysis on high-cost items. Willingness and desire to do work in the trenches — e.g., grading model-flagged invoice lines against tier pricing, normalizing an item master by hand to make a category comparable, evaluating whether a flagged high-cost item is actually overspend or a well-reimbursed one.
Pharmacy Underwriting Summer Internship Program CignaPharmacy Underwriting Summer Internship ProgramMorris Plains, NJThese 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. 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.
Project Manager- Pharmacy Associate Oscar Health IncProject Manager- Pharmacy AssociateNew York, NY$96,876–$127,149.75 / yearSupport a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses. About the role: The Project Manager is responsible for supporting all activities related to program implementation goals as well as post implementation oversight and monitoring to ensure success.
Senior Specialist, Pharmacy Systems Operations - Remote EmblemHealth IncSenior Specialist, Pharmacy Systems Operations - RemoteNew York, NYRemote$68,040–$118,800 / yearServe as pharmacy systems coding subject matter expert for Prior Authorization with a focus on medical drug claim processing, review of utilization management, PA processing, and appeals; as well as the following: claims processes and JUDI interoperability with FACETS edits and other connection troubleshooting. Provide technical and subject matter expertise support for implementations and day to day operations of Pharmacy functions and vendor coordination.
Data Science Analyst II - Pharmacy Reporting - Digital and Technology Partners - Remote Mount Sinai Health SystemData Science Analyst II - Pharmacy Reporting - Digital and Technology Partners - RemoteNew York, NYRemote$87,692–$131,538 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Pharmacy Supply Chain Specialist; Mount Sinai Health System; Full Time; Days Mount Sinai Health SystemPharmacy Supply Chain Specialist; Mount Sinai Health System; Full Time; DaysNew York, NY$66,482.07–$98,827 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Supply Chain, Pharmacy Intern; Part Time; Days Mount Sinai Health SystemSupply Chain, Pharmacy Intern; Part Time; DaysNew York, NY$17–$50 / hourMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
NewPharmacy Clerk UnitedHealth Group IncPharmacy ClerkNJ$16–$29 / hourMay also assist with inventory duties, including proper storage and restocking of medication and supplies, receiving, and unpacking vendor shipments, and performing counts of physical inventory. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Retail Merchandiser Pharmacy SFS, Inc.Retail Merchandiser PharmacyCroton On Hudson, New YorkContractorMost of the merchandising work performed for clients is set around a client’s window of time rather than specific hours, allowing you to set your own schedule. We have available part-time, on-going work servicing a wide-variety of clients/retailers for monthly visits.
Project Manager- Pharmacy Associate Oscar HealthProject Manager- Pharmacy AssociateNew York, NY$96,876–$127,149.75 / yearSupport a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses. You will report into the Director, Work Location: This position is based in our New York office, requiring a hybrid work schedule with 3 days of in-office work per week.
Clinical Pharmacy Manager; Medicine; Mount Sinai Hospital; Full Time Mount Sinai Health SystemClinical Pharmacy Manager; Medicine; Mount Sinai Hospital; Full TimeNew York, NY$159,000–$190,565 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Director of Operational Excellence, Pharmacy - Health System Operations- Full-Time-Days- Hybrid Mount Sinai Health SystemDirector of Operational Excellence, Pharmacy - Health System Operations- Full-Time-Days- HybridNew York, NY$140,000–$230,000 / yearUnder the direction of the office of the President and Chief Operating Officer and Operational Excellence & Business Innovation leadership, the Director of Operational Excellence works directly with Mount Sinai Health System Pharmacy leadership to develop and drive strategic operational priorities, alignment and integration across the multiple locations of care and ultimately improve the overall efficiency, quality, and performance of the service line. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Pharmacy Supply Chain Manager; Mount Sinai Health System; Full Time; Days Mount Sinai Health SystemPharmacy Supply Chain Manager; Mount Sinai Health System; Full Time; DaysNew York, NY$86,772–$130,159 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Pharmacy Manager CVS Health CorpPharmacy ManagerMonroe, NY$65–$85 / hourThis includes: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Personnel Management Inventory Management Financial Profitability Loss Prevention Workflow Management A key component of the Pharmacy Manager role is keeping your customers and patients healthy through adoption and management of patient care programs. Active Pharmacy License in the state in which you are employed Not on the DEA Excluded Parties List Immunization Certification through an accredited organization (i.e. APhA)Listed on the pharmacy state license as the Çÿpharmacist in charge'' Submission of required information/documents to your state PMP administrator to register for PMP access (in states with active PMP for pharmacist use).
Pharmacy Technician Specialist I - Medication History - Grafton Advocate Health and Hospitals CorporationPharmacy Technician Specialist I - Medication History - GraftonPort Washington, WashingtonHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Pharmacy Technician Specialist I - Medication History Advocate Health and Hospitals CorporationPharmacy Technician Specialist I - Medication HistoryPort Washington, Washington$24.10–$36.15 / hourHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Director, Pharmacy Product & Strategy - Hybrid/Remote EmblemHealth IncDirector, Pharmacy Product & Strategy - Hybrid/RemoteNew York, NYRemote$135,000–$253,800 / yearLead and Direct Pharmacy Account Management for the enterprise, including managing and leading Pharmacy Account Manager(s) and Clinical Pharmacy Account Manager(s) for both pharmacy direct clients as well as shared clients with Product and City Account Management Teams. Collaborate with and support cross-functional teams and internal customers, including Account Management, Product Leads, clinical, legal, and marketing, to ensure seamless product development, account management, and execution.
Director, Population Health Pharmacy; Full Time; Days Mount Sinai Health SystemDirector, Population Health Pharmacy; Full Time; DaysNew York, NY$140,000–$230,000 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.