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.
Business Analyst With Pharmacy Benefit Management - Remote The Dignify Solutions, LLCBusiness Analyst With Pharmacy Benefit Management - RemoteEdison, NJRemoteCandidate should have deep understanding of First Data Bank (FDB) Drug nomenclature and how to use FDB nomenclature in designing / configuring drug coverage (inclusions/exclusions/PA Criteria) or building Formulary / Preferred Drug Lists. Willing to consider less experienced candidates who can demonstrate depth in understanding PBM area.
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.
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.
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.
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.
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.
NewProject Manager- Pharmacy Associate Oscar Health IncProject Manager- Pharmacy AssociateNew York, NYRemote$87,188–$114,434 / 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. Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories.
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 Vendor Coordinator Wisconsin Physicians Service Insurance CorpPharmacy Vendor CoordinatorNJRemoteIf you enjoy the following: Serve as the primary subject‑matter expert for internal teams on pharmacy benefits and system capabilities, exercising independent judgment to guide internal teams and resolve highly complex or escalated customer issues. We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.
NewPharmacy Clerk Allmed Staffing IncPharmacy ClerkLong Island City, NYThe Fulfillment Technician supports daily specialty pharmacy operations with a primary focus on accurately and efficiently packing specialty medication orders. The position requires accuracy, organization, teamwork, and the ability to manage multiple responsibilities throughout the workday.
Pharmacy Manager (PIC) - Premium Health VytlOnePharmacy Manager (PIC) - Premium HealthBrooklyn, New York$165,000–$170,000 / yearOverview: VytlOne (formerly known as Maxor National Pharmacy Services) is seeking a highly competent, compassionate Pharmacist In Charge (PIC) for our pharmacy located at the Premium Health Center in Brooklyn, NY This is an excellent opportunity for an experienced PIC with leadership experience, to join an outstanding team of dedicated professionals, while managing a pharmacy and support staff. Premium Health is committed to providing compassionate, culturally competent, comprehensive health care, as well as behavioral health services to everyone in the community in need, regardless of ability to pay.
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.
NewProject Manager- Pharmacy Associate Oscar HealthProject Manager- Pharmacy AssociateNew York, New York$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.
NewTravel Pharmacy Tech - $958 to $1,008 per week in Brooklyn, NY Specialty Professional ServicesTravel Pharmacy Tech - $958 to $1,008 per week in Brooklyn, NYBrooklyn, NY$957.60–$1,008Gross Pay Range > 1008.00 South or North of this range depending on your location from the Facility. Our Client is currently seeking Pharmacy Tech for positions in Brooklyn, NY for a 8 Hrs shift.
Travel Pharmacy Tech - $979 per week in Morristown, NJ Lancesoft Inc.Travel Pharmacy Tech - $979 per week in Morristown, NJMorristown, NJ$979We are currently seeking qualified candidates for Pharmacy Tech . $500 Referral Bonus .
Travel Pharmacy Tech - $979 per week in Brooklyn, NY Lancesoft Inc.Travel Pharmacy Tech - $979 per week in Brooklyn, NYBrooklyn, NY$979We are currently seeking qualified candidates for Pharmacy Tech . $500 Referral Bonus .
Travel Pharmacy Tech - $184 to $193 per week in Morristown, NJ Specialty Professional ServicesTravel Pharmacy Tech - $184 to $193 per week in Morristown, NJMorristown, NJ$183.61–$193.27Gross Pay Range > 193.27 South or North of this range depending on your location from the Facility. Our Client is currently seeking Pharmacy Tech for positions in Morristown, NJ for a 10 Hrs shift.
Travel Pharmacy Tech - $958 to $1,008 per week in Morristown, NJ Specialty Professional ServicesTravel Pharmacy Tech - $958 to $1,008 per week in Morristown, NJMorristown, NJ$957.60–$1,008Gross Pay Range > 1008.00 South or North of this range depending on your location from the Facility. Our Client is currently seeking Pharmacy Tech for positions in Morristown, NJ for a 8 Hrs shift.
Clinical Pharmacy Manager; Ambulatory Care; Full Time; Days Mount Sinai Health SystemClinical Pharmacy Manager; Ambulatory Care; Full Time; DaysNew 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.