Clinical Utilization Management Pharmacist Point32Health, Inc.Clinical Utilization Management PharmacistCanton, MA$110,680.66–$166,020.98 / yearPerforms case reviews in automated prior authorization (Auto PA) tools and guides the case through the entire process to either approval or denial to ensure all coverage determinations and notices are consistent with applicable regulatory and accreditation requirements and turnaround times. Communicate with UM staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage determinations within timelines developed by all accrediting and regulatory guidelines.
Senior Director, Rx Account Management Gainwell Technologies LLCSenior Director, Rx Account ManagementMARemote$143,600–$230,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The Senior Director will provide direction and oversight to account teams in managing contract deliverables, compliance requirements, clinical strategies, and cost management initiatives, while promoting best practices and operational consistency across markets.
Field Access Director, Rare Disease ImCheck Therapeutics SASField Access Director, Rare DiseaseProvidence, RI$165,000–$235,000 / yearEnsure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.
Clinical Pharmacist - Oncology Sterile Compounding RIH Rhode Island HospitalClinical Pharmacist - Oncology Sterile CompoundingRhode IslandPerforms sterile compounding and maintains compliance with regulatory boards and regulations related to compounding of sterile pharmaceuticals [i.e., Rhode Island Department of Health, Rhode Island Board of Pharmacy Rules and Regulations, United States Pharmacopoeia (USP) Chapter Pharmaceutical Compounding – Sterile Preparations, USP Hazardous Drugs, National Institute for Occupational Safety and Health (NIOSH), and The Joint Commission (TJC) Medication Management chapter]. Collaborates with and serves as a liaison and resource for members of the interdisciplinary team who manage care for oncology, hematology, and other patients at Rhode Island Hospital, Hasbro Children’s Hospital, and affiliate clinics (i.e. Brown University Health Cancer Institute (BUHCI), Tomorrow Fund Clinic and Brown University Health Infusion Centers).
Field Access Director, Rare Disease Ipsen SAField Access Director, Rare DiseaseProvidence, RI$165,000–$235,000 / yearEnsure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.
NewInfusion Pharmacist BrightSpring Health ServicesInfusion PharmacistRiverside, RI$65–$70 / hourThe home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. Assists the physician and other involved healthcare professionals with: Planning and implementing patient care in the home; Setting therapeutic objectives for drug therapy; Establishing parameters for monitoring the safety and efficacy of drug therapy; and.
NewInfusion Pharmacist / PRN BrightSpring Health ServicesInfusion Pharmacist / PRNRiverside, RI$65–$71 / hourThe home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. Assist the physician and other involved healthcare professionals with: Planning and implementing patient care in the home; Setting therapeutic objectives for drug therapy; Establishing parameters for monitoring the safety and efficacy of drug therapy; and.
Seasonal Immunizing Pharmacist Part Time CVS Health CorpSeasonal Immunizing Pharmacist Part TimeMA$60–$76 / hourIn addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. Motivate, inspire and develop your Pharmacy Support Staff by balancing assignments that maximize colleagues'' strengths, address development opportunities and decrease knowledge gaps.
District Support Pharmacist Full Time CVS Health CorpDistrict Support Pharmacist Full TimePlainfield, CT$60–$76 / hourIn addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. Workflow Management A key component of the Staff Pharmacist role is keeping your customers and patients healthy through adoption and management of patient care programs.
Staff Pharmacist Full Time CVS Health CorpStaff Pharmacist Full TimeMA$65–$81 / hourIn addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. Motivate, inspire and develop your Pharmacy Support Staff by balancing assignments that maximize colleagues' strengths, address development opportunities and decrease knowledge gaps.
Staff Pharmacist Part Time CVS Health CorpStaff Pharmacist Part TimeRhode Island, RIIn addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management, oversight and operation of all aspects within your pharmacy. Workflow Management A key component of the Staff Pharmacist role is keeping your customers and patients healthy through adoption and management of patient care programs.
Director, Drug Product Data & Industry Standards RELX Group plcDirector, Drug Product Data & Industry StandardsMassachusetts, MA$115,400–$192,300 / yearIf performed in Maryland, the base pay range is $121,200 - $201,900.If performed in New York, the base pay range is $126,900 - $211,500.If performed in New York City, the base pay range is $138,400 - $230,700.If performed in Rochester, NY, the base pay range is $115,400 - $192,300. You are the senior subject matter expert responsible for setting the strategic direction of drug product data content and ensuring the organization remains ahead of evolving industry trends, regulatory changes, and customer needs.
Regional Field Director, Therapy Access United TherapeuticsRegional Field Director, Therapy AccessMassachusettsBachelor’s Degree in a relevant discipline, preferably sciences, business, pharmacy, or healthcare with 12+ years of overall pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy (if applicable), managed care, sales/marketing or related field or, Master’s Degree in a relevant discipline, preferably sciences, business, pharmacy, or healthcare with 10+ years of overall pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy (if applicable), managed care, sales/marketing or related field. 5+ years of experience in claims reimbursement including: Coverage, coding, billing and payment; Working with medical policy, managed care coverage processes and practices; Deep knowledge and working experience with both public and private payers; Working with Healthcare Practitioners and ancillary staff in a reimbursement role; Knowledge of HUB services to include: financial affordability programs, coordination and communication amongst support coordinators and the TAMs, providing field input for process improvement.
NewPharmacist BrightSpring Health ServicesPharmacistWarwick, RI$124,800–$128,960 / yearPharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)MassachusettsRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior managed care or utilization management experience preferred — retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.
Family Medicine - Southeastern Massachusetts Brown University HealthFamily Medicine - Southeastern MassachusettsTaunton, MAIt welcomes nominations of and applications from women, members of minority groups, protected veterans and individuals with disabilities, and other individuals who would bring additional dimensions to the university's research, teaching and clinical missions. We invite you to join our collaborative culture and team-based work model which reflects the communities we serve, allows for the delivery of high-quality care, and leaves our physicians feeling fulfilled.
Remote Prior Authorization Pharmacist Pharmacy CareersRemote Prior Authorization PharmacistRhode IslandRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital pharmacists with strong clinical judgment are encouraged to apply. A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies.
Home Health Physical Therapist Assistant PRN CenterWellHome Health Physical Therapist Assistant PRNAttleboro, MassachusettsOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Pharmacist - Registered Costco Wholesale CorpPharmacist - Registeredsharon, MAMay be required to act as Pharmacist-in-Charge during part of shift, when Pharmacy Manager is not present: Acts as point of contact for regulatory, legal, third party insurance companies, and audit situations; monitors pharmacy to ensure complete legal compliance; supervises Pharmacy Technicians and Assistants. The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist.
Assistant Restaurant Leader Raising Cane's USA LLCAssistant Restaurant LeaderRI$68,000–$75,000 / yearIt also includes both inside and outside work in varied temperatures, working with and around food products, common allergens, industrial equipment, commercial cleaning products that require the use of personal protective equipment and physical activities necessary to complete the responsibilities of the job. The physical work environment includes working in a fast-paced kitchen environment (which requires extended periods of physical exertion, such as walking, standing, lifting and bending) and interacting with customers.