3 director of pharmacy services jobs found in Lawrenceville

The Vice President, Liability Operational Strategy is empowered to enhance CorVel’s market presence in the administration of liability claims and the overall strategic goals and vision of the company. This role requires a high level of industry knowledge and relationships with insurance carriers, brokers, loss-sensitive insureds and self-insured entities.  Reporting to the Chief Claims Officer, this position will closely collaborate with Product, Operational, and Sales leadership to ensure a cohesive vision and experience is delivered to CorVel customers. This role will have direct oversight and responsibility for the operational needs, staffing and P&L performance of CorVel’s Liability Claim Hubs along with identifying, facilitating and participating in essential strategic projects in support of CorVel’s liability offerings and directly participating in sales presentations/RFP responses and the development of opportunities to support the company’s overall growth.  This is a...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote role. Must be a registered nurse. Must have national certification – CCM, COHN, CRRN, CDMS. Bilingual a plus ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers,...

The Claims Supervisor-Strategic is responsible for supervising a direct reports team of Senior Claim Specialists - Strategic, or assisting with the supervision of field claims specialists (indirect) as the need arises. The primary responsibility of this position is to ensure all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. In this role, the supervisor will be a part of the corporate claims team and made available for special projects and assignments to support the field claims organization. Engagement with a field operation and their claims will usually last no more than 10 weeks at which time the role will be reassigned to a new strategic project. This is a hybrid role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises...