8 clerical jobs found

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Clinical Client Partner serves as a pharmacy subject-matter expert who supports the Client Success team by providing clinical insights, strategic recommendations, and formulary expertise for assigned client portfolios. While this role is not the primary relationship owner, it partners closely with Client Success Partners (CSPs), who lead the client relationship, to strengthen the clinical depth and value of client engagements....

Grow With Us!  At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated and ambitious ­­­­­Population Health & Wellness Practice Nurse to join our team. This position will report to our agency located in Cranston, RI. The ideal candidate will be motivated to succeed, is well organized, able to prioritize, and able to work well with a team. This is a remote position.   Responsibilities: Review of a variety of health plan data and the ability to develop clinical findings and projections of future spend. Use of clinical knowledge to work with health insurance carriers to ensure appropriate clinical care coordination. Work with employer to develop an appropriate a health risk management plan. Work closely with our Account Management Team to develop a cohesive plan to control costs within...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Director of Utilization Management (UM) is a senior clinical and operational leader responsible for strategy, design, execution, and continuous improvement of Prior Authorization and utilization management programs. This role owns UM outcomes across clinical quality, regulatory compliance, operational performance, financial impact, and client experience. The Director will build and lead a high-performing UM organization,...

AffirmedRx  is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to  access  and always in the best interest of employers and the lives they  impact . We  accomplish  this by bringing total clarity to business practices,  leading with  clinical approaches, and  utilizing   state-of-the-art  technology.   Join us in improving health care outcomes for all!   We promise to do what’s right, always.   Position Summary:   The Manager, Product Strategy & Delivery serves as the end-to-end Product Owner for clinical and pharmacy programs, accountable for product vision, roadmap, integration, and execution across the organization. This role combines strategic product leadership with disciplined program and project management to ensure solutions are market-relevant, scalable, and operationally sound....

AffirmedRx  is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to  access  and always in the best interest of employers and the lives they  impact . We  accomplish  this by bringing total clarity to business practices,  leading with  clinical approaches, and  utilizing   state-of-the-art  technology.   Join us in improving health care outcomes for all!   We promise to do what’s right, always.   Position Summary:   The Director, Product Strategy & Delivery serves as the end-to-end Product Owner for clinical and pharmacy programs, accountable for product vision, roadmap, integration, and execution across the organization. This role combines strategic product leadership with disciplined program and project management to ensure solutions are market-relevant, scalable, and operationally sound....

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Accounting/Finance Intern will be a highly motivated individual who will get hands on experience in financial analysis, accounting operations, and business decision-making while working closely with the finance team to support daily operations, financial reporting, and process improvements. This internship is an excellent opportunity for a student or recent graduate to gain practical, real-world experience in corporate finance...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Huron, South Dakota or surrounding.   Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, the insurance adjuster, medical providers, members of our team, and others.  This is a local position that requires travel and is responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others....