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director of pharmacy services

105 director of pharmacy services jobs found

10/28/2025  
Director of Pharmacy Services
Cottingham & Butler is seeking a Director of Pharmacy Services to lead the continued growth and integration of pharmacy expertise within our Employee Benefits practice. This role represents a strategic investment in expanding our clinical capabilities, advancing our analytical and consulting platforms, and driving innovative strategies that improve affordability, outcomes, and value for our clients. The Director of Pharmacy Services will bring a blend of clinical insight, business acumen, and leadership to evolve how we approach pharmacy management in the employer market. This position will oversee our pharmacy consulting direction across the brokerage while also assisting wholesale channels, working closely with analysts, consultants, and leadership teams to deliver best-in-class pharmacy strategy and results. Key Responsibilities Lead Pharmacy Strategy: Direct the vision, structure, and execution of our pharmacy consulting initiatives, ensuring alignment with...
Cottingham & Butler Des Moines, IA, USA
10/28/2025  
Director of Pharmacy Services
Cottingham & Butler is seeking a Director of Pharmacy Services to lead the continued growth and integration of pharmacy expertise within our Employee Benefits practice. This role represents a strategic investment in expanding our clinical capabilities, advancing our analytical and consulting platforms, and driving innovative strategies that improve affordability, outcomes, and value for our clients. The Director of Pharmacy Services will bring a blend of clinical insight, business acumen, and leadership to evolve how we approach pharmacy management in the employer market. This position will oversee our pharmacy consulting direction across the brokerage while also assisting wholesale channels, working closely with analysts, consultants, and leadership teams to deliver best-in-class pharmacy strategy and results. Key Responsibilities Lead Pharmacy Strategy: Direct the vision, structure, and execution of our pharmacy consulting initiatives, ensuring alignment with...
Cottingham & Butler Dubuque, IA, USA
10/28/2025  
Director of Pharmacy Services
Cottingham & Butler is seeking a Director of Pharmacy Services to lead the continued growth and integration of pharmacy expertise within our Employee Benefits practice. This role represents a strategic investment in expanding our clinical capabilities, advancing our analytical and consulting platforms, and driving innovative strategies that improve affordability, outcomes, and value for our clients. The Director of Pharmacy Services will bring a blend of clinical insight, business acumen, and leadership to evolve how we approach pharmacy management in the employer market. This position will oversee our pharmacy consulting direction across the brokerage while also assisting wholesale channels, working closely with analysts, consultants, and leadership teams to deliver best-in-class pharmacy strategy and results. Key Responsibilities Lead Pharmacy Strategy: Direct the vision, structure, and execution of our pharmacy consulting initiatives, ensuring alignment with...
Cottingham & Butler Madison, WI, USA
12/09/2025  
Sr. Director of Client Engagement
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. We are seeking a Sr. Director of Client Engagement to join our growing team in Southborough, MA The Senior Director of Client Engagement will provide expert consulting services across all aspects of pharmacy benefits for our National Pharmacy Team. This role will be dedicated to Brown & Brown’s Southborough, MA office supporting large-market employer clients. This client-facing role serves as a key liaison between clients and internal teams, driving both tactical execution and strategic innovation. Responsibilities include leading strategic discussions, managing pharmacy programs, supporting vendor evaluations, and delivering clinical and financial strategies.  How You Will Contribute Support development of client presentations and strategic recommendations.  Analyze pharmacy benefit utilization and trends using...
Brown & Brown Southborough, MA, USA Full Time
11/19/2025  
Director, Health & Benefits
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Director, Health & Benefits to join our growing team in San Diego, CA!         As a Director, Health & Benefits, you will serve as a strategic advisor and trusted partner to our largest and most complex clients. You will lead multidimensional consulting engagements, driving strategy across the full spectrum of health and welfare programs. This role demands sophisticated client relationship management, team leadership, and business development expertise . Directors play a key role in growing client accounts, mentoring rising talent, and advancing innovative benefits strategies that align with each client’s unique culture and business goals.       How You Will Contribute:       Serve as the senior relationship lead for a...
Brown & Brown San Diego, CA, USA Full Time
11/07/2025  
Telephonic Nurse Case Manager - California RN Required
Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE:  To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination. Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate...
AmTrust Financial Scottsdale, AZ, USA Full Time
09/22/2025  
Sr. Director, Product Development & Management
The Senior Director of Product Development & Management is responsible for leading the strategy, execution, and lifecycle management of cross-functional products in medical cost containment. This role ensures alignment with CERIS’ annual strategic objectives while addressing evolving industry needs. The Senior Director serves as a subject matter expert within their vertical segments, possessing relational, tactical and technical expertise in payment integrity across the industry. The leader in this role is accountable for driving product growth, with a focus on enhancing revenue generation and elevating client satisfaction. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Develop next generation services supporting strategic initiatives with prepayment and post payment solutions Grow product relationships throughout CERIS/CorVel, including but not limited to, corporate marketing, IT, regional offices, external clients, and all AE and AM staff...
CorVel Fort Worth, TX, USA Full Time
04/26/2025  
Clinical Consultant, Workers' Health
Company: Marsh McLennan Agency Description: Workers’ Health Clinical Consultant Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. More than 11,000 of the industry’s brightest talents drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Workers’ Health Clinical Consultant at Marsh McLennan Agency (MMA). MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With more than 200 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world’s leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. As our Workers' Health Clinical Consultant , on...
MarshMcLennan Sandy Springs, GA, USA Full Time
11/17/2025  
Intern, Engagement Center Featured
This intern role will work a hybrid schedule in our Charleston, West Virginia office and report to the Manager, Engagement Center. Pay = $18 per hour Encova Insurance has again been recognized as a RISE Elite Top 50 internship program, making this our sixth year in a row! Rising Insurance Star Executives (RISE) is the voice of young professionals who are looking for ways to share their innovative ideas and spread a new message about who the insurance industry is. As an intern at Encova Insurance you will be part of a dynamic, results-driven team and learn to manage real world situations alongside Encova associates. Our successful internship program attracts students from across our region and our diverse opportunities ensure that our interns are provided with a wide range of learning possibilities! Are you a Referral? If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information...
Encova Insurance Charleston, WV, USA Full Time
12/12/2025  
Enterprise Architect
As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people . At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world.  Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an...
Sompo International Conshohocken, PA, USA Full Time
12/12/2025  
Professional Review Specialist I
The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications Technical...
CorVel Folsom, CA, USA Full Time
12/12/2025  
Professional Review Specialist I
The Professional Review Analyst provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This is a remote role. Candidate must be fully bilingual in English and Spanish. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Requires regular and consistent attendance Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and...
CorVel Lake Mary, FL, USA Full Time
12/11/2025  
Certified Medical Coder (Professional Review Specialist I)
The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications Technical...
CorVel Syracuse, NY, USA Full Time
12/11/2025  
Telephonic Case Manager I - RN
The Telephonic Case Manager RN 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. Telephonic Case Manager RN 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 position. All candidates must have RN license. Obtaining a MN, WI, SD, and/or IA RN license may be required (if required, this cost is covered by CorVel). ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the...
CorVel Minneapolis, MN, USA Full Time
12/10/2025  
IME Coordinator II
The IME Scheduling Coordinator is responsible for scheduling and coordinating appointments with clients, IME providers/physicians and patients. This position ensures client-specific requirements for provider specialty and location are met and that all ancillary services are coordinated. This is an onsite position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Schedules and confirms appointment dates and times with physicians' offices Communicates with clients/customers regarding appointment scheduling, physician CV's, appointment changes, missed appointments/cancellations, and receipt of medical records and/or images Prepares and sends exam notification letters daily Coordinates with the client to obtain required medical records prior to examination Timely chart preparation by ensuring all records required are included, creates a cover letter detailing specific client questions, issues, and service requests and routes to the provider and/or to the exam location...
CorVel Burlington, WA, USA Full Time
12/09/2025  
Underwriter Trainee, Middle Market (Scottsdale, AZ)
As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people . At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world.  Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Sompo has a unique opportunity for a 2026 Sompo Underwriting Trainee for our Middle Market...
Sompo International Scottsdale, AZ, USA Full Time
12/09/2025  
New England States Claims Supervisor
The New England Supervisor is responsible for supervising a team of direct reports, ensuring 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. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional guidance to claims...
CorVel Syracuse, NY, USA Full Time
12/08/2025  
Case Management Supervisor RN
The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Responsible for quality of service provided Responsible for human resources matters directly related to department supervised May be required to travel overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be responsible for limited marketing and sales activities May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) For Supervisors who are not RN’s, the clinical oversight and direction will be performed by a designated RN with a nationally...
CorVel Minneapolis, MN, USA Full Time
12/07/2025  
Strategic Client Executive, Rx Solutions
Company: Marsh McLennan Agency Description: Strategic Client Executive, Rx Solutions Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. The industry’s brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Strategic Client Executive, Rx Solutions at MMA. Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world’s leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. As our Strategic Client Executive on the Rx Solutions team,...
MarshMcLennan Raleigh, NC, USA Full Time
12/07/2025  
Health Information Associate
Company: Marsh McLennan Agency Description: Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. More than 11,000 of the industry’s brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Health Information Associate at Marsh McLennan Agency (MMA). MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With 200 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world’s leading professional services firm, Marsh McLennan (NYSE: MMC). Applicants must be within driving distance to a MMA SE Office to be considered for this role and have the ability to commute to...
MarshMcLennan Atlanta, GA, USA Full Time