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Pharmacy Specialist Metropolitan Jewish Health System The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
The Pharmacy Specialist will perform duties to support the efforts of Elderplan Pharmacy Department in the development, coordination, and maintenance of the plan's pharmacy program. These duties involve administrative tasks and outreach calls to members, providers, and pharmacies as directed by the supervisor. Reviews and identifies opportunities for FWA (fraud, waste, and abuse) control through a review of high-cost drug claims as directed by pharmacists. All outreach activities, documents and reporting requirements are prepared and conducted in a professional and well-coordinated manner to comply with all Part D regulations and guidance.
Bachelor's degree required 1-2 years experience of general office or administrative, pharmacy and/or pharmaceutical managed care or insurance environment 1-3 years of experience in analyzing pharmacy claims data to identify trends and summarize outcomes, Knowledge of Part D regulations, PBM and Star Quality measures for Medicare is strongly preferred. Strong interpersonal and organizational skills Bilingual English/Spanish a plus Excellent written and verbal communication skills Proficiency Excel, Word, Visio required Experience in Medicare, Medicaid and/or Pharmacy retail strongly preferred New York, NY, US, 10261Posted a minute ago Department Supervisor. H&M Overall Job Summary : The Department Supervisor is responsible for supporting the Sales and Profit goals in the store by executing a plan to deliver the Best Customer Experience in the department and overall store. The Department Supervisor will work in accordance with legal requirements and H&M standards, policies, and procedures to meet the expectations of customers and colleagues. Brooklyn, NY, US, 11210Posted a minute ago Special Education Teacher - The Kohler Academy. Bancroft For over 50 years, Kohler Academy, A Bancroft School has excelled at providing a high quality education and excellent therapeutic services to exceptional students with very special needs in a safe and nurturing environment. The Kohler Academy team, our students and their families make up our community of learners whose priority and focus is helping each student reach their full potential as they ultimately transition to life beyond high school. Mountainside, NJ, US, 07092Posted a minute ago Registered Nurse- Med-Surge - OBMC- F/T Nights. Hackensack Meridian Health Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Old Bridge, NJ, US, 08857Posted 4 minutes ago Physician-Cardiology Bethpage Long Island. EmblemHealth We are seeking a non-invasive Cardiology trained physician to join us in pursuit of high quality patient care to provide Cardiology services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. Bethpage, NY, US, 11714Posted 4 minutes ago Patient Care Associate - Mother Baby - P/T with Benefits Nights (11pm-7:30am)Hackensack Meridian Health Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another tosucceed. With a culture rooted in connection and collaboration, our employees areteam members. Here, competitive benefits are just the beginning. It's also about howwe support one another and how we show up for our community. Together, we keepgetting better - advancing our mission to transform healthcare and serve as a leader ofpositive change. Hackensack, NJ, US, 07601Posted 4 minutes ago Registered Nurse- Emergency Department- OBMC- Per Diem Days. Hackensack Meridian Health Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Old Bridge, NJ, US, 08857Posted 4 minutes ago H&M Sales Associate. H&M At H&M, as a Retail Sales Associate you will be advising our customers and keeping them in style! A Retail Sales Associate, or Sales Advisor, as referred to internally, is responsible for delivering the Best Customer Experience that contributes to the store's sales and profit. As a Retail Sales Associate, you will always put customers first, offer assistance, and share your Product and Fashion knowledge. You will create an environment that is easy for our customers to shop through Store Operations and Great Garment Care. By sharing knowledge and skills with colleagues, you will actively contribute to creating a Best Team to meet our customers' expectations. This role will work in accordance with H&M standards, policies, procedures, and legal requirements. Paramus, NJ, US, 07653Posted 4 minutes ago H&M Retail Sales Associate. H&M At H&M, as a Retail Sales Associate you will be advising our customers and keeping them in style! A Retail Sales Associate, or Sales Advisor, as referred to internally, is responsible for delivering the Best Customer Experience that contributes to the store's sales and profit. As a Retail Sales Associate, you will always put customers first, offer assistance, and share your Product and Fashion knowledge. You will create an environment that is easy for our customers to shop through Store Operations and Great Garment Care. By sharing knowledge and skills with colleagues, you will actively contribute to creating a Best Team to meet our customers' expectations. This role will work in accordance with H&M standards, policies, procedures, and legal requirements. Lawrence Township, NJ, USPosted 4 minutes ago Administrator. Metropolitan Jewish Health System As an affiliated agency of the MJHS Health System, Isabella and MJHS share rich histories and a common mission, values and commitment to caring for diverse populations when they are most vulnerable. As the Administrator you will be tasked to plan and direct operations of the nursing home based on policies established by (in collaboration with) the Executive team and/or governing board and within the scope of Federal and DOH regulations. New York, NY, US, 10261Posted 4 minutes ago Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
The Pharmacy Specialist will perform duties to support the efforts of Elderplan Pharmacy Department in the development, coordination, and maintenance of the plan's pharmacy program. These duties involve administrative tasks and outreach calls to members, providers, and pharmacies as directed by the supervisor. Reviews and identifies opportunities for FWA (fraud, waste, and abuse) control through a review of high-cost drug claims as directed by pharmacists. All outreach activities, documents and reporting requirements are prepared and conducted in a professional and well-coordinated manner to comply with all Part D regulations and guidance.
Bachelor's degree required 1-2 years experience of general office or administrative, pharmacy and/or pharmaceutical managed care or insurance environment 1-3 years of experience in analyzing pharmacy claims data to identify trends and summarize outcomes, Knowledge of Part D regulations, PBM and Star Quality measures for Medicare is strongly preferred. Strong interpersonal and organizational skills Bilingual English/Spanish a plus Excellent written and verbal communication skills Proficiency Excel, Word, Visio required Experience in Medicare, Medicaid and/or Pharmacy retail strongly preferred View more..