Assistant ICU Director Near Birmingham, AL TeamHealthAssistant ICU Director Near Birmingham, ALAlabaster, ALFull timeThe AMD will split responsibilities between direct patient care and administrative/leadership functions, serving as a key liaison between clinicians, hospital leadership, and multidisciplinary teams. In partnership with the ICU medical director, this role supports the delivery of high-quality, patient-centered care while advancing clinical excellence, physician engagement, and operational efficiency across the ICU.
Director of Pharmacy Services Baptist HealthDirector of Pharmacy ServicesALABASTER, AlabamaFull timeLocated in the heart of Alabaster- one of Alabama’s fastest growing and most desirable places to live- we serve over 30,000 emergency visitors annually and offer a wide range of advanced clinical services, including cardiology, cardiovascular surgery, orthopedics, urology, robotics surgery, and more. Recognized for excellence with accolades like ACC Cath Lab Accreditation, Transcatheter Valve certification, and Primary Stoke Center Designation, we’re committed to growth, innovation, and community well-being.
Assistant Director of Pharmacy Operations NAPHCARE, INC.Assistant Director of Pharmacy OperationsBirmingham, ALProvide leadership and oversight for pharmacy operations, including dispensing services, inventory management, controlled substance programs, and operational support functions. Direct and support operational leaders responsible for dispensing workflow, inventory and logistics, and controlled substance management to ensure safe, efficient, and compliant pharmacy operations.
Pharmacy Director Encompass Health CorpPharmacy DirectorHuntsville, ALDemonstrate and maintain competence in clinical health system pharmacy practices, including antimicrobial stewardship, non-sterile and sterile drug preparation, controlled substances, hospital pharmacy accreditation, anticoagulation drug therapy management, and medication safety. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Pharmacy Director MIMC Infirmary HealthPharmacy Director MIMCMobile, AlabamaLicensed and in good standing with the Alabama State Board of Pharmacy OR license eligible (Permanent license will be required within six months of entry into the job). B.S. or Pharm D. degree from an ACPE accredited school of Pharmacy.
Development Officer - Harrison College of Pharmacy Auburn UniversityDevelopment Officer - Harrison College of PharmacyAuburn University, AL$61,000–$110,290 / yearFull timeThe nature of this role is highly externally focused, requiring frequent travel and meetings on and off campus during regular and non-traditional business hours, and is therefore expected to operate with high-levels of autonomy. Why Work at Auburn: Life-Changing Impact: Our work changes lives through research, instruction, and outreach, making a lasting impact on our students, our communities, and the world.
Faculty/Associate Director of Clinical Education (College of Health Sciences - Physician Assistant Program) Faulkner UniversityFaculty/Associate Director of Clinical Education (College of Health Sciences - Physician Assistant Program)Montgomery, ALCandidate will be responsible for coordinating and managing the student clinical experience, including clinical rotation scheduling, student communication and support, progression monitoring, onboarding, and collaboration with clinical course directors and clinical education staff. Faulkner University's College of Health Sciences is seeking a qualified individual who desires to educate health care professionals in a Christ-centered environment to serve as Associate Director of Clinical Education for the Physician Assistant Studies program.
Pharmacy Director MIMC Infirmary Health System IncPharmacy Director MIMCMobile, ALLicensure/Certification/Registration: Licensed and in good standing with the Alabama State Board of Pharmacy OR license eligible (Permanent license will be required within six months of entry into the job). Minimum Qualifications: B.S. or Pharm D. degree from an ACPE accredited school of Pharmacy.
DON - Director of Nursing Therapy Management CorpDON - Director of NursingALPromotes and maintains a positive working relationship with physicians, physician extenders, and providers of lab, pharmacy, and therapy services to ensure safe care of patients. This individual will lead, guide, and manage a team of licensed nurses and certified nursing assistants to ensure that nursing services are provided to patients in a competent professional and compassionate manner.
Director of Jail Operations NAPHCARE, INC.Director of Jail OperationsBirmingham, ALNaphCare partners with correctional facilities across the nation to provide proactive, patient-focused high-quality healthcare with our teams of physicians, nurse practitioners, nurses, and support staff. Main responsibilities will include: NaphCare Benefits: Employees enrolled in our health insurance program receive prescriptions free of charge when filled at our in-house pharmacy or mail order program.
Director of Nursing AL Morning Pointe Senior LivingDirector of Nursing ALALOur most successful Directors are people who:\n\n Find opportunities for our residents and associates to "Experience Something Better"\n Approach challenging situations with patience, pleasantness, and grace\n Treat co-workers and residents with a genuine sense of kindness and care\n Present yourself in a professional manner with a great attitude\n Understand that honesty and ethics are an essential part of your success\n Enjoy your work and understand your efforts have true purpose\n \nPosition Summary:\n \nAs the Director of Nursing, you will be responsible for overseeing care to residents through a consistent care delivery model. Assisted Living, Personal Care, and Alzheimer's services are delivered in a caring, secure environment that promotes hospitality and dignity while maintaining an independent quality of life.
REMOTE - Vice President Medical Director of Clinical Programs Martin's Point Health Care LLCREMOTE - Vice President Medical Director of Clinical ProgramsALRemoteHMO/Managed Care experience, including Utilization and/or Quality Program management and exposure to peer review, case management, population health, appeals, chronic and complex disease management, HEDIS reporting, and provider relations. In collaboration with the MPHC Chief Medical Officer (CMO), advocates with government/state regulatory entities, professional and medical society chapters, federal regulators/contactors, and as part of external communications and media relations to advance HP's clinical value story, evidence-based medical policies, and member health.
Director of Nursing Services Therapy Management CorpDirector of Nursing ServicesTuskegee, ALPromotes and maintains a positive working relationship with physicians/physician extenders and providers of lab, pharmacy, and therapy services to ensure safe care of patients. Recommends to the administrator resources needed to carry out nursing activities, including but not limited to clinical equipment and supplies and the number and level of nursing personnel to be employed.
RN Hospice Director Alabama Hospice Care of East Alabama UnitedHealth Group IncRN Hospice Director Alabama Hospice Care of East AlabamaALThis includes coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company oversight of the eligibility of patients referred to home care services planning for the services to be provided to patients and supervising their total home health care implementing and maintaining administrative practices agency philosophy goals and policies which assure compliance with applicable state and federal regulations enhancing the profitability of the agency and providing motivation and retention of a qualified staff and assure the quality of services delivered. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Director of Commercial Operations - Immunology - Central Region Merck & Co IncDirector of Commercial Operations - Immunology - Central RegionBirmingham, AL$231,900–$365,000 / yearRequired Skills: Clinical Immunology, Clinical Immunology, Customer Engagement, Customer Portfolio, Customer Relationship Building, Immunoassays, Immunology, Immunotherapy, Inbound Phone Sales, Inflammatory Bowel Diseases, Managed Care Marketing, Managerial Courage, New Product Launch Strategies, People Leadership, Pharmaceutical Sales, Regulatory Compliance, Regulatory Requirements, Relationship Building, Resource Allocation, Sales Forecasting, Sales Goal Achievement, Sales Pipeline Management, Sales Reporting, Sales Strategy Development, Strategic Planning {+ 2 more}. Join our Immunology Sales team and help us deliver clinical product information, educational materials, and clinical training programs to healthcare providers and systems, ultimately achieving better patient outcomes in their communities.
NewPharmacy Order Entry Technician SeniorCareRxPharmacy Order Entry TechnicianNorthport, ALTo enter new/refill prescription and ancillary nursing care orders accurately and timely within the parameters established by Senior Care Pharmacy guidelines, state and federal regulations, and per customer requirements. Performs and/or oversees the completion of all routine and tasks, including but not limited to: Perform order entry for new/refill medications into pharmacy dispensing system.
Pharmacy Dispensing Technician SeniorCareRxPharmacy Dispensing TechnicianNorthport, ALPerforms and/or oversees the completion of all routine and tasks, including but not limited to: Assists with drug preparation, including but not limited to: packaging of single dose medications, pouring liquids, filling creams, ointments, and /or powders, and preparing injectables. Safety and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.
Pharmacy Technician (PRN) ALABAMA REGIONAL MEDICAL SERVICESPharmacy Technician (PRN)Birmingham, ALWe are currently seeking a reliable and experienced Pharmacy Technician (PRN) to join our PRN pool to support the daily operations of our pharmacies. The Pharmacy Technician (PRN) is responsible for assisting the Pharmacist with day-to-day operations in accordance with ARMS policy and Alabama State laws.
Pharmacy Manager Cardinal Health IncPharmacy ManagerHuntsville, AL$121,600–$191,070 / yearPharmacy Operations is responsible for the safe, efficient and effective coordination of Cardinal Health's pharmacy operations that service acute care hospitals, hospital retail customers, ambulatory care and alternate site facilities, oncology and cardiology practices as well as retail customers. Nuclear Pharmacy is responsible for providing radiopharmaceuticals and other drugs to medical care providers under highly regulated State and Federal guidelines; may also consult with or advise physicians and nuclear medicine technologists on the safe and efficacious use of radioactive drugs for diagnosis and therapy.
Pharmacy Technician - PRN HMR Veterans ServicesPharmacy Technician - PRNAlexander City, AlabamaJob requires regular sitting, standing, walking, stooping, bending, kneeling, crouching, reaching, pushing, pulling, twisting, writing, and carrying charts, food, trays, etc. While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel; implements or office equipment; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear.
Veterinary Medical Director Global Talent PartnersVeterinary Medical DirectorFlorence, AL$140,000–$170,000 / yearWith facilities like an in-house laboratory and full-service capabilities, including wellness exams, surgical services, and an array of diagnostic equipment such as MRI machines and CT scanners, the hospital is adept at ensuring prompt and effective treatment. East Florence, AL, US, is a favorable destination for professionals and families alike, offering: - Affordability with a range of housing options, making it ideal for buying or investing.
Neurology Account Director - Southeast Regeneron Pharmaceuticals IncNeurology Account Director - SoutheastAL$183,100–$305,200 / yearBuild our future together: The Neurology Account Director (NAD) is a field-based institutional key account role responsible for driving the launch and ongoing commercial performance of Regeneron's C5 inhibitor for generalized myasthenia gravis (gMG) within approximately 10 - 12 assigned academic medical centers (AMCs) infusion centers, and neuromuscular specialty centers. The account director serves as a Regeneron commercial point of contact within targeted institutions, responsible for formulary access, infusion suite education and pull-through, and long-term institutional partnership development.
Assistant ICU Director Near Birmingham, AL Team Health Holdings IncAssistant ICU Director Near Birmingham, ALAlabaster, ALIn partnership with the ICU medical director, this role supports the delivery of high-quality, patient-centered care while advancing clinical excellence, physician engagement, and operational efficiency across the ICU. The AMD will split responsibilities between direct patient care and administrative/leadership functions, serving as a key liaison between clinicians, hospital leadership, and multidisciplinary teams.
Product Strategist, Principal - ASO Pharmacy Buy Ups Blue Cross and Blue Shield AssociationProduct Strategist, Principal - ASO Pharmacy Buy UpsBirmingham, ALThe Pharmacy Product Strategist, Principal will work cross-departmentally with Sales, Underwriting/Actuarial, Clinical Pharmacy, and Operations to ensure programs align with the enterprise strategic vision, Line of Business goals, and meet the needs of our clients and members. The Pharmacy Product Strategist, Principal, reporting to the Director Self-Funded & Buy-Ups, is responsible for creating, scaling, and optimizing pharmacy products that drive incremental revenue, employer growth, and pharmacy penetration in the self-funded employer market.
NewNational Account Director - Southeast / South Central Melinta Therapeutics LLCNational Account Director - Southeast / South CentralBirmingham, ALThe ideal candidate possesses deep expertise in Pre-Approval Information Exchange (PIE), budget impact and pro forma modeling, reimbursement strategy, healthcare economics, revenue cycle operations, HUB services, and institutional account management. POSITION: The National Account Director (NAD) will serve as a strategic leader within the Market Access organization, responsible for driving awareness and regional strategies for late-stage investigational products and future label expansions across the acute care and health system environment.
Assistant ICU Director Near Birmingham, AL TeamHealth CorporateAssistant ICU Director Near Birmingham, ALAlabaster, ALThe AMD will split responsibilities between direct patient care and administrative/leadership functions, serving as a key liaison between clinicians, hospital leadership, and multidisciplinary teams. In partnership with the ICU medical director, this role supports the delivery of high-quality, patient-centered care while advancing clinical excellence, physician engagement, and operational efficiency across the ICU.
Hospice Medical Director Gentiva HospiceHospice Medical DirectorMontgomery, AlabamaFull timeOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Health Systems Associate Director, IDNs - Southeast (Birmingham, AL) Sun Pharmaceutical Industries LtdHealth Systems Associate Director, IDNs - Southeast (Birmingham, AL)Birmingham, AL$143,500–$235,500 / yearKey Responsibilities: The Health Systems Associate Director is responsible for calling on identified IDN's and other organized customer groups (as needed) in a specified geography to support Sun's Oncology, Immunology, and Dermatology Brands and are responsible for the following: Identify and develop working relationships with key decision makers within these corporate accounts from a clinical, administrative, pharmacy, and C-Suite perspective. Analyze and understand Brand opportunity for targeted accounts and work appropriately with cross-functional partners (Field Sales Managers, FRM Managers, Field Medical, PRD, etc.) to optimize access and utilization for Sun Branded Products within targeted accounts and to ensure pull through across the system.
NewLead Director - Software Development Engineering CVS Health CorpLead Director - Software Development EngineeringAL$144,200–$288,400 / yearThis Lead Director will lead a diverse team of technology associates across engineering and change management teams and be someone who will work across multiple geographies to deliver software engineering work, delivered through multiple Agile software releases each year. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Field Patient Access Director Taylor Strategy PartnersField Patient Access DirectorMontgomery, ALRemote$220,000–$245,000 / yearThe Director partners closely with cross-functional leadership across Market Access, Sales, Patient Support Programs, Commercial Operations, Training, and Compliance to support product launches, ongoing access initiatives, and continuous operational improvement. The Field Patient Access Director is a senior field-based leadership role responsible for overseeing regional patient access functions, including Patient Access Liaisons (PALs) and Field Reimbursement Managers (FRMs).
Hospice Medical Director SouthernCare New Beacon HospiceHospice Medical DirectorHuntsville, AlabamaFull timeOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Hospice Medical Director Gentiva Health Services Inc (Inactive)Hospice Medical DirectorFlorence, ALp>We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert clinical oversight to our hospice physicians. You will collaborate with interdisciplinary teams, oversee regulatory compliance, and guide quality improvement efforts to enhance patient outcomes.
Compliance Director BrightSpring Health ServicesCompliance DirectorALThrough the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.
Regional Director-Neurology-Southeast Regeneron Pharmaceuticals IncRegional Director-Neurology-SoutheastAL$210,800–$266,200 / yearBuild our future together: The Regional Director (RD), Rare Neurology will report to the Executive Director, Strategic Customer Engagement, Rare Neurology and be responsible for recruiting, leading, developing and retaining the Rare Neurology Medical Specialist team in the [INSERT] Region. The RD is responsible for ensuring strong and consistent sales performance that exceeds forecast and expectations relating to product goals and driving accountability for all results throughout the Region assigned allowing Regeneron to have a major presence in the Rare Neurology market.
Director Human Resources Operations Huntsville Hospital Health SystemDirector Human Resources OperationsHuntsville, AlabamaOverview: The Director, HR Operations serves as the senior operational HR leader for Huntsville Hospital, Women & Children’s Hospital and associated physician practices and provides leadership for employee relations, workforce operations, compliance, and talent functions in support of organizational priorities. The Director leads through managers and specialists and serves as a trusted advisor to operational leaders while collaborating with system Human Resources leaders to support alignment and execution of strategic initiatives.
Associate Director, Field Medical Affairs-Neurology (Southeast) Regeneron Pharmaceuticals IncAssociate Director, Field Medical Affairs-Neurology (Southeast)AL$176,100–$287,300 / yearAs an Associate Director, Field Medical Affairs (Medical Science Liaison) responsibilities include engaging in the exchange of scientific data and other medical and/or scientific information with KOLs, HCPs, researchers, pharmacists and population-based decision makers. To be considered a Clinical/Science doctorate Degree required (MD, PharmD, PhD, DNP, DVM) with a minimum 8 years of experience, including 4+ years working as a Medical Science Liaison in the pharmaceutical industry.
ViiV Healthcare (GSK) Regional Sales Director, HIV LAI Treatment, Southeast GSK plcViiV Healthcare (GSK) Regional Sales Director, HIV LAI Treatment, SoutheastBirmingham, ALRemoteThe Regional Sales Director, HIV Treatment LAI, Southeast will lead a regional commercial sales team, in the treatment injectable space, focused on improving patient access and care across the Southeast region. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment.
Medical Director AmeriVetMedical DirectorGardendale, AlabamaIn close partnership with the Practice Manager, the MD provides medical oversight of hospital operations and care delivery to ensure consistently exceptional outcomes for patients, clients, and team members while supporting achievement of hospital performance goals. In alignment with AmeriVet’s vision for veterinary excellence, the Medical Director balances hands-on clinical practice with leadership responsibilities, spending the majority of their time providing direct patient care while guiding medical quality, mentorship, and professional development across the hospital.
Associate Director, Field Medical Affairs-Hematology ( TN, AL, MS, AR) Regeneron Pharmaceuticals IncAssociate Director, Field Medical Affairs-Hematology ( TN, AL, MS, AR)AL$176,100–$287,300 / yearAs an Associate Director, Field Medical Affairs (Medical Science Liaison) you will engage in the exchange of our scientific data and medical information with KOLs, HCPs, researchers, pharmacists and population-based decision makers. The Company will also provide reasonable accommodation to the known disabilities or chronic illnesses of an otherwise qualified applicant for employment, unless the accommodation would impose undue hardship on the operation of the Company's business.
Regional Biosimilar Account Director - Southeast (GA, AL, MS, LA) Organon & CoRegional Biosimilar Account Director - Southeast (GA, AL, MS, LA)Birmingham, AL$138,200–$234,900 / yearEach RBAD is responsible for the following designated customers as assigned by the Regional Director: Integrated Delivery Networks: hospital outpatient pharmacy departments, as well as IDN-owned medical groups, specialty pharmacy, Infusion Centers, payer, and home-infusion. The RBAD engages Senior Leadership within each account and is responsible for building trust and credibility with their assigned customers through strong interpersonal relationships, in depth knowledge of the customer's organization, objectives, business and environmental issues impacting the customer, and the same in-depth knowledge of company priorities.
National Sales Director ImCheck Therapeutics SASNational Sales DirectorAL$166,000–$245,000 / yearThe NSD will also provide clear direction, motivate the field team, build a healthy competitive environment among commercial field representatives, drive innovation & best practice sharing, and drive pragmatism with the goal to enhance our impact among appropriate customers and patients served. Lead a team of Regional Business Directors to implement sales force productivity initiatives including improving and evolving sales force competencies, design and execution of reward systems, sales force deployment strategies, customer relationship management, and talent development.
National Sales Director Ipsen SANational Sales DirectorAL$166,000–$245,000 / yearThe NSD will also provide clear direction, motivate the field team, build a healthy competitive environment among commercial field representatives, drive innovation & best practice sharing, and drive pragmatism with the goal to enhance our impact among appropriate customers and patients served. Lead a team of Regional Business Directors to implement sales force productivity initiatives including improving and evolving sales force competencies, design and execution of reward systems, sales force deployment strategies, customer relationship management, and talent development.
Pharmacist - PRN Noland Health Services IncPharmacist - PRNAnniston, ALConsults with and advises medical and nursing staffs on matters related to drugs and drug products; documents the outcomes of the consultations of the Intervention Log. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so the requirements of this position can be fully met.
Specialty Quality Coordinator DCH Health SystemSpecialty Quality CoordinatorTuscaloosa, ALQuality Management and AccreditationThis area involves supporting committee work by running reports, preparing scorecards, and documenting meeting notes for quarterly Quality Management Committee (QMC) and annual PAC meetings. Furthermore, the position manages communication and compliance logs, maintains current patient-facing materials, and tracks incident reports while ensuring HR has necessary audit documentation, including staff license verifications.
Pharmacist - PRN DowntownPharmacist - PRNBirmingham, AlabamaConsults with and advises medical and nursing staffs on matters related to drugs and drug products; documents the outcomes of the consultations of the Intervention Log. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so the requirements of this position can be fully met.
Pharmacist - PRN Noland Hospital AnnistonPharmacist - PRNBirmingham, ALConsults with and advises medical and nursing staffs on matters related to drugs and drug products; documents the outcomes of the consultations of the Intervention Log. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so the requirements of this position can be fully met.
Pharmacist - PRN HMR Veterans ServicesPharmacist - PRNHuntsville, AlabamaMust possess, as a minimum, a Bachelor of Science degree from a college of pharmacy accredited by the American Council on Pharmaceutical Education. Must have, as a minimum, two years hospital and/or clinical experience and at least one year of management experience.
Pharmacist, PRN LifePoint Health IncPharmacist, PRNMuscle Shoals, ALOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Who We Are: North Alabama Shoals Hospital is a 198-bed general acute care facility boasting spacious, private rooms for all patients, a 24-hour emergency department, medical and oncology services; medical/surgical inpatient units; and short-stay surgery units.
Pharmacist - PRN (Alabama, Huntsville, HMRx - Floyd E. 'Tut' Fann State Veterans Home) HMR Veterans Services IncPharmacist - PRN (Alabama, Huntsville, HMRx - Floyd E. 'Tut' Fann State Veterans Home)Huntsville, ALMust possess, as a minimum, a Bachelor of Science degree from a college of pharmacy accredited by the American Council on Pharmaceutical Education. Must have, as a minimum, two years hospital and/or clinical experience and at least one year of management experience.
Clinical Pharmacist, Coverage Determination Viva Health, Inc.Clinical Pharmacist, Coverage DeterminationBirmingham, ALVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nations Best Places to Work by Modern Healthcare. Assist in maintaining criteria for pharmacy related coverage determinations, exception requests, complaints, and appeals, and ensure criteria and decisions are properly communicated and applied.