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Job Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen US portfolio products within the Oncology therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Oncology products.

YEAR

ImCheck Therapeutics SAS

Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic

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Bachelor's Degree in a relevant discipline, preferably sciences, business, pharmacy, or healthcare with 12+ years of overall pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy (if applicable), managed care, sales/marketing or related field or, Master's Degree in a relevant discipline, preferably sciences, business, pharmacy, or healthcare with 10+ years of overall pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy (if applicable), managed care, sales/marketing or related field. 5+ years of experience in claims reimbursement including: Coverage, coding, billing and payment; Working with medical policy, managed care coverage processes and practices; Deep knowledge and working experience with both public and private payers; Working with Healthcare Practitioners and ancillary staff in a reimbursement role; Knowledge of HUB services to include: financial affordability programs, coordination and communication amongst support coordinators and the TAMs, providing field input for process improvement.

United Therapeutics Corp

Regional Field Director, Therapy Access

This role involves working with business stakeholders, technology teams, vendors, and external partners to align technology solutions with strategic goals and objectives. Maintain effective communication and collaboration with business stakeholders, vendors, and external partners, meeting business requirements and expectations and resolving issues or escalations.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Executive Director, Client Experience Engineering

The Executive Director will define technical strategy, lead multiple engineering teams, establish engineering excellence practices, and partner closely with Product, Security, and Business stakeholders to deliver innovative AI-enabled applications at enterprise scale. The ideal candidate combines deep software engineering leadership experience with a strong understanding of modern AI technologies and a proven ability to build and scale engineering organizations that deliver measurable business outcomes.

Executive Director, Software Engineering AI Solutions

The Medical Director is to provide clinical leadership and consultation to the Plan's various departments with the goal of promoting clinical excellence, quality care in our provider network, as well as maximizing member access to care and satisfaction in health care services. Responsibilities include, but are not limited to the following: Work closely with the CMO to establish a clinical strategy to meet the medical management PMPM performance targets while promoting quality healthcare for the plan's members.

Neighborhood's employees come from a diverse background but all are committed to creating a more equitable health care system. Our array of experiences allows us to have a broad perspective and great creativity in facing whatever challenges arise. Unlike many other health insurance companies, we have nearly 30 nurses and social workers on staff. This structure speaks to our focus on active and compassionate care management for our members; we know that people who are alienated from the health care system require additional advocacy, outreach and support. 

Neighborhood offers an exceptional compensation package to employees. We annually review base salaries/benefits and adjust as appropriate.

Neighborhood Health Plan of Rhode Island

Medical Director (43921)

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FULL_TIME

Along with competitive compensation, you'll have access to leadership development, professional growth opportunities, robust benefits, and support designed to help you make a lasting impact on your team, patients, and community. Even better, you'll be supported by an experienced Practice Manager and Assistant Practice Manager who help keep operations running smoothly, allowing you to focus on what matters most: medicine, mentorship and leadership .

Encore Vet Group

Veterinary Medical Director - Providence River Animal Hospital

[AW]-iCims

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. This role is accountable for product delivery, platform availability, security, modernization, organizational development, and requires a track record of building high-performing teams and delivering business outcomes at scale.

Lead Director - Digital Engineering

In 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, and achievement of performance metrics and business goals. As a trusted veterinarian within the community, the MD leads by example—delivering high quality medicine, mentoring and developing associate doctors, and fostering an environment where quality, compassion, and teamwork thrive.

AmeriVet

Medical Director - Rhode Island

Our hospitals maintain the culture and atmosphere of a private veterinary practice while gaining access to collective resources and veterinary business management expertise to help lead their teams forward and shape their future. Along with competitive compensation, you'll have access to leadership development, professional growth opportunities, robust benefits, and support designed to help you make a lasting impact on your team, patients, and community.

Encore Vet Group LLC

Medical Director - Providence River Animal Hospital

Ipsen SA

Job Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen products within the Neuroscience therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Neurology products.

Regional Reimbursement Director, Neuroscience, New England

Reporting to the Executive Creative Director, Experience Design, the Lead Director, Omnichannel Experiential Design will lead the creative vision and execution for programs that shape how customers experience the brand across physical, digital, and experiential environments. This person should bring expertise across brand experience, retail communications, environmental graphic design, shopper marketing, wayfinding, visual merchandising, digital content, and emerging tools and technologies.

CVS Health

Lead Director, Omnichannel Experiential Design

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The candidate will be expected to have the following key attributes: 12+ years of progressive leadership experience in business transformation, strategy execution, operational excellence, program management, consulting, or technology-enabled change initiatives. The Executive Director, Business Transformation will lead the strategy, governance, and execution of a multi-year business and technology transformation designed to advance Meritain's strategic priorities, improve operational performance, enhance the customer experience, and support scalable growth.

Executive Director, Business Transformation, Meritain Health

8.1 Supports hospital and departmental efforts to achieve and maintain accreditation with all applicable regulatory bodies including DNV, RI DOH and ISO 9001. Competent in the Practice of Pharmacy: 1.1 Does not have high error rate when entering orders, making IV medications or checking the Pyxis refill.

Yale New Haven Health

Pharmacist - Per Diem

Clinical Pharmacist - Per Diem

Position Summary: The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate, safe, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. Evaluate patient-specific factors including diagnosis, laboratory results, prior therapy, dosing, contraindications, and comorbid conditions.

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc). 
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

Lancesoft

*Clinical Pharmacist - Prior Authorization

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CONTRACTOR

The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate, safe, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.

Apidel Technologies

Clinical Pharmacist - Prior Authorization

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Remote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.

Director Of Pharmacy Jobs in Rhode Island

Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic ImCheck Therapeutics SAS

Regional Field Director, Therapy Access United Therapeutics Corp

Executive Director, Client Experience Engineering CVS Health Corp

Executive Director, Software Engineering AI Solutions CVS Health Corp

Medical Director (43921) Neighborhood Health Plan of Rhode Island

Veterinary Medical Director - Providence River Animal Hospital Encore Vet Group

Lead Director - Digital Engineering CVS Health Corp

Medical Director - Rhode Island AmeriVet

Medical Director - Providence River Animal Hospital Encore Vet Group LLC

Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic Ipsen SA

Regional Reimbursement Director, Neuroscience, New England Ipsen SA

Lead Director, Omnichannel Experiential Design CVS Health

Executive Director, Business Transformation, Meritain Health CVS Health Corp

Pharmacist - Per Diem Yale New Haven Health

Clinical Pharmacist - Per Diem Yale New Haven Health

*Clinical Pharmacist - Prior Authorization Lancesoft

Clinical Pharmacist - Prior Authorization Apidel Technologies

Appeals Pharmacist (Remote) Pharmacy Careers

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