Talent.com
Pharmacy Appeals Team Lead
Pharmacy Appeals Team LeadVirtualVocations • Boulder, Colorado, United States
No longer accepting applications
Pharmacy Appeals Team Lead

Pharmacy Appeals Team Lead

VirtualVocations • Boulder, Colorado, United States
6 days ago
Job type
  • Full-time
Job description

A company is looking for a Pharmacy Appeals Team Lead (remote).

Key Responsibilities

Meet all KPI metrics and deliverables while supervising workload and quality of work

Provide ongoing training and development for associates and conduct monthly employee reviews

Monitor and evaluate transactions against established quality assurance standards

Required Qualifications

Minimum of 3 years' experience in handling a Pharmacy appeals team

Ability to implement business and personnel management practices

Knowledge of Auto / General Liability cost containment programs

Strong leadership skills with the ability to coach and develop team members

Demonstrated understanding of continuous quality improvement techniques

Create a job alert for this search

Team Lead • Boulder, Colorado, United States

Related jobs
Pharmacy Director, Active License

Pharmacy Director, Active License

VirtualVocations • Denver, Colorado, United States
Full-time
A company is looking for a Director, Pharmacy Part B & Specialty Drugs.Key Responsibilities Lead specialty drug program design, execution, and monitoring across Medicare Advantage Develop and im...Show more
Last updated: 5 days ago
Reserve Pharmacist

Reserve Pharmacist

United States Army • Loveland, CO, US
Full-time
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
Last updated: 15 days ago • Promoted
Licensed Clinical Policy Manager

Licensed Clinical Policy Manager

VirtualVocations • Arvada, Colorado, United States
Full-time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets to ensure compliance with internal and external ...Show more
Last updated: 4 days ago
Georgia Licensed Health Insurance Supervisor

Georgia Licensed Health Insurance Supervisor

VirtualVocations • Denver, Colorado, United States
Full-time
A company is looking for a Health Insurance Program Supervisor to lead and support the operations of the HIPP / Premium Assistance program. Key Responsibilities Provide enrollment assistance and pro...Show more
Last updated: 4 days ago
Clinical Strategy Specialist

Clinical Strategy Specialist

VirtualVocations • Boulder, Colorado, United States
Full-time
A company is looking for a Specialist, Clinical Strategy, Remote.Key Responsibilities Analyze performance data to identify issues and opportunities for improvement, and develop systems to track q...Show more
Last updated: 6 days ago
Clinical Assessor - Hybrid

Clinical Assessor - Hybrid

Northpoint Recovery Holdings, LLC • Loveland, CO, US
Full-time
Reports To : Corporate Director of Assessments and Referrals.Location : Hybrid - 2 days Remote + 3 days On-Site at Northpoint Colorado (Adult inpatient in Loveland, CO). Schedule : Monday-Friday 10 : 00a...Show more
Last updated: 19 days ago • Promoted
Mgr, Clinical Services

Mgr, Clinical Services

Colorado Staffing • Englewood, CO, US
Full-time
At CHI Health at Home Denver we strive to embody our mission of delivering hope and healing to those we serve.As a Manager, Clinical Services, (RN) you will contribute to the delivery of high quali...Show more
Last updated: 5 days ago • Promoted
Provider Relations Specialist

Provider Relations Specialist

VirtualVocations • Littleton, Colorado, United States
Full-time
A company is looking for a Provider Relations Specialist to support provider network strategy and relationship management. Key Responsibilities Act as the primary contact for providers regarding i...Show more
Last updated: 30+ days ago
Massachusetts Licensed Clinical Policy Manager

Massachusetts Licensed Clinical Policy Manager

VirtualVocations • Denver, Colorado, United States
Full-time
A company is looking for a Manager, Clinical Policy.Key Responsibilities Clinically evaluate vendor policy sets for compliance with internal and external standards Vet vendor policy sets for aff...Show more
Last updated: 4 days ago
Behavioral Health Professional | Longmont Health Home

Behavioral Health Professional | Longmont Health Home

Clinica Family Health • Longmont, CO, United States
Full-time
You will be the lead therapist on the integrated team and serve as an expert consultant to the medical team.You will report to the Program Supervisor. Are you experienced to conduct initial comprehe...Show more
Last updated: 1 day ago • Promoted
Medical Corps Officer

Medical Corps Officer

US Navy Reserve • Superior, CO, United States
Part-time +1
ABOUT Serve your country as a part-time physician.This position DOES NOT require you to relocate.Navy commissioned physicians attend to service members and their families in much the same way a civ...Show more
Last updated: 1 day ago • Promoted
Supervisor Patient Access

Supervisor Patient Access

Intermountain Health • Lafayette, CO, US
Full-time
An Acute Patient Access Supervisor is responsible for day-to-day operations of the Revenue Service Center and Hospital departments. This role is responsible for implementing and enforcing comprehens...Show more
Last updated: 21 days ago • Promoted
Temporary Healthcare Contracts Attorney

Temporary Healthcare Contracts Attorney

VirtualVocations • Denver, Colorado, United States
Full-time
A company is looking for a Temporary Healthcare Contracts Attorney (Part Time) - Remote.Key Responsibilities Review and edit contracts related to Medicare Advantage, MSSP, ACO, and Medical Direct...Show more
Last updated: 1 day ago
Occupational Medicine Officer

Occupational Medicine Officer

United States Army • Loveland, CO, US
Full-time
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more
Last updated: 15 days ago • Promoted
RA Coordinator

RA Coordinator

Camping World Holdings • Englewood, CO, US
Full-time +1
Communicate effectively the key areas of focus for roadside services and the expectation of our program to vendors.Collect, assimilate and organize key details about the vendor and service faciliti...Show more
Last updated: 30+ days ago • Promoted
Agiloft GTM Lead

Agiloft GTM Lead

VirtualVocations • Denver, Colorado, United States
Full-time
A company is looking for an Agiloft GTM Lead to develop and execute strategies for business growth with enterprise-level clients. Key Responsibilities Meet and exceed individual sales targets of u...Show more
Last updated: 1 day ago
Premium Private Practice Opportunity

Premium Private Practice Opportunity

Unified Women's Healthcare • Westminster, US
Full-time
Are you looking for a private practice opportunity that will give you exceptional work / life balance while allowing you to practice evidence?based medicine with true practice autonomy!.Unified Women...Show more
Last updated: 30+ days ago • Promoted
State Licensed Clinical Policy Manager

State Licensed Clinical Policy Manager

VirtualVocations • Arvada, Colorado, United States
Full-time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets to ensure compliance with internal and external ...Show more
Last updated: 4 days ago