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Clinical Pharmacist

Clinical
Remote
03-04 Months (Extendable)

Small Description: • At least 4 years of experience as clinical MTM pharmacist. (Management experience preferred) • Familiar with driving Part D Star measures. Specifically, SUPD, SPC, and CMR. • Understanding of pharmaceutical and medical vocabulary • Clinical experience in medication review.

Fluently speak
read
and write English
Excellent verbal and written communication skills
Experience using salesforce preferred
Must be tech savvy

Analyst I - Provider Credentialing

Business Support
Remote
06+ Months Extendable

This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis, meeting timeliness and documentation requirements for delegated payer deliverables, NCQA, TJC, CMS, Medicaid and State-Specific audits and inquiries daily.

Excel
Outlook
Word
Teams

Project Manager III

Technical
Remote
03+ Months Extendable

Assists in the management of healthcare quality efforts by participating in quality data analysis, quality improvement projects, and regulatory compliance activities. Collaborates with the healthcare quality team to develop and implement quality measures, monitors performance metrics, and identifies areas for enhancement.

Manages all internal aspects of HEDIS MRRV and YRMRRV to ensure compliance with corporate standards and timelines.
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