Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
👥 B2C
💰 $321.1M Post-IPO Debt - Alignment Health on 2024-11
Healthcare Insurance • B2C
Alignment Health is a Medicare-focused health insurance company that offers Medicare Advantage plans and member-centered services. It provides 24/7 on-demand access to care via in-person, in-home, and mobile channels and features a concierge-style on-demand card to help members schedule appointments, arrange transportation, and answer health questions. Alignment Health partners with brokers, providers, Accountable Care Organizations (ACOs), and institutional partners, operates in multiple U. S. states (including Arizona, California, Nevada, North Carolina, and Texas), and has earned high CMS ratings and industry recognition.
Clinical Pharmacist II
🕒 April 17
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Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
👥 B2C
💰 $321.1M Post-IPO Debt - Alignment Health on 2024-11
Healthcare Insurance • B2C
Alignment Health is a Medicare-focused health insurance company that offers Medicare Advantage plans and member-centered services. It provides 24/7 on-demand access to care via in-person, in-home, and mobile channels and features a concierge-style on-demand card to help members schedule appointments, arrange transportation, and answer health questions. Alignment Health partners with brokers, providers, Accountable Care Organizations (ACOs), and institutional partners, operates in multiple U. S. states (including Arizona, California, Nevada, North Carolina, and Texas), and has earned high CMS ratings and industry recognition.
📋 Description
• Manage Part D Coverage Determinations, Appeals, and Grievances: Apply clinical expertise, plan benefits, and CMS regulatory requirements. • Lead Targeted Provider and Member Outreach: Conduct clinical outreach to prescribers, pharmacies, and members. • Deliver Medication Therapy Management Services and Quality Initiatives: Perform comprehensive and targeted medication reviews. • Manage Benefit Build and Member-Facing Materials: Assist with annual pharmacy benefit build activities. • Oversee PBM delegated operations and Regulatory requirements: Ensure compliance with contractual and CMS requirements.
🎯 Requirements
• Minimum of 3 years of pharmacy experience at a health plan, Pharmacy Benefit Manager (PBM), or managed care organization. • Demonstrated experience conducting MTM or equivalent clinical pharmacy programs with documented member outcomes. • Bachelor's degree in Pharmacy or a related health science discipline. • Active and unrestricted Pharmacist license in the applicable state(s).
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off • Flexible working arrangements • Professional development
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