
51 - 200 employees
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare Insurance • Non-profit
Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.
🔥 12 minutes ago
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51 - 200 employees
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare Insurance • Non-profit
Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.
• Provide evidence-based clinical recommendations to optimize medication use for members with complex conditions or chronic diseases and reduce total cost of care • Conduct medication reviews, identify drug therapy problems, and collaborate with providers and care managers on appropriate interventions • Partner with care management, disease management, and interdisciplinary care teams to support medication optimization and achieve desired health outcomes • Contribute to the development and implementation of member care plans, especially for high-risk or high-cost populations
• Must possess current license as required by state board where services will be provided • Three (3) years experience working in a managed care, health plan, or population health environment • Three (3) years proven experience with quality measurement programs including HEDIS, Stars Ratings, and Medicare Advantage and Medicaid regulations • Three (3) years in clinical pharmacy practice
• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development
Apply Now🔥 28 minutes ago
1001 - 5000
Support pharmacy clients with data analysis and operational improvements. Collaborate with pharmacy leaders to deliver actionable insights and enhance performance metrics.
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Serve as the primary coordinator for patient cases at Cigna's Specialty Pharmacy. Support operations by managing authorizations and providing customer service in a remote role.
🇺🇸 United States – Remote
💵 $20 - $30 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
💊 Pharmacist
🚫👨🎓 No degree required