3 member account representative jobs found

The Sr Psychologist – I/DD is a licensed professional who brings both clinical and health plan experience in intellectual and developmental disability (I/DD) to the Alliance Medical Management team, primarily performing utilization management (UM) activities (e.g., peer reviews, appeals) for requested services commonly used by Alliance members with I/DD, such as Research-Based Behavioral Health Treatment (RB-BHT) for Autism Spectrum Disorder (ASD) and services provided under the 1915(i) and Innovations Waivers, and secondarily as an internal subject matter expert (SME) on I/DD. This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office at Morrisville may be required.  Responsibilities & Duties Clinical Oversight & Medical Review Provide Peer Review (second level review) to determine the medical necessity of authorization for services requested under NC Medicaid and relevant...

Job Title: Pharmacy Technician-D/E Ops Description Employment Status: Full time Shift: Day/Evening (United States of America) Facility: 1906 Belleview Ave SE - Roanoke CP01 Carilion Medical Center. Requisition Number: R159418 Pharmacy Technician-D/E Ops (Open) How You’ll Help Transform Healthcare: Pharmacy is about more than dispensing medications and advice. At Carilion Clinic, it is a commitment to excellence in every aspect of your chosen profession. It means treating patients with respect, dignity, kindness and empathy. It means providing friendly, accurate service and quality at every opportunity. It means we’ll count on you to be there for patients who rely on your expertise. Become part of our community-based healthcare network that includes seven hospitals, multi-specialty physician practices, and affiliations with prestigious academic medical institutions. Based in Roanoke, Virginia, we offer tremendous opportunities to contribute to our goal:...

Job Description: Company Overview Since its inception over a decade ago, CRISPR Therapeutics has transformed from a research-stage company advancing programs in the field of gene editing, to a company with a diverse portfolio of product candidates across a broad range of disease areas including hemoglobinopathies, oncology, regenerative medicine, cardiovascular and rare diseases. The Nobel Prize-winning CRISPR science has revolutionized biomedical research and represents a powerful, clinically validated approach with the potential to create a new class of potentially transformative medicines. To accelerate and expand its efforts, CRISPR Therapeutics has established strategic partnerships with leading companies including Vertex Pharmaceuticals. CRISPR Therapeutics AG is headquartered in Zug, Switzerland, with its wholly-owned U.S. subsidiary, CRISPR Therapeutics, Inc., and R&D operations...