Pharmacy Claims Auditor Salary in Oklahoma

Location: United States - Northeast United States - New Jersey/Greater Philadelphia Area Preferred Overview: We are seeking a highly skilled Finance Manager to join our medical device startup organization - Theranica USA, Inc. - US based, which is already generating material and growing revenues. The Finance Manager will play a key role in overseeing all financial aspects of the US organization. This position requires solid analytical skills, and a deep understanding of the medical device industry environment, mainly dealing with Specialty Pharmacies, HUB distribution models and Durable Medical Equipment (DME) distributors in the US, with profound experience of all "Gross To Net" (GTN) processes and aspects in the medical device industry, including all the relationships with medical insurance entities and Payors. Key Responsibilities: Budget management: Manage the annual budgeting process in alignment with company goals and objectives. Monitor financial performance against budget and p

Director of Government Pricing & Contracts Compensation to $250K plus incentives Description: Thorough understanding of a finance / analytical background and experience with software used to model and calculate government prices. Supervise third party vendor responsible for generating Gov’t Pricing calculations within Model N Flex system. Work with internal and external auditors to address any control inquiries and provide responses to audit requests related to government programs. Ensure compliance is maintained consistent with Manufacturer government pricing policies within the Model N Flex system. Supervision of all government program related activities (i.e., state Medicaid formulary additions, PHS 340B non-compliance disclosure letters, etc.). Ensure approval workflow of Medicaid, Tricare and Coverage Gap claims follows approval matrix and completes within payment due date cycle. Collaborate with internal and external auditors to address any control inquiries and provide responses

Overview: For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing homes and assisted living facilities, as well as correctional facilities and group homes.. On a daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more than 50,000 residents. HealthDirect is a division of KPH Healthcare Services, a billion dollar, 100% employee owned provider of pharmaceutical and healthcare services. KPH is comprised of four divisions Kinney Drugs, ProAct Inc., HealthDirect and Noble Health Services. The family of KPH Healthcare Services began with Kinney Drugs retail in 1903. All KPH family company values stem from Kinneys long-standing commitment to trust and community-minded health solutions. As a team, HealthDirect has achieved significant growth. Over the past 6 years we have grown from four pharm

**Overview** For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing homes and assisted living facilities, as well as correctional facilities and group homes.". On a daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more than 50,000 residents. HealthDirect is a division of KPH Healthcare Services, a billion dollar, 100% employee owned provider of pharmaceutical and healthcare services. KPH is comprised of four divisions - Kinney Drugs, ProAct Inc., HealthDirect and Noble Health Services. The family of KPH Healthcare Services began with Kinney Drugs retail in 1903. All KPH family company values stem from Kinney's long-standing commitment to trust and community-minded health solutions. As a team, HealthDirect has achieved significant growth. Over the past 6 years we have grown from fou

Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover mo

About Us Wellington Management offers comprehensive investment management capabilities that span nearly all segments of the global capital markets. Our investment solutions, tailored to the unique return and risk objectives of institutional clients in more than 60 countries, draw on a robust body of proprietary research and a collaborative culture that encourages independent thought and healthy debate. As a private partnership, we believe our ownership structure fosters a long-term view that aligns our perspectives with those of our clients. About the Role This Accountant position will be a key member of the Global Accounting team within Wellington's Finance department. This individual is responsible for accounting duties related to the monthly close for Wellington's legal entities, as well as internal and external financial reporting requirements and financial analysis. The ideal candidate will be willing to learn quickly to make an impact and take on increasing responsibilities withi