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Remotedxb in Dubai invites a qualified pharmacist to join our clinical operations team as a Prior Authorization Specialist. You will review requests, apply clinical guidelines, and communicate decisions to providers and members while supporting cost-effective medication management.The role requires a BSPharm or Pharm.D., an active license, and at least one...

AffirmedRx is seeking a seasoned Program Manager to develop and lead enterprise-wide strategies across health care and PBM initiatives. You will steer multiple strategic projects, define success criteria with stakeholders, and establish governance and reporting to ensure alignment with client goals.You will also guide cross-functional teams, manage risks,...

AffirmedRx in Dubai seeks an experienced data operations leader to coach a specialized technical team, balance leadership with hands-on troubleshooting, and build robust processes in a regulated healthcare setting.You will own the accuracy of client eligibility and accumulator data, oversee SFTP configurations, drive coding automations, and lead Scrum...

AffirmedRx in Dubai seeks an experienced data operations leader to coach a specialized technical team, balance leadership with hands-on troubleshooting, and build robust processes in a regulated healthcare setting.You will own the accuracy of client eligibility and accumulator data, oversee SFTP configurations, drive coding automations, and lead Scrum...

AffirmedRx is seeking a seasoned Program Manager to develop and lead enterprise-wide strategies across health care and PBM initiatives. You will steer multiple strategic projects, define success criteria with stakeholders, and establish governance and reporting to ensure alignment with client goals. You will also guide cross-functional teams, manage risks,...

Remotedxb in Dubai invites a qualified pharmacist to join our clinical operations team as a Prior Authorization Specialist. You will review requests, apply clinical guidelines, and communicate decisions to providers and members while supporting cost-effective medication management.The role requires a BSPharm or Pharm.D., an active license, and at least one...

Remotedxb in Dubai invites a qualified pharmacist to join our clinical operations team as a Prior Authorization Specialist. You will review requests, apply clinical guidelines, and communicate decisions to providers and members while supporting cost-effective medication management. The role requires a BSPharm or Pharm.D., an active license, and at least one...

AffirmedRx is seeking a seasoned Program Manager to develop and lead enterprise-wide strategies across health care and PBM initiatives. You will steer multiple strategic projects, define success criteria with stakeholders, and establish governance and reporting to ensure alignment with client goals. You will also guide cross-functional teams, manage risks,...

AffirmedRx in Dubai seeks an experienced data operations leader to coach a specialized technical team, balance leadership with hands-on troubleshooting, and build robust processes in a regulated healthcare setting. You will own the accuracy of client eligibility and accumulator data, oversee SFTP configurations, drive coding automations, and lead Scrum...

ResponsibilitiesLead enterprise pharmacy sales strategy and drive revenue growth across commercial, employer, and PBM channelsServe as the senior pharmacy leader in employer, broker, consultant, and client sales discussionsPartner with health plan sales teams to position pharmacy benefits as a key competitive differentiatorDevelop and execute market growth...

Responsibilities - Lead enterprise pharmacy sales strategy and drive revenue growth across commercial, employer, and PBM channels - Serve as the senior pharmacy leader in employer, broker, consultant, and client sales discussions - Partner with health plan sales teams to position pharmacy benefits as a key competitive differentiator - Develop and execute...

ResponsibilitiesCoach and develop a specialized technical team, balancing leadership with hands-on troubleshooting and build workOwn the accuracy, timeliness, and integrity of client eligibility and accumulator dataOversee SFTP setup, configuration, and management for client and vendor file transmissionsDrive coding automations to reduce manual file handling...

About the CompanyAffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact.ResponsibilitiesDevelop and execute...

About the Company AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. Responsibilities - Develop and execute...

ResponsibilitiesCoach and develop a specialized technical team, balancing leadership with hands-on troubleshooting and build workOwn the accuracy, timeliness, and integrity of client eligibility and accumulator dataOversee SFTP setup, configuration, and management for client and vendor file transmissionsDrive coding automations to reduce manual file handling...

ResponsibilitiesServe as the primary point of contact for client managers and patient care advocates reporting file-related or data issuesGather details to scope issues including client, file type, and impacted recordsConduct thorough impact analyses to determine scope and severityPartner with Data Operations team members to validate findings and confirm...

ResponsibilitiesServe as the primary point of contact for client managers and patient care advocates reporting file-related or data issuesGather details to scope issues including client, file type, and impacted recordsConduct thorough impact analyses to determine scope and severityPartner with Data Operations team members to validate findings and confirm...

ResponsibilitiesCoach and develop a specialized technical team, balancing leadership with hands-on troubleshooting and build workOwn the accuracy, timeliness, and integrity of client eligibility and accumulator dataOversee SFTP setup, configuration, and management for client and vendor file transmissionsDrive coding automations to reduce manual file handling...

ResponsibilitiesReview and evaluate prior authorization requests in accordance with member benefit plans and clinical guidelinesIdentify opportunities for therapeutic optimization and cost-effective medication managementCoordinate the clinical review of appeals related to pharmacy benefit determinationsCommunicate coverage decisions and clinical rationale to...

Providing approval of services for the insured member through DHPO, email and PBM, over riding of rejected medication if falls under policy t&c and if clinically justified. Providing excellent customer service through responding swiftly to queries from insured member, medical provider .Provide approval through online system(DHPO), emails and call to Medical...