Sentences with phrase «including pharmacy benefit management»

His track record of successful business development and process improvement spans all aspects of the Healthcare industry including Pharmacy Benefit Management, Medical, Vision, Behavioral, Health Services, Life and Retail Services with business models ranging from start - up to national corporations.

Not exact matches

It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, commercial programs, home - based primary care services, life and health management, vision benefits management, pharmacy benefits management, specialty pharmacy and telehealth services.

The Company also owns EnvisionRxOptions, a multi-faceted healthcare and pharmacy benefit management (PBM) company supporting a membership base of more than 22 million members; RediClinic, a convenient care clinic operator with locations in Delaware, New Jersey, Pennsylvania, Texas and Washington; and Health Dialog, a leading provider of population health management solutions including analytics, a multi-channel coaching platform and shared decision - making tools.

Built on a unified data model and clinical intelligence, RxAdvance's PBM standard services include benefit design, artificial intelligence (AI) driven formulary design & modelling, claims processing, customer services, retail pharmacy network management, clinical services, and rebate management & modelling.

Joshua has also led more than 50 due diligence projects for financial and corporate sponsors, including a radiation oncology provider, a hospitalist physician practice management company, a workers» compensation specialty benefits manager, a small pharmacy benefit manager (PBM), a population health management service provider, a large integrated medical group / independent practice association (IPA), a regional payer, a health insurance brokerage, an occupational health / worksite clinic provider, a skilled nursing facility (SNF) and specialty benefits managers in the workers» comp and commercial spaces.

Built on a unified data model and clinical intelligence, RxAdvance's PBM standard services include Benefit and Formulary Design, Claims Processing, Customer Support Services, Retail Pharmacy Network Management, Clinical Services, and Rebate Management.

His background includes serving in management and consulting for the healthcare technology, health insurance, medical device, and pharmacy benefits management industries.

The definition of a «contributing entity» at § 153.20 provides that for the 2015 and 2016 benefit years, a contributing entity is (i) a health insurance issuer or (ii) a self - insured group health plan, including a group health plan that is partially self - insured and partially insured, where the health insurance coverage does not constitute major medical coverage, that uses a third party administrator (TPA) in connection with claims processing or adjudication, including the management of internal appeals, or plan enrollment for services other than for pharmacy benefits or excepted benefits within the meaning of section 2791 (c) of the PHS Act.

EnvisionRx, with a commitment to providing transparency and disclosure to the Pharmacy Benefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related sPharmacy Benefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related seBenefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other relatedManagement (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related spharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related sebenefit design consultation, drug utilization review, formulary management, and other relatedmanagement, and other related services.

Assist Specialty Pharmacy operations and client services for the department including customer / patient services, management of materials, benefits coordination,...