Top Tech Jobs & Startup Jobs in Calgary

The Senior Pharmacy Resolution Specialist addresses complex pharmacy issues, manages calls regarding prior authorization requests, and assists with dispute resolutions while providing training to junior staff.

Supervises the Utilization Management team, ensuring compliance and quality standards, providing guidance, monitoring performances, and implementing policies.

Oversees vendor management and financial performance, ensuring budget accuracy, vendor outcomes, and compliance while managing budget cycles and financial analyses.

Analyze extensive datasets to extract insights impacting business decisions, develop solutions, and improve clinical outcomes through data interpretation and reporting.

The Pharmacy Operations Coordinator I supports pharmacy program operations by reviewing benefit setups, conducting claims analysis, and ensuring compliance with policies.

The Director enhances AI governance across the organization, ensures compliance with ethical guidelines, and fosters AI literacy while managing AI professionals.

Investigate healthcare fraud and abuse, document findings, perform data analysis, prepare reports, and coordinate with Health Plans for resolutions.

The Director of AI Compliance ensures responsible AI use, develops compliance programs, conducts risk assessments, and fosters AI literacy within the organization.

Manage partnerships between the health plan and contracted provider networks, engage with providers to optimize network performance and resolve issues, and utilize data analytics for performance management.

Develop and implement privacy and information security training programs. Evaluate effectiveness and support leadership initiatives, while educating workforce on cybersecurity risks.