• Medicaid Formulary Clinical

    Elevance Health (Hanover, MD)
    ** Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... -first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacist Clinical ** will be responsible for managing...management. **How you will make an impact:** + Leads Medicaid formulary management processes. + Responsible for… more
    Elevance Health (10/13/25)
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  • Senior Manager, Custom Formulary

    CVS Health (St. Paul, MN)
    …while insuring we meet our client rebate contract guarantees, services our custom formulary clients. CFC consultants leverage financial and clinical acumen to ... and every day. **Position Summary** The Senior Manager, Custom Formulary Consultants (CFC) role on the CFC team is...work with multiple customer market segments (ie, Commercial, Managed Medicaid , Med D, Exchange formularies). This role is not… more
    CVS Health (10/17/25)
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  • Pharmacist - Clinical Advisor

    CVS Health (Des Moines, IA)
    …least 2 and up to 4 market segments for any particular client (Medicare, Medicaid , Exchange, or Commercial). The Health Plan Clinical Advisor is responsible for ... Clinical Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members...any federal, state or local regulatory requirements that impact formulary , UM and or clinical programs and… more
    CVS Health (10/08/25)
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  • Clinical Pharmacist

    HCA Healthcare (Jourdanton, TX)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure that we continue to ... you to apply! **Job Summary and Qualifications** General Statement of Duties: The clinical pharmacist demonstrates proficiency in all pharmacist functions to… more
    HCA Healthcare (09/19/25)
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  • Clinical Pharmacist Senior (Children…

    Elevance Health (Winston Salem, NC)
    …by law._ The NC Medicaid Health Plan is looking for a dedicated ** Clinical Pharmacist Senior** to support the Children and Families Specialty Program (CFSP). ... industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist Senior **Location(s):** Durham, NC, Winston-Salem, NC… more
    Elevance Health (10/02/25)
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  • Clinical Pharmacist , Population…

    Elevance Health (Seven Hills, OH)
    …industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist , Population Health **Location(s):** Mason, OH, Cincinnati, ... an accommodation is granted as required by law.** The ** Clinical Pharmacist , Population Health** is responsible for...the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS, and formulary more
    Elevance Health (10/04/25)
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  • Clinical Pharmacist (Full time,…

    Penn Medicine (Lancaster, PA)
    …Our employees shape our future each day. Are you living your life's work? Job: Clinical Pharmacist Hours: 36 hrs per week, evenings, 7 on/ 7 off Location: ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (08/07/25)
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  • Clinical Pharmacist (7 on, 7 off…

    Penn Medicine (Lancaster, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... Committee on the appropriate use of medications and or inclusion in the hospital formulary . + Interprets and evaluates all medication orders and assures for safe and… more
    Penn Medicine (10/16/25)
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  • Clinical Pharmacist - Cystic…

    Atlantic Health System (Morristown, NJ)
    The Cystic Fibrosis (CF) Clinical Pharmacist position will provide pharmacotherapeutic support to the pediatric and adult patients living with cystic fibrosis in ... the ambulatory care setting. The CF clinical pharmacist will ensure optimal medication use, support adherence, and actively contribute to individualized care… more
    Atlantic Health System (09/27/25)
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  • Pharmacist , Utilization Management (UM)…

    Molina Healthcare (Everett, WA)
    …state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider ... utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and… more
    Molina Healthcare (10/18/25)
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  • Medicare- Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity… more
    Humana (10/07/25)
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  • Pharmacist , Utilization Management (UM)

    Molina Healthcare (St. Petersburg, FL)
    …**Job Summary** Provides support and subject matter expertise for pharmacy formulary liaison activities between the business and its customers (members, providers ... to the pharmacy benefit. * Serves as the designated formulary expert. * Ensures Molina is compliant with the...quality metrics. * Assists call center pharmacy technicians with clinical questions and phone calls from prescribers, pharmacies and/or… more
    Molina Healthcare (10/18/25)
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  • Pharmacy Coordinator

    Highmark Health (Nashville, TN)
    …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... member claims history, clearly defines the medical necessity of non- formulary and prior authorization medication exception requests. Interacts with pharmacy… more
    Highmark Health (10/16/25)
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  • Pharmacy Director - Aetna Better Health…

    CVS Health (Frankfort, KY)
    …for Aetna Better Health of Kentucky will be responsible for all clinical , financial, operational and compliance activities related to the prescription drug benefit ... guidance to the health plan and external partners for the state Managed Medicaid pharmacy benefit. The Pharmacy Director reports to the Senior Lead Pharmacy Director… more
    CVS Health (10/15/25)
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  • Vice President - Pharmacy Health Plan…

    Henry Ford Health System (Bingham Farms, MI)
    …Committee and oversees the development and implementation of the health plan's formulary , clinical , and quality improvement programs. + Assures that drug ... Ford Health and HAP to align innovative pharmacy solutions with clinical excellence, affordability, and patient-centered care. The Vice President is accountable… more
    Henry Ford Health System (10/09/25)
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  • Managed Care Pharmacy Resident

    Elevance Health (Winston Salem, NC)
    …at improving member care through proper medication management. + Perform weekly clinical prior authorizations and coverage determinations for Medicaid and ... (formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The **Managed Care… more
    Elevance Health (10/20/25)
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  • VP Pharmaceutical Trade Relations - REMOTE

    Prime Therapeutics (Salt Lake City, UT)
    …an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market ... ensure manufacturers' products are brought forth internally to evaluate rebate and formulary opportunities for Prime's business + Provide key leadership within Trade… more
    Prime Therapeutics (09/03/25)
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  • Pharmacy Technician I

    Peak Vista (Colorado Springs, CO)
    …S. Union Blvd, Colorado Springs, CO 80910 Category:Nursing / Allied Health / Clinical Support Description Peak Vista Community Health Centers is a nonprofit health ... to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including… more
    Peak Vista (09/21/25)
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  • Chief Pharmacy Officer

    University of Miami (Miami, FL)
    …pharmaceuticals and pharmaceutical benefit designs focus on total health through the formulary , with procurement driven by clinical efficacy.4. Collaborates with ... of emerging technologies and innovative services.6. Develops, evaluates, and proposes clinical and research pharmacy programs to enhance current and future pharmacy… more
    University of Miami (10/01/25)
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