- US Tech Solutions (May, OK)
- …**Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… more
- CVS Health (Providence, RI)
- …Summary** Directs the formulation, implementation and milestone tracking for business plans as Part of the Medicare benefit and product cycle. Directs the ... years of Managed Care experience in health plan and/or PBM roles 15+ years Medicare experience **Education** Pharmacist , BS or Pharm D with active, unrestricted… more
- CVS Health (Boston, MA)
- …strategy through the execution of operational, functional, and business targets within the Medicare Part D clinical Operations and Formulary Development ... a critical role in shaping and executing the organization's Medicare Part D formulary and product strategy....Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will drive new product… more
- 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
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to...information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with… more
- 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,...pulmonologists, nurses, dietitians, respiratory therapists, and social workers as part of an accredited Cystic Fibrosis Care Center. This… more
- Elevance Health (Mason, OH)
- …industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist , Population Health **Location(s):** Mason, OH, Cincinnati, ... **Be Part of an Extraordinary Team** CarelonRx is a...an accommodation is granted as required by law.** The ** Clinical Pharmacist , Population Health** is responsible for… more
- Adecco US, Inc. (Dallas, TX)
- …a Clinical MTM Pharmacist (management experience preferred) + Familiarity with Medicare Part D Star measures (SUPD, SPC, CMR) + Clinical experience ... ** Clinical Pharmacist (Work from Home -...Duration: 3 months (possible extension) Schedule: Flexible; full-time or part -time considered (hours based on business needs) We are… more
- 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
- Prime Therapeutics (Raleigh, NC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist (Algo)- REMOTE **Job Description** Maintains the inventory of ... updates existing clinical algorithms based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical… more
- Atlantic Health System (Morristown, NJ)
- …medication regimens and providing recommendations to optimize therapy based on clinical guidelines and best practices. + Conducting medication reconciliation to ... related to medication use and patient safety. + Documenting interventions, clinical assessments, and recommendations in the electronic health record. + Staying… more
- US Tech Solutions (AZ)
- …contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to...information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with… more
- US Tech Solutions (May, OK)
- **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data ... collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ...be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous… more
- Penn Medicine (Lancaster, PA)
- …the Lancaster area Department: Pharmacy and IV Solutions Summary: + Provide clinical pharmacy services including pharmacist -managed clinics, transitions of care ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- US Tech Solutions (May, OK)
- **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data ... prior authorization for commercial and specialty medications. + The clinical pharmacist will apply clinical ...experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy… more
- WellSpan Health (Ephrata, PA)
- …for patient care according to professional standards and practices. The Level I Pharmacist role includes routine distributive and clinical services with time in ... Schedule Part -Time: 16 Hours/Weekly Rotating day and evening shift,...Level 1 Pharmacists may advance to a Level II Pharmacist position based upon job performance and successful completion… more
- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of...Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a… more
- CenterWell (Austin, TX)
- …caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical ... overtime during peak season **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional responsible for conducting… more
- US Tech Solutions (May, OK)
- …6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... perform prior authorization as per policy and procedure. + The Pharmacist /Clinician will apply clinical knowledge to plan approved criteria for reviews of cases.… more
- Essentia Health (Superior, WI)
- …dispensed to patients under PAP; supporting clinical criteria needed for accurate Medicare Part B billing for EH retail pharmacies; training of new staff ... by Essentia Health Providers + Support Medication Access Associates with clinical questions when submitting prior authorization, verifying Medicare prescription… more
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