- Organon & Co. (Spartanburg, SC)
- …multiple specialties, Nurse Practitioners, Physician Assistants, Midwives, Nurses and Pharmacist in addition to quality Directors, Service Line Leaders, Family ... Assignment of Benefits (AOB) and 340B. Knowledge of Managed Care, State Medicaid , Managed Medicaid , Kaiser, Management Service Organizations, Group Purchasing… more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Supervising Pharmacist , Trade Relations will be responsible for administering the rebates ... and drug manufacturer contracts program. This will include administration, analysis,...implement and maximize rebate and manufacturer contracts/amendments. The Supervising Pharmacist will also develop pricing, utilization metrics and analysis… more
- Elevance Health (Winston Salem, NC)
- …the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist Senior **Location(s):** Durham, NC, Winston-Salem, NC **Hybrid:** This role ... accommodation is granted as required by law._ The NC Medicaid Health Plan is looking for a dedicated **Clinical... Health Plan is looking for a dedicated **Clinical Pharmacist Senior** to support the Children and Families Specialty… more
- Humana (Santa Fe, NM)
- …The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in ... community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with a focus on… more
- CVS Health (Nashville, TN)
- …or other clinical programs to a client. + Consulting with and recommending specialty drug strategy options. + Consulting with ANCS, to utilize clinical and ... to 4 market segments for any particular client (Medicare, Medicaid , Exchange, or Commercial). The Health Plan Clinical Advisor...+ Consulting and Influence clients on current drugs trends, drug pipeline, as well as proactive monitoring of FWA… more
- Independent Health (Buffalo, NY)
- …and a culture that fosters growth, innovation and collaboration. **Overview** The Trade Relations Pharmacist will play an integral role in the rebates and drug ... also embrace the unit's performance goals and initiatives. The Trade Relations Pharmacist will work with other cross functional subject matter experts within the… more
- MSys Inc. (Raleigh, NC)
- …Review (DUR) and pharmacy lock-in related processes, Behavioral health, and A+ kids, Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP), and ... for 4+ years Hybrid Job Description: Client seeks a Pharmacist as a Pharmacy Benefits Management (PBM) Business Integration...Administered Drug Program (PADP) related to the Medicaid Drug Rebate Program (MDRP). The Pharmacy… more
- Walmart (Bentonville, AR)
- …and commercial payers nationwide. In this role, you will blend strategy , business development, negotiation, critical thinking, and relationship management to advance ... pharmacist scope of practice initiatives, ensure compliance with regulatory...including KPI development, market forecasting, and presenting insights and strategy recommendations to governance committees and executive leadership. +… more
- Walmart (Bentonville, AR)
- …access to care in underserved communities through the expanded scope of pharmacist practice. By blending strategy , payer engagement, and cross-functional ... ** As Senior Manager, Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships with health plans to expand… more
- Health Care Service Corporation (Richardson, TX)
- …for providing leadership and oversight of the Pharmacy function that supports Medicaid & Individual Markets lines of business. Responsible for improving the quality ... appropriate parties support the coordination of health care delivery functions within Medicaid and Individual and Family Markets. The role will lead efforts related… more
- Prime Therapeutics (Salt Lake City, UT)
- … strategy and manages Prime's corporate relationship with pharmaceutical drug manufacturers. This position leverages a deep understanding of the healthcare ... care to its members and related client messaging as well as strategy pull through. **Responsibilities** + Maintain expert knowledge of the pharmaceutical industry,… more
- Elevance Health (Winston Salem, NC)
- …program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How you will make an impact:** ... Pharmacy and Therapeutics Committee including therapeutic class reviews, policy review, drug monographs, and formulary recommendations. + Develop strategies to drive… more
