- US Tech Solutions (May, OK)
- …as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of ... candidates with that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have… more
- Actalent (Houston, TX)
- Pharmacist (Remote) Location: Remote (US only; excluding CA, HI, VA) Schedule: Full-time, M-F, with possible overtime during peak season Training: 10-12 weeks, M-F, ... 2+ years in retail, managed care, or clinical pharmacy + Active US pharmacist license in good standing + Strong decision-making and multitasking skills +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Health Plan Pharmacy leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management, and other pharmacy programs and lead ... Consulting to drive business outcomes. The **Director, Pharmacy Operations & PBM Management** will provide direction and oversight in Premera's Pharmacy strategy,… more
- State of Arkansas (Little Rock, AR)
- …Number: 22181851 County: Pulaski Anticipated Starting Salary: $118,399.01 Position Summary The Pharmacist will function as the PBM Division Manager. The ... PHARMACIST Date: Jul 24, 2025 Req ID: 51416...PBM Division Manager organizes and monitors all PBM -related complaints, licensing, and renewal activities. The Manager also… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Clinical Pharmacist in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage ... be responsible for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to meet with prescribers on a one-on-one basis… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day ... Day to Day: + Partner with Clinical Pharmacy and PBM Clinical teams to assist with strategic planning, development,...issues. What You Bring: + Minimum of professional Registered Pharmacist degree required. Graduate study in a business, public… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- Summary The Community Living Center (CLC) Clinical Pharmacist at the Bruce W. Carter VA Medical Center provides comprehensive and patient-centered pharmaceutical ... levels of healthcare providers. Responsibilities The Community Living Center (CLC) Clinical Pharmacist must be a licensed pharmacist , preferably with a Doctor… more
- Elevance Health (Mason, OH)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist Sr. **Location(s):** Iselin, NJ, Atlanta, GA, Indianapolis, IN, Mason, OH, ... unless an accommodation is granted as required by law.** The **Clinical Pharmacist Sr.** is responsible for developing and implementing pharmacy programs. We are… more
- Elevance Health (Richmond, VA)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist , Population Health **Location(s):** Richmond, VA, Norfolk, VA, Roanoke, VA ... accommodation is granted as required by law.** The **Clinical Pharmacist , Population Health** is responsible for managing the selection...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- CVS Health (Jefferson City, MO)
- …The Health Plan Clinical Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members of the Benefits and Operations teams so that ... time. **Required Qualifications** - 3+ years of managed care Pharmacist experience and/or 1 year of Managed Care Residency...+ 3-5 years of experience supporting Pharmacy Benefit Management ( PBM ) clients or within a health plan. + Experience… more
- US Tech Solutions (May, OK)
- …8 hours shift between 11am to 730pm EST** **Job Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based & clinical review ... to perform prior authorization as per policy and procedure. + The Pharmacist /Clinician will apply clinical knowledge to plan approved criteria for reviews of… more
- BrightSpring Health Services (Vancouver, WA)
- Our Company OnePoint Patient Care Overview We are looking for a Pharmacist to join our team of providing the highest quality of care, reliability, and support to our ... patients, caregivers, and families. In this role, the Pharmacist will be responsible for dispensing medications, providing clinical advice, as well as delivery… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception ... and resolution for issues from MAPS, Health and Medical Management, IT & Ops, PBM account support team and other customer service areas + Develop strategies for… more
- Elevance Health (Seattle, WA)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist **Location(s):** Indianapolis, IN, Durham, NC, Overland Park, KS, Seattle, ... an accommodation is granted as required by law.** The ** Pharmacist Clinical** is responsible for managing the selection and...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- Elevance Health (San Antonio, TX)
- **Clinical Pharmacist Clinical 1 (PRN)** **Location: 4752 Research Sr. San Antonio, TX 78240** **Onsite:** This role requires associates to work from the posted ... accommodation is granted as required by law. The **Clinical Pharmacist Clinical 1 (PRN)** is responsible for managing the...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- Elevance Health (Cincinnati, OH)
- …industry. **Build the Possibilities. Make an Extraordinary Impact.** Clinical Configuration Pharmacist **Location:** This role requires associates to be in-office 1 ... is granted as required by law._ The **Clinical Configuration** ** Pharmacist ** is responsible for managing the selection and utilization...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- BrightSpring Health Services (Tempe, AZ)
- …stressfulsituations. + Ability to work cooperatively with both pharmacists and technicians. + Pharmacist License that is current and in good standing with the State ... provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices nationwide flexible and adaptable solutions… more
- Molina Healthcare (Vancouver, WA)
- …medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage determinations ... appeals in a timely, compliant, and accurate manner. The Pharmacist , UM will also be responsible for serving as...a member-centered interdisciplinary care team. + Works with the PBM to manage formulary changes and update marketing on… more
- CVS Health (Pittsburgh, PA)
- …heart, each and every day. **Position Summary** The Medical Specialty Clinical Pharmacist will be responsible for development and execution of clinical content for ... and services across our Book of Business. The Medical Specialty Clinical Pharmacist will be responsible for managing and executing long-term and ongoing departmental… more
- Elevance Health (Mason, OH)
- **Clinical Pharmacist - CarelonRx** ** ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... Pharmacy. Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;...which would provide an equivalent background. Requires a registered pharmacist . + Must possess an active unrestricted state license… more