- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Pharmacist , Medicare Clinical Programs is responsible for ... care management with identifying and resolving drug-related problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in… more
- Humana (Boston, MA)
- …our caring 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 prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Boston, MA)
- …individual to contribute to a high performing team that helps translate the clinical into financial to ensure Humana profitability. This individual will support our ... drug pipeline forecasting team, working directly with financial analysts and clinical pharmacy leads as we inform Humana on the impact of new drug launches. This… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …work collaboratively with Pharmacists to provide high-touch, concierge-level pharmacy services to Medicare members. This role focuses on outreach to members who have ... compile member's pharmacy information from multiple sources for the Pharmacist to review + Act as a liaison between...+ Minimum 2-3 years of customer/member service experience + Medicare Part D and/or Pharmacy experience preferred + BS/BA… more
- Highmark Health (Boston, MA)
- … license + 4 years of experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care ... insight for capitated rate negotiations and internal financial forecasting. + Provide clinical expertise, and serve as an influential member of internal clinical… more
- Fallon Health (Brockton, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Prime Therapeutics (Boston, MA)
- …an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market ... of corporate recommendations to committee(s); partner with cross-functionally with Clinical Program Management, Specialty, Health Plan Markets and other internal… more
- Highmark Health (Boston, MA)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... offerings and rules/regulations across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by state, while being… more