• Clinical Utilization

    BrightSpring Health Services (Louisville, KY)
    Our Company PharMerica Overview The Clinical Utilization Management Pharmacistis responsible for providing data driven consultative services to clients that ... impact client cost savings and enhance patient outcomes. The pharmacist works closely with Billing, Clinical Operations,...outcomes. The pharmacist works closely with Billing, Clinical Operations, Account Management and Sales to… more
    BrightSpring Health Services (08/09/25)
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  • Pharmacist , Utilization

    Molina Healthcare (Louisville, KY)
    …requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy services (such as, therapeutic drug monitoring, ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members...the Manager. + Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization ,… more
    Molina Healthcare (09/25/25)
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  • Pharmacist , Utilization

    Molina Healthcare (Louisville, KY)
    …of pharmacy senior leadership. * Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization , and adherence. ... of Pharmacy (PharmD) in applicable state(s). * Current knowledge and expertise in clinical pharmacology and disease management . * Ability to present ideas and… more
    Molina Healthcare (10/09/25)
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  • Pharmacist , Clinical /Medication…

    Molina Healthcare (Louisville, KY)
    …track general trends in drug utilization and identify potential targeted utilization management activities. * Works with healthcare services team (eg, data ... Provides support and subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to… more
    Molina Healthcare (09/24/25)
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  • Pharmacist - Clinical Advisor

    CVS Health (Frankfort, KY)
    …maximize rebate value and drives lowest net cost. + Consulting with and recommending utilization management programs or other clinical programs to a client. ... Clinical Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members...Exchange and Commercial) + Expertise in Utilization Management , Formulary Management and Clinical more
    CVS Health (10/08/25)
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  • Medicaid Formulary Clinical

    Elevance Health (Louisville, KY)
    …for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR and formulary management . **How you will make ... **Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This...formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy benefit management more
    Elevance Health (10/13/25)
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  • Pharmacy Director - Aetna Better Health…

    CVS Health (Frankfort, KY)
    …This includes benefit set-up, claims processing, contractual oversight, formulary management and updates, medication utilization review, prior authorization ... benefit managers (PBMs) and other vendors to optimize medication access and cost management . + ** Clinical Pharmacy Programs:** The Pharmacy Director oversees the… more
    CVS Health (10/15/25)
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  • Pharmacy Intern - Grad

    CVS Health (Louisville, KY)
    …school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will ... of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility… more
    CVS Health (08/30/25)
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