- Elevance Health (Louisville, KY)
- ** Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... -first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacist Clinical ** will be responsible for managing...management. **How you will make an impact:** + Leads Medicaid formulary management processes. + Responsible for… more
- CVS Health (Frankfort, KY)
- …least 2 and up to 4 market segments for any particular client (Medicare, Medicaid , Exchange, or Commercial). The Health Plan Clinical Advisor is responsible for ... Clinical Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members...any federal, state or local regulatory requirements that impact formulary , UM and or clinical programs and… more
- Molina Healthcare (Louisville, KY)
- …state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider ... utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and… more
- Molina Healthcare (Louisville, KY)
- …**Job Summary** Provides support and subject matter expertise for pharmacy formulary liaison activities between the business and its customers (members, providers ... to the pharmacy benefit. * Serves as the designated formulary expert. * Ensures Molina is compliant with the...quality metrics. * Assists call center pharmacy technicians with clinical questions and phone calls from prescribers, pharmacies and/or… more
- CVS Health (Frankfort, KY)
- …for Aetna Better Health of Kentucky will be responsible for all clinical , financial, operational and compliance activities related to the prescription drug benefit ... guidance to the health plan and external partners for the state Managed Medicaid pharmacy benefit. The Pharmacy Director reports to the Senior Lead Pharmacy Director… more