- Excellus BlueCross BlueShield (Rochester, NY)
- …is required. + Managed care experience is strongly preferred, especially experience in utilization management . In lieu of managed care experience, proven record ... management tools. + Guides level I/II teammates on clinical decision-making and UM process insight to resolve day-to-day...years' experience in a managed care setting, specifically in utilization management . + Experience and skillset in… more
- Molina Healthcare (Buffalo, NY)
- …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
- Elevance Health (New York, NY)
- …defining our innovative role in the industry. **Title** : Population Health Management Clinical Pharmacist **Location(s):** Indianapolis, IN, Louisville, KY, ... adaptable workplace. **Build the Possibilities. Make an Extraordinary Impact.** The **Population Health Management Pharmacist ( Pharmacist Clinical ** ) is… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …System patients with acute care needs and referrals to subspecialty clinics. The Clinical Pharmacist works with a primary emphasis on inpatient care, outpatient ... These duties are expected to be carried out in an independent manner. The clinical pharmacist is a licensed professional with knowledge and proficiency in… more
- CVS Health (Albany, NY)
- …in Medical Affairs and is responsible for clinical drug list, formulary, and utilization management (UM) analyses, with a focus on MHP. The individual is ... with heart, each and every day. **Position Summary** The Clinical Pharmacist , Formulary Clinical Analysis...3 years demonstrated experience in formulary development and pharmacy utilization management + Deep, broad knowledge of… more
- MVP Health Care (Schenectady, NY)
- Professional, Clinical Pharmacist Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Tarrytown Office, 303 South Broadway, ... thinking and continuous improvement. To achieve this, we're looking for a **Professional, Clinical Pharmacist ** to join #TeamMVP. This is the opportunity for you… more
- University of Rochester (Rochester, NY)
- …with chronic or complex diseases and/or high utilization patterns. The Primary Care Clinical Pharmacist will focus on population health, be able to use data, ... and health-care providers to implement and maintain innovative disease or medication management programs and clinical pharmacy services. Develop and provide… more
- Evolent (Albany, NY)
- …on value- based care and initiatives within pathway, policy, and beyond utilization management solutions. + Introduce innovative initiatives supported with ... **Oncology Pharmacist , Medical Pharmacy** **Collaboration Opportunities:** The Oncology Pharmacist role collaborates with the full clinical team, service… more
- Independent Health (Buffalo, NY)
- …(registered pharmacist degree); PharmD preferred. + Four (4) years of clinical experience required; Utilization Management experience preferred. + ... that fosters growth, innovation and collaboration. **Overview** The Benefit Administration Pharmacist (BA RPh) shall be responsible to research initial coverage… more
- Trinity Health (Syracuse, NY)
- …acute care/residency experience preferred, willing to train new graduate or pharmacist transitioning from non-acute care practice. + Posting Posting Job ... our communities.Vision:.To be world-renowned for passionate patient care and outstanding clinical outcomes.Core Values:.In the spirit of good _Stewardship,_ we heal… more
- Northwell Health (New York, NY)
- …completeness to maintain accurate patient profile. 7.Provides high-touch specialty pharmacy clinical management to promote adherence, and decrease adverse drugs ... events. 8.Complies with Utilization Review Accreditation Commission (URAC) accreditation to complete and document Initial Assessments, Re-Assessments, Care Plans,… more
- Northwell Health (Staten Island, NY)
- …completeness to maintain accurate patient profile. + Provides high-touch specialty pharmacy clinical management to promote adherence, and decrease adverse drugs ... events. + Complies with Utilization Review Accreditation Commission (URAC) accreditation to complete and document Initial Assessments, Re-Assessments, Care Plans,… more
- Northwell Health (Lake Success, NY)
- …clinical services. + Provides necessary, requested information to management for consideration in the staff's performance appraisals; collaboratively, ... Number** 151964 Job Description Implements, coordinates, and evaluates all clinical Pharmacy services. Assists and directs Medication Usage Evaluations, collaborates… more
- Northwell Health (Manhasset, NY)
- …Number** 154393 Job Description Implements, coordinates, and evaluates all clinical transplant pharmacy services (inpatient and outpatient). Collaborates with the ... and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and… more
- Highmark Health (Albany, NY)
- …+ Deep Clincal Expertise -extensive knowledge of clinical , quality, care, utilization , high-cost claim, and population health management . Must be a ... and other stakeholders. **EDUCATION** **Required** + Bachelor's degree in Nursing, Pharmacist , Physician Assistant or Clinical field **Substitutions** + None… more
- Mount Sinai Health System (Long Island City, NY)
- … clinical experience/training Licensing and Certification Requirements Name: Registered Pharmacist Issuing Agency: NYS Board of Pharmacy Continues to meet ... Pharmacy Manager, Transitions of Care. is responsible for carrying out clinical pharmacy services, promoting clinically and evidence-based rational drug therapy, and… more
- Mount Sinai Health System (New York, NY)
- …of the Clinical Pharmacy Integration team will be responsible for medication management quality, cost, utilization and clinical stewardship activities at ... + Lead and participate in pharmacy resident conference **Responsibility #4 Quality/ Utilization Management ** + Assist with scaling MTM and chronic disease… more
- Mount Sinai Health System (New York, NY)
- …+ Previous experience in developing clinical programs related to Formulary and Utilization management required. + Minimum of 6 years experience in the ... to Mount Sinai Health System. + Responsible for the development of complex utilization management strategies and drug utilization review programs to… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …one-year program, the resident will possess knowledge on clinical account management , drug utilization management , data analysis, formulary management ... not limited to leveraging the following software and programs: PA Hub/PromptPA, Clinical Optimization, Diabetes Management , Medication Therapy Management ,… more
- CVS Health (Brooklyn, NY)
- …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