- Molina Healthcare (Yonkers, NY)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... patient outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage… more
- Molina Healthcare (Yonkers, NY)
- …and quality initiatives under the direction of leadership. * Monitors drug utilization and assists leadership team in understanding quality and cost-control issues ... pharmacy benefit changes for the upcoming year. * Works with the care management department as part of a member-centered interdisciplinary care team (ICT). * Works… more
- CVS Health (Albany, NY)
- …+ Consulting with and recommending standard and custom formulary options and utilization management edits. + Collaborating with internal partners to develop ... drives lowest net cost. + Consulting with and recommending utilization management programs or other clinical programs...Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members of the Benefits and… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more