- Providence (OR)
- … and medical trend insights while analyzing opportunities to optimize formulary, utilization management , innovative pricing and emerging rebate opportunities + ... Pharmacy Specialist who will:** + Serve as an expert in medication utilization and pharmacy therapeutic, utilization and economic data + Collaborate… more
- Marshfield Clinic (Marshfield, WI)
- …in accordance with regulating bodies (ACA, CMS, OIG). + Monitor and analyze pharmacy utilization trends, identifying opportunities for cost savings and improved ... exciting missions in the world!** **Job Title:** SHP Clinical Pharmacy Specialist ( Remote or Hybrid Option) **Cost...written content to inform members and providers of formulary, utilization management and other program changes as… more
- Providence (WA)
- …people, we must empower them._** **Providence Health Plan is calling a Clinical Pharmacy Specialist who will:** + Be responsible for the effective provision of ... clinical pharmacy services to members of Providence Health Plan (PHP)...following areas: + Direct patient care through Medication Therapy Management (MTM) program + Population-based disease management … more
- Gentiva (Mooresville, NC)
- …metrics, processes, and reporting for medical supplies, durable medical equipment, and pharmacy utilization . This role also works closely with branch personnel ... a lasting difference in people's lives every day. **Overview** The ** Utilization Manager** plans, coordinates, implements, and finalizes projects according to the… more
- The Cigna Group (Bloomfield, CT)
- …Advisor** **Internal Job Title - Clinical Account Manager (CAM)** As part of Cigna Pharmacy Management , the Pharmacy Sales Advisor is a licensed clinician ... review client performance and sell in the suite. of pharmacy management programs and solutions that align...medical sales teams. + Support detailed ad-hoc analysis of pharmacy claims utilization in order to provide… more
- Beth Israel Lahey Health (Boston, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Job Summary: The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy practice in a ... by hospital needs. Specialists provide comprehensive clinical and distributive medication management services and will utilize their advanced clinical skills in the… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Senior Medical Pharmacy Analyst - Remote **Job Description** Design, document, develop and roll ... out financial, clinical and utilization analyses using a variety of computing tools (eg,...complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of… more
- The Cigna Group (Bloomfield, CT)
- …D/ Rx Service Operations** _Medication Therapy Management (MTM), Formulary, Drug Utilization Review (DUR), Opioid Edits, Pharmacy & Therapeutics (P&T), End ... Tier, Downstream and Related Entities (FDR) + Act as a SME in the management of Corrective Action Plans (CAP) and other issue remediation for function specific Part… more
- Elevance Health (Columbus, OH)
- …+ Ohio + Missouri + Kentucky + Florida **Description** ** Utilization Management Rep II** **Location: This is a remote opportunity. Candidates can ... you for payment as part of consideration for employment. ** Utilization Management Rep II** + Job Family:...be willing to work 8:30-5:00 PST hours.** BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and… more
- WellSpan Health (York, PA)
- …updates. + Provides expert clinical pharmacy support as needed to the utilization management team as they conduct reviews related to medications. Common ... profoundly collaborative role serving as the expert in clinical pharmacy to the ambulatory care management team...appropriate use of pharmaceuticals. Required + 1 year Care management or utilization management experience.… more
- UPMC (Pittsburgh, PA)
- …Antimicrobial Stewardship Program. The clinical pharmacy specialist assists in the management of pharmacy utilization and provides expertise in managing ... + Provide innovative and applicable ideas in clinical program development, utilization management , formulary management , provider education, therapeutic… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …the service line, utilizing huddles to encourage process improvement and lean management concepts to maximize resource utilization within the organization. 2) ... 7) Serves and collaborates on facility workgroups and committees to maximize utilization of pharmacy technician responsibility and input to process changes.… more
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- …therapy and as a consultant for intensive medication therapy management services. Responsibilities VA Careers - Pharmacy : https://youtube.com/embed/Fn\_ickNBEws ... Summary The Clinical Pharmacy Specialist is a resource on mental health...attention to the appropriate service or specialist. Conducts drug utilization reviews, quality assurance activities, and utilization … more
- Centene Corporation (Phoenix, AZ)
- …providers on the health plan's pharmacy process + Assist with the pharmacy utilization review and reporting process + Collaborate with Quality Improvement ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- …related to medication management , all cost avoidance and budgeting, and management of clinical pharmacy programs and procedures. Ambulatory pharmacy ... operations, including prescription processing, consult management , clinic management . Pharmacy research program. Ensures compliance with all Joint… more
- Veterans Affairs, Veterans Health Administration (Hot Springs, SD)
- …areas of identified need. 15) Identifies and recommends policy and procedure changes to management to ensure optimal pharmacy performance. 14) Serves as back up ... provided and attached. B. Lead Functions: 1) Competent in utilization of all IP automation. 2) Maintains competencies in...and timely fashion. Escalates as needed. 16) Effectively evaluates pharmacy activities to assist management to obtain… more
- Veterans Affairs, Veterans Health Administration (Chesapeake County, VA)
- Summary The Pharmacy Technician (Controlled Substance) typically carry out the full range of technical support functions to include processing and filling outpatient ... including cytotoxic chemotherapy. Responsibilities VA Careers - Pharmacy : https://youtube.com/embed/Fn\_ickNBEws Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Pharmacy Technician:… more
- Centene Corporation (Cheyenne, WY)
- …have access to competitive benefits including a fresh perspective on workplace flexibility. Pharmacy Technician, Clinical Services - Remote - Bilingual Spanish / ... English - Call Center - MTM, Pharmacy Adherence and/or other clinical programs - 11am -...selection and resolve medication-related problems. + Provides medication therapy management (MTM) services via triage of inbound calls to… more
- Corewell Health (Grand Rapids, MI)
- …that ensure appropriate and cost-effective medication use, through principles of drug utilization management and medication optimization. + Works with medical ... Job Summary Not able to hire remote in California or New York. Managed care...directors, pharmacy leaders, and medical management teams to… more
- State of Colorado (CO)
- …for a Clinical Pharmacy & FQHC Policy Specialist for the Benefit Management Division of the Health Policy Office (HPO)! HPO is responsible for the administration ... Clinical Pharmacy & FQHC Policy Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4466251) Apply Clinical Pharmacy & FQHC Policy… more