- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. Clinical Pharmacist , In-House Clinical Programs is responsible for working with ... management with identifying and resolving drug-related problems for participants . The clinical pharmacist will assist the Pharmacy Department in the measurement… more
- CVS Health (Columbus, OH)
- …implementation of large product initiatives, including new products and product enhancements for Medicare formularies, UM and clinical tools for Medicare ... years of Managed Care experience in health plan and/or PBM roles 15+ years Medicare experience **Education** Pharmacist , BS or Pharm D with active, unrestricted… more
- US Tech Solutions (May, OK)
- **Job Description:** As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- HCA Healthcare (Jourdanton, TX)
- **Description** **Methodist Hospital South** **Advanced Clinical Pharmacist ** **Laboratory Department** **Full Time - Non-Exempt** **Mixed Shift - Rotating ... talk to you about this fantastic opportunity. The advanced clinical pharmacist demonstrates proficiency in all ...Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- HCA Healthcare (Riverside, CA)
- …**Do you want to join an organization that invests in you as a(an) Clinical Pharmacist ? At Riverside Community Hospital, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Clinical Pharmacist like you to be a...Intensive Care Unit. Our Transplant Program is certified by Medicare to perform kidney and pancreas transplantation.** **HCA Healthcare… more
- CVS Health (Pittsburgh, PA)
- …CVS Health has an exciting opportunity to join our growing team as a Clinical Development Pharmacist ! Are you looking for a clinically interesting role that ... be the role you are looking for! As a Clinical Development Pharmacist , you will create and...clients is preferred. It will be necessary to create clinical content for all business segments (Commercial, Medicare… more
- Lancaster General Health (Lancaster, PA)
- **Summary** Full-time Clinical Pharmacist Position - central and decentralized pharmacy services. Pharmacist Clinical Ladder Opportunities. Schedule is ... alternate therapies as appropriate. Demonstrates this activity by preparing clinical intervention documentation. + Prepares and dispenses medications in accordance… more
- Healthfirst (NY)
- …Students + Ensure all clinical criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New York State Department of Health (NYSDOH) ... with the latest guidelines or otherwise supported by the clinical compendia + Provide clinical pharmacy support...degree from an accredited school of pharmacy + Registered Pharmacist , with a state license in good standing +… more
- US Tech Solutions (AZ)
- **Job Title:** ** Pharmacist ** **Location: Remote** **Duration: 12+ months contract** **Job Description:** + As an RPh Advisor you will be directly supporting ... Medicare Part D members and providers with requests related...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… more
- CVS Health (Columbus, OH)
- …experience. **PRIMARY DUTIES AND RESPONSIBILITIES** : Ensure accuracy of case setup and clinical review of Medicare appeals cases + Review internal notes or ... As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… more
- CVS Health (Berwyn, IL)
- …of clinic location required + 1-3 years' prior relevant experience as a Clinical pharmacist -Ambulatory experience preferred + Bilingual in English and Spanish ... prescriptions to helping manage chronic and specialty conditions. The Pharmacist , Ambulatory Care plays a critical role at CVS...evolve over time): + Work as part of a clinical care team to improve patient satisfaction, lower medical… more
- Elevance Health (Columbus, OH)
- …lens, to deliver member-centered, lasting pharmacy care. The **Population Health Management Pharmacist ( Pharmacist Clinical ** ) is responsible for managing ... **Population Health Management Pharmacist - CarelonRx** **Location:** The ideal candidate will...the selection and utilization of pharmaceuticals and supports core clinical programs for contracted provider groups formulary management, achieving… more
- Highmark Health (Harrisburg, PA)
- …Serve as the clinical SME for PCP value based reimbursement programs, Medicare STARS, Medicaid HEDIS, for both the Organization's internal and external key stake ... + Board Certified Ambulatory Care Pharmacist + Board Certified Geriatric Pharmacist **SKILLS** + Analytical Skills + Medicare + Presentation Delivery +… more
- Essentia Health (Bismarck, ND)
- … questions and patient counseling of medications dispensed to patients under PAP; supporting clinical criteria needed for accurate Medicare Part B billing for EH ... by Essentia Health Providers + Support Medication Access Associates with clinical questions when submitting prior authorization, verifying Medicare prescription… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Data Group (MDBG), Division of Formulatry and Benefit Operations (DFBO). As a Pharmacist , GS-0660-13, you will provide clinical pharmacy expertise and guidance ... position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare … more
- Cedars-Sinai (Beverly Hills, CA)
- …people?** This role is considered a hybrid role. As a Drug Use Policy Pharmacist (DUP) at the Cedars-Sinai Medical Network Foundation, you will serve as the primary ... professional staff member in the Department of Pharmacy responsible for the clinical and medication use policies within Cedars-Sinai Medical Care Foundation (CSMCF).… more
- Lancaster General Health (Lancaster, PA)
- **Summary** Clinical Pharmacist Position. Central and decentralized model. Every 3rd weekend. Every other holiday.- Sign On Bonus: $10,000 - external candidates ... - with 2 year commitment. **Job Description** **Job Title: Clinical Pharmacist ** **Location: Lancaster, PA.** **Sign On...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
- Humana (Miramar, FL)
- **Become a part of our caring community and help us put health first** A clinical pharmacist is a licensed professional who is responsible for the safe and ... of pharmacy services including medications and pertinent supplies. The pharmacist also monitors the flow of activities in the...USP 797 and 800 guidelines. * 1-2 years of clinical pharmacy experience in home care, hospital, or other… more
- BrightSpring Health Services (Morton Grove, IL)
- …the Pharmacist will be responsible for dispensing medications, providing clinical advice, as well as delivery services. Schedule: Monday - Friday 12:30pm-8:30pm ... industry. Specializing in providing hospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint Patient Care...unsurpassed in the industry. We are looking for a Pharmacist to join our team of providing the highest… more