- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** The Manager Pharmacist , Pharmacy Appeals must have expertise and knowledge ... related issues and resolving them under tight TATs to remain in compliance. The Manager Pharmacist , Pharmacy Appeals is also responsible for managing the… more
- Elevance Health (Indianapolis, IN)
- …of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacist Program Manager ** is responsible ... ** Pharmacist Program Manager ** **Hybrid 1:** This...Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh). **Preferred… more
- Molina Healthcare (Everett, WA)
- …for the pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve clinical outcomes stemming from medication ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription… more
- Elevance Health (Nashville, TN)
- …technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. **Title** : Prior Authorization Clinical Pharmacist ... Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh). +...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- US Tech Solutions (May, OK)
- …a determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp ... or Sunday-Thursday 8am-4:30pm local time zone** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical… more
- State of Colorado (Denver, CO)
- …dispensed as floor stock. + Obtain signatures from nurses for the floor stocks and pharmacist for pharmacy . Pre-package to Unit Dose and Return medication to ... PHARMACY TECHNICIAN II- CMHH at Fort Logan Print...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Elevance Health (Winston Salem, NC)
- …and appeals . **Minimum requirements:** + PharmD from an accredited school of pharmacy by start date. + Registered Pharmacist ; must possess an active, ... **Managed Care Pharmacy Resident** **Location:** This role requires associates to...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Beth Israel Lahey Health (Westwood, MA)
- …responsible for providing technical support under the supervision of a licensed pharmacist in the outpatient/retail pharmacy . PTT's duties include bedside ... addition, the PTT will participate in training and orientation of new PTTs and pharmacy students and bedside delivery to patients. The PTT role is intended to open… more
- Access Dubuque (Dubuque, IA)
- Clinical Account Manager **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3543661 Posted On 09/02/2025 Refreshed On 10/07/2025 **Job Overview** **Position ... of the VP of Clinical Services. **About MedOne:** MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a… more
- Blue KC (Kansas City, MO)
- …relative to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize for further review, ... and abuse in accordance with SIU policies and procedures. May work with Manager and/or Senior Investigator on larger, more complex, investigations. + Create and… more