- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert ... be required + Mandatory overtime during peak season **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members have access to all medically necessary ... (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy… more
- Highmark Health (Albany, NY)
- …pharmacy and member educational initiatives that promote Highmark Wholecare's formularies, utilization management programs, and case/disease management ... + Represent the organization to members, providers, and other staff at participating practices. + Assist in the development...implementation of various programs, including, but not limited to utilization management , disease management and… more
- CDPHP (Latham, NY)
- …with managed care pharmacy principles including prior authorization reviews, formulary management , and utilization review preferred. + Experience with Microsoft ... be a part of that experience. The Managed Care Pharmacist -Level I is primarily responsible for the operational...on the outcome of these requests, training of new staff in this process, support of the Plan's care… more