- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview The Clinical Utilization Management Pharmacistis responsible for providing data driven consultative services to clients that ... impact client cost savings and enhance patient outcomes. The pharmacist works closely with Billing, Clinical Operations,...outcomes. The pharmacist works closely with Billing, Clinical Operations, Account Management and Sales to… more
- Molina Healthcare (Louisville, KY)
- …requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy services (such as, therapeutic drug monitoring, ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members...the Manager. + Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization ,… more
- Molina Healthcare (KY)
- …of pharmacy senior leadership. * Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization , and adherence. ... of Pharmacy (PharmD) in applicable state(s). * Current knowledge and expertise in clinical pharmacology and disease management . * Ability to present ideas and… more
- Molina Healthcare (Owensboro, KY)
- …track general trends in drug utilization and identify potential targeted utilization management activities. * Works with healthcare services team (eg, data ... Provides support and subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to… more
- CVS Health (KY)
- …maximize rebate value and drives lowest net cost. + Consulting with and recommending utilization management programs or other clinical programs to a client. ... Clinical Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members...Exchange and Commercial) + Expertise in Utilization Management , Formulary Management and Clinical … more
- Prime Therapeutics (Frankfort, KY)
- … Pharmacist is responsible for the processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step therapy, ... for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including quantity limits, step therapy,… more
- Prime Therapeutics (Frankfort, KY)
- …with a health plan + Prior client-facing experience + Prior experience with utilization management + Strong MS Office skills, experience with databases and ... and drives every decision we make. **Job Posting Title** Clinical Integrity Pharmacist - REMOTE **Job Description** Job...as a team player. + Good organizational and time management skills, with the ability to manage multiple tasks… more
- Prime Therapeutics (Frankfort, KY)
- … clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and ... Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for the management...PharmD or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with State Board of… more
- Prime Therapeutics (Frankfort, KY)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Solutions VP - Remote **Job Description** The Clinical Solutions Vice ... President is responsible for developing new, bold clinical solutions and architecting plans for execution, as well as evaluating innovative solutions to assess… more
- Prime Therapeutics (Frankfort, KY)
- …drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The ... Senior Director Clinical Strategy and Oncology Specialty Solutions is responsible for owning the execution of Prime's oncology specialty products and programs, as… more
- CVS Health (Richmond, KY)
- …school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will ... of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility… more
- Highmark Health (Frankfort, KY)
- …degree **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + PA clinical licensure/certifications such as RN, RD, Pharmacist **Language (Other ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more