- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Pharmacist , Medicare Clinical Programs is responsible for ... care management with identifying and resolving drug-related problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes ... with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the analysis… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …work collaboratively with Pharmacists to provide high-touch, concierge-level pharmacy services to Medicare members. This role focuses on outreach to members who have ... compile member's pharmacy information from multiple sources for the Pharmacist to review + Act as a liaison between...+ Minimum 2-3 years of customer/member service experience + Medicare Part D and/or Pharmacy experience preferred + BS/BA… more
- Highmark Health (Boston, MA)
- … license + 4 years of experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care ... insight for capitated rate negotiations and internal financial forecasting. + Provide clinical expertise, and serve as an influential member of internal clinical… more
- Fallon Health (Foxborough, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Prime Therapeutics (Boston, MA)
- …an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market ... of corporate recommendations to committee(s); partner with cross-functionally with Clinical Program Management, Specialty, Health Plan Markets and other internal… more
- Highmark Health (Boston, MA)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... offerings and rules/regulations across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by state, while being… more