- Elevance Health (Walnut Creek, CA)
- ** Medicare Formulary Strategy Manager ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Medicare Formulary Strategy Manager ** will lead the design,… more
- CVS Health (Woonsocket, RI)
- … Development and Maintenance: + Support the development and support operationalizing the Medicare Part D formulary strategy . + Support the implementation, ... with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team,...and executing the organization's Medicare Part D formulary and product strategy . Leveraging your clinical… more
- The Cigna Group (Bloomfield, CT)
- …analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial strategy role is designed to ... analytics + Medical Loss Ratio (MLR) / member profitability projections + Formulary Strategy + Clinical Analytics around prescription drugs pipeline products… more
- AbbVie (Denver, CO)
- …also working alongside with Sales, Payer, Contracting, Marketing, and Field Reimbursement Manager teams to develop and execute growth strategies. The Director of ... continually assesses growth opportunities, threats to growth, responding to contract/ formulary reviews, providing market intelligence on competitive strategies, and… more
- Elevance Health (Winston Salem, NC)
- …Committee including therapeutic class reviews, policy review, drug monographs, and formulary recommendations. + Develop strategies to drive formulary utilization ... weekly clinical prior authorizations and coverage determinations for Medicaid and Medicare . + Participate in the pharmaceutical care management process through… more
- Elevance Health (St. Louis, MO)
- …prior authorization requests from physicians' offices and ensures compliance with Medicare requirements + Informs relevant parties of all prior authorization ... inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates reports relating to...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- Elevance Health (Norfolk, VA)
- …authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. ... inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates reports relating to...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- Elevance Health (Pembroke Pines, FL)
- …authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. ... inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates reports relating to...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- Elevance Health (Seven Hills, OH)
- …of pharmaceuticals and supports core clinical programs such as DUR, DIS, and formulary management. This role also involves providing pharmacy support to Medicare ... creating a culture that is designed to advance our strategy but will also lead to personal and professional.... Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Altamonte Springs, FL)
- …authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. ... inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates reports relating to...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more