- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Formulary Operations Professional 2 is an integral part of the Clinical Drug ... Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a positive and… more
- Elevance Health (Durham, NC)
- …and utilization of pharmaceuticals and supports core clinical programs such as DUR and formulary management . **How you will make an impact:** + Leads Medicaid ... formulary management processes. + Responsible for all...Serves as a clinical pharmacy resource to pharmacy benefit management and pharmacy operations teams. + Ensures… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …all major payer segments, payer operations /financial drivers and budgets, formulary access management , coverage decision processes and utilization ... strategies, customer interactions, sales team performance, lead generation, pipeline management , pull through tactics and execution, and sales analytics for… more
- CVS Health (Raleigh, NC)
- …all market segments (Medicare, Medicaid, Exchange and Commercial) + Expertise in Utilization Management , Formulary Management and Clinical Products + Proven ... services. + Consulting with and recommending standard and custom formulary options and utilization management edits. +...Pharmacist, and or other members of the Benefits and Operations teams so that those teams can timely and… more
- Veterans Affairs, Veterans Health Administration (Garner, NC)
- …privileges to practice including diagnostic assessment, medication evaluation and management , suicide risk assessments, crisis intervention, and overall care of ... of treatment when indicated. Prescribes medications according to outpatient formulary . Recognizes own capabilities and limitations. Provides direct, short-term,… more
- Veterans Affairs, Veterans Health Administration (Sanford, NC)
- …information, clinical assessments, treatment decision, plan of care, ongoing management and therapeutic outcomes, order medications, diagnostic test and referral ... CPRS; access and timeliness standards; prescription order entry, National VA formulary requirements, and customer service standards. Providers will act as surrogates… more