• Segal (Washington, DC)
    …projects for public, corporate and multiemployer clients.Providing technical review and clinical analysis of PBM data, contracts, financial arrangements and ... best in our field. We are recruiting for a Pharmacist to join the East Region. We are open...and marketing initiatives, including proposal writing.Performing as the lead PBM consultant or clinical lead on client… more
    CareerBuilder (11/10/21)
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  • Managed Care Staffers (Aurora, IL)
    …The purpose of this position is to provide support to the Pharmacy Benefit Manager ( PBM ). The Clinical Pharmacist will support clinical programs and ... Direct hire PharmD: PBM - Aurora, IL (W. Suburbs of Chicago)...workers and their families, is seeking to hire a Pharmacist . The Clinical Pharmacist works… more
    Managed Care Staffers (01/15/22)
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  • Gainwell Technologies LLC (Conway, AR)
    …Gainwell clinical pharmacy practice group, the PDL & prior authorization pharmacist supports the clinical and operational PDL needs of our Fee-for-Service ... and maintenance activities include monitoring new drugs, assisting in clinical drug class reviews, and analyzing cost comparisons to...to be placed on the PDL in conjunction with clinical review of drugs and drug classes. Monitor for… more
    Jobs2Careers (12/06/21)
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  • Molina Healthcare (Long Beach, CA)
    Job Description Job Summary The Clinical Pharmacist , Pharmacy Policy is responsible for the identification, execution, and follow-up on high cost medication ... including P&T Committee, and other Molina Healthcare Leadership. The Clinical Drug Policy Pharmacist is responsible for...new and existing drugs utilization management. In addition, provides clinical support oversight over PBM clinical more
    Jobs2Careers (01/11/22)
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  • Managed Care Staffers (Aurora, IL)
    …The purpose of this position is to provide support to the Pharmacy Benefit Manager ( PBM ). The Clinical Pharmacist will support clinical programs and ... Direct hire PharmD: PBM - Aurora, IL (W. Suburbs of Chicago)...workers and their families, is seeking to hire a Pharmacist . The Clinical Pharmacist works… more
    JobGet (01/19/22)
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  • Magellan Health (Rancho Cordova, CA)
    …Managed pharmacy benefits organization experience preferred. General Job Information Title Lead Clinical Pharmacist Reviewer - Medi-Cal Grade 30 Work Experience ... management solutions programs, providing consultation on pharmacy issues to clinical operations representatives and facilitating the successful implementation of… more
    Magellan Health (01/17/22)
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  • UnitedHealth Group (Atlanta, GA)
    …simply do not exist in any other organization, anywhere. The Account Manager Pharmacist / Clinical Consultant will lead and manage ongoing contract relationships ... and day - to - day service delivery for clinical pharmacy needs. Represents client(s) internally and coordinates with...degree in Pharmacy or Pharm D Current and unrestricted Pharmacist license (any state) 3+ years of experience working… more
    CareerBuilder (01/14/22)
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  • UnitedHealth Group (San Juan, PR)
    …prior to employment to ensure compliance.Preferred Qualifications: 1+ years practicing pharmacist experience PBM experience Pharm D Experience in Commercial ... an innovative approach to Pharmacy Benefit Management. As a Pharmacist - Prior Authorization, you will work in a...Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced… more
    CareerBuilder (01/14/22)
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  • Commonwealth Care Alliance (Boston, MA)
    Provides clinical support and alignment of drug management and formulary development for medical and pharmacy benefits administration A cents € cents Develops, ... € cents Conduct oversight audits and focus on continuous monitoring activities (eg PBM ) A cents € cents Identifies, develops, and aligns new /drug /disease… more
    JobDiagnosis (01/14/22)
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  • UnitedHealth Group (Schaumburg, IL)
    …pass a drug test before beginning employment.Job Keywords: Account Manager Pharmacist Clinical Consultant, Telecommute, Telecommuter, Telecommuting, Remote, WFH, ... where you'll do your life's best work.(sm)The Account Manager Pharmacist / Clinical Consultant will lead and...state) 3+ years of experience working as a licensed pharmacist Experience working for a PBM and… more
    CareerBuilder (12/25/21)
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  • UnitedHealth Group (San Antonio, TX)
    …required to pass a drug test before beginning employment.Job Keywords: Pharmacy, Pharmacist , Specialty Pharmacy, Clinical Pharmacist , PharmD, San Antonio, ... interested in.Required Qualifications: BS in pharmacy or PharmD degree Active and unrestricted pharmacist license in good standing in state of Texas 1+ years of… more
    CareerBuilder (01/16/22)
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  • Careerbuilder-US (Philadelphia, PA)
    US Tech Solutions is seeking a " Pharmacist " for a 04 months contract position with a client in Philadelphia Pennsylvania 19113 Job Poster: Kunal Bhattacharyya Job ... resolved by 1st level intervention. Researches, resolves and responds to provider clinical inquiries. Recommends course of action for providers where patterns appear… more
    CareerBuilder (01/14/22)
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  • Segal (New York, NY)
    …improves lives?Perform as the lead on client assignments and manage PBM -related client projects and service delivery initiatives (eg, proposals, audits, ... negotiations, contract reviews, etc.).Provide technical review and analysis of PBM data, contracts, financial arrangements and PBM program effectiveness.Design… more
    CareerBuilder (12/19/21)
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  • Amerihealth (Raleigh, NC)
    …ensure these programs are implemented across all applicable lines of businessReview clinical /financial recommendations and strategies provided by the PBM 's ... supports activities for the Exchange product - Active/current & unrestricted Registered Pharmacist req'd - Min 3 current/recent working yrs of Exchange benefits &… more
    JobDiagnosis (01/11/22)
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  • EmblemHealth (New York, NY)
    …Responsible for P&T Committee meeting readiness, preparation and follow up. Ensure clinical staff is leveraged and engaged appropriately. Responsible to ensure new ... ensure member mailings and provider communications are sent timely. Interface with PBM regarding rebates for pharmacy drug claims, formulary administration and … more
    JobGet (01/19/22)
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  • Rose International (Montgomery, AL)
    …This is the primary service-level position in a business to business multimedia PBM contact center. The Member Services Rep serves as an initial point of ... integration files) to accurately input patient profile eligibility, medical history, clinical data, and updates into company operation platforms. * Assist pharmacies… more
    CareerBuilder (01/11/22)
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  • Southwestern Health Resources (Dallas, TX)
    …Or Other Pharmacy Pharm.D. Required Experience 5 Years' Experience as a pharmacist with progressive clinical practice responsibilities in a population health, ... system or managed care (such as health plan or PBM ) pharmacy setting Required and 3 Years' Experience as...related field is preferred Licenses and Certifications PHAR - Pharmacist Upon Hire Required AND Other Board-Certified Clinical more
    CareerBuilder (12/02/21)
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  • Virginia Mason Medical Center (Seattle, WA)
    …pharmacy and provides support under the supervision of a licensed pharmacist , ensuring optimal pharmaceutical care. Completes registration and insurance information, ... Answers patient questions and, under protocol and the guidance of the pharmacist , provides educational materials. Communicates effectively and efficiently with the … more
    Virginia Mason Medical Center (01/15/22)
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  • Texas Children's Hospital (Houston, TX)
    …works well in a fast-paced setting. In this position, you will assist the pharmacist with clinical and audit operations. This includes calling providers offices ... miscellaneous scheduled tasks.Think you've got what it takes?ResponsibilitiesAssists the pharmacist with conducting vendor oversight and internal process control… more
    JobDiagnosis (01/03/22)
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  • Envolve Pharmacy (Detroit, MI)
    …coverage determination requests submitted from providers and determine if a pharmacist review is requiredObtain verbal authorizations and request detailed ... clinical information from prescribersApprove coverage determination requests based on...criteriaEnter and document coverage determination request decision into the PBM system and notify providers and/or membersRespond to client… more
    JobDiagnosis (01/19/22)
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