- CVS Health (Buffalo Grove, IL)
- …make health care more personal, convenient and affordable. Position Summary The Sr. Clinical Pharmacist , Medicare - Medical Affairs leads within the Medical ... across the organization to support customer needs. The Sr. Clinical Pharmacist , Medicare - Medical Affairs is...one of these locations. Required Qualifications - 5+ years pharmacist experience in Medicare, PBM , and Health… more
- CVS Health (Buffalo Grove, IL)
- …health care more personal, convenient and affordable. Position Summary The Sr. Clinical Pharmacist is responsible for supporting the development, creation, ... other formulary and utilization management related processes and requests. The Sr. Clinical Pharmacist leads within the Medical Affairs team supporting Medicare… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. Position Summary Ready to take your Clinical Pharmacist skills to the next level with a Fortune 6 company? ... Check out this outstanding opportunity for a Clinical Pharmacist with CVS Health. This position...Required Qualifications * 2 years' experience working as a pharmacist in a PBM setting. * Current… more
- CVS Health (Buffalo Grove, IL)
- …health care more personal, convenient and affordable. Position SummaryThe Medical Specialty Clinical Pharmacist will be responsible for development and execution ... specialty programs and services across our Book of Business. The Medical Specialty Clinical Pharmacist will be responsible for managing and executing long-term… more
- Elevance Health (Altamonte Springs, FL)
- The **Home Infusion** ** Pharmacist (PRN)** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such ... will make an impact:** . Researches and synthesizes detailed clinical data related to pharmaceuticals. . Prepares and presents...Pharmacy. Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- Penn Medicine (West Chester, PA)
- …profile, monitors drug therapy for contraindications, incompatibilities, and allergies. The pharmacist also performs bimonthly reconciliation of PBM drug cost ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- UCLA Health (Los Angeles, CA)
- …you'll spearhead the development and oversight of our pharmacy benefit management ( PBM ) business unit. In this pivotal role, you'll craft and execute comprehensive ... policies and procedures to drive the success of our PBM initiatives. Your responsibilities will encompass the full spectrum...* Minimum of 8 years of experience as a Pharmacist in a healthcare setting, required * Three or… more
- Elevance Health (Altamonte Springs, FL)
- …of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a ... prompt credentialing for health plans and pharmacy benefit managers ( PBM ) for all pharmacy sites. **How you will make...and paper. + Effectively communicates with admission, billing, and clinical teams in a professional manner. + Reviews all… more
- Apex Health Solutions (Houston, TX)
- …drug strategy. If necessary, communication and coordination of the review with the clinical pharmacist or medical director as needed. Provide support to quality ... providers offices, and other healthcare practitioners based on the clinical program protocols and workflows. Collaboration with patients, pharmacists, providers,… more
- InnovaCare (San Juan, PR)
- …system. Provide all relevant clinical information of a CDR to the Clinical Pharmacist for evaluation. Communicate verbally and/or by writing the results of ... BUSINESS UNIT: MMM Holdings, LLC DEPARTMENT: Pharmacy Services POSITION: Pharmacy Clinical Representative POSITION DESCRIPTION Serves as primary liaison between MMM… more
- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... triage coverage determination requests submitted from providers and determine if a pharmacist review is required. + Enter and document coverage determination request… more
- WTW (Seattle, WA)
- …deliver unparalleled value to our clients and the broader pharmacy community. A pharmacist degree and license in good standing is required for this role. **The ... benefit plan analysis, design, and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM performance… more
- Hackensack Meridian Health (Neptune, NJ)
- …helps prioritize workflow, helps troubleshoot barriers (financial, insurance, or clinical ) and facilitates delivery of completed prescriptions back to the ... orders to patient care areas 12. Ensures patients receive offer for pharmacist counseling and distributes pharmacist contact information in the event… more
- Hackensack Meridian Health (Hackensack, NJ)
- …helps prioritize workflow, helps troubleshoot barriers (financial, insurance, or clinical ) and facilitates delivery of completed prescriptions back to the ... prescription orders to patient care areas + Ensures patients receive offer for pharmacist counseling and distributes pharmacist contact information in the event… more
- The Cigna Group (Philadelphia, PA)
- …(Senior Director) oversees and directs the creation, adoption and evaluation of clinical pharmacy programs, product and services that are capable of achieving the ... Cigna Integrated Health Plan strategic clinical and financial goals. Ensures that... and financial goals. Ensures that solutions meet traditional PBM affordability goals while accelerating differentiated Total Cost of… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing ... clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to… more
- Humana (New Hyde Park, NY)
- …in 2021. Enclara is the nation's largest full-service pharmacy benefits manager ( PBM ) specifically for the hospice and palliative care sectors. Serving nearly ... support caregivers through: digital innovations, flexible medication access, one-on-one clinical support, and excellent customer service. **Schedule: Saturday and… more
- Sanford Health (Sioux Falls, SD)
- …form. Review Plan policy to determine which requests need to be sent on the clinical pharmacist team for review. Serve as a liaison with the pharmacy benefit ... manager ( PBM ) in regards to pharmaceutical questions or issues that arise. Serve as a resource for other departments within the health plan. Meet and maintain all… more