- CVS Health (Buffalo Grove, IL)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Sr . Clinical Pharmacist , Medicare - Medical Affairs leads ... Affairs and key stakeholders across the organization to support customer needs. The Sr . Clinical Pharmacist , Medicare - Medical Affairs is responsible… more
- CVS Health (Buffalo Grove, IL)
- …to make health care more personal, convenient and affordable. Position Summary The Sr . Clinical Pharmacist is responsible for supporting the development, ... and supporting other formulary and utilization management related processes and requests. The Sr . Clinical Pharmacist leads within the Medical Affairs team… more
- Prime Therapeutics (Springfield, IL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... Summary** Leads the clinical support for various multi-functional projects critical to the...accounts across various lines of business (Managed Medicaid; Commercial; Medicare ; Exchange) under the guidance of the Vice President… more
- Highmark Health (Springfield, IL)
- …as an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into ... Manage individual projects for timely review with the Director, Clinical Pharmacy. + Participate in Medicare Stars...the Director, Clinical Pharmacy. + Participate in Medicare Stars performance measures to drive contribution to excellence… more
- CVS Health (Springfield, IL)
- …alignment with the VBC team, this leader will focus on implementation of clinical best practices to improve performance in collaboration with primary care provider ... behavioral health QM, credentialing, delegation and regulatory accreditation support, clinical and service measurement and improvement and quality of care… more
- CenterWell (Springfield, IL)
- …to a Conviva/CenterWell market location(s) + Experience working in a value-based care, senior care, and/or Medicare managed care **Workstyle** This is a remote ... caring community and help us put health first** The National Director, Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing, and… more
- Ascension Health (Joliet, IL)
- …and participate in quality and performance improvement initiatives. + Acquire clinical data to support Pharmacists. + Coordinate special projects. + Responsible ... and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. + Serve as a resource...operating room satellite, and retail. + May serve as pharmacist extender in situations such as Caregiver Model of… more