- Northwell Health (New Hyde Park, NY)
- …+ Bachelor of Pharmacy required. + Current License to practice as a Pharmacist in New York State required, plus specialized certifications as needed. + 1-3 ... of relevant experience, required. + Preferred qualification - minimum 3 years of PBM or Health Plan experience Additional Salary Detail** The salary range and/or… more
- US Tech Solutions (May, OK)
- …as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of ... candidates with that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have… more
- US Tech Solutions (May, OK)
- …a Prior Authorization Pharmacist is required. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an ... collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …action to ensure that patients receive optimal drug therapy. The clinical pharmacist also applies standards relating to all aspects of distribution and control ... Duties may include, but are not limited to: GS-11 Experience The Pharmacist recommends appropriate selection of drug therapy based upon the pharmaceutical principles… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …decision to outsource CSP preparations or to prepare CSP's locally follows the VHA PBM decision making hierarchy and associated guidance and assures PBM 's CSP ... (ie, Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a...requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s)… more
- CVS Health (Olympia, WA)
- …and affordable. **Position Summary** The Clinical Advisor position is an exciting pharmacist opportunity to use your clinical background in a client-facing role. ... analyzing drug utilization patterns and trends for our Pharmacy Benefit Management ( PBM ) clients. - Leveraging your presentation skills by delivering quarterly and… more
- CVS Health (Austin, TX)
- …States. The Clinical Strategic Account Executive position is an exciting pharmacist opportunity to use your clinical background, specialty knowledge, and business ... patterns and trends, focused on specialty, for our Pharmacy Benefit Management ( PBM ) clients to make formulary and utilization management (UM) recommendations; and… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …the Columbia VA Healthcare System in Columbia, SC is recruiting a Rotational Pharmacist . The incumbent performs clinical pharmacist duties in both the inpatient ... to ensure that patients receive safe and appropriate drug therapy. The pharmacist provides oversight of technical staff in all aspects of medication distribution… more
- Elevance Health (Columbus, OH)
- **Population Health Management Pharmacist - CarelonRx** **Location:** The ideal candidate will live within 50 miles of one of our **OH** pulse point locations and ... deliver member-centered, lasting pharmacy care. The **Population Health Management Pharmacist ( Pharmacist Clinical** ) is responsible for...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- Medical Mutual of Ohio (OH)
- …and individual plans. As assigned, supports any of the following pharmacist specialty areas; formulary and policy development, intervention programs for commercial ... evidence and applies these principles to patient care. **Responsibilities** Based on assigned pharmacist specialty area, may include any of the following (% of time… more
- Elevance Health (Miami, FL)
- ** Pharmacist Clinical** _Location: Virtual with 1-3 days/week in the field meeting with providers around Florida._ A proud member of the Elevance Health family of ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacist Clinic** **al** is responsible for providing clinical pharmacy support… more
- Humana (Miami, FL)
- …our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipelines and medical literature while providing clinical ... This role utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs...mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …Policies, and Handbooks relating to CSPs, VHA Pharmacy Benefits Management ( PBM ) Guidance for CSPs, Guidelines for Safe Preparation of Sterile Compounding ... or to prepare CSPs in the medical facility pharmacy follows the VHA PBM decision-making hierarchy Ensures the competency of Pharmacy personnel in the preparation and… more
- BrightSpring Health Services (Las Vegas, NV)
- Our Company OnePoint Patient Care Overview We are looking for a Pharmacist to join our team of providing the highest quality of care, reliability, and support to our ... patients, caregivers, and families. In this role, the Pharmacist will be responsible for dispensing medications, providing clinical advice, as well as delivery… more
- The Cigna Group (Bloomfield, CT)
- **Pharmacy Care Navigator - Clinical Pharmacist Part time 32 hour/week - California (remote)** **_Pharmacy Care Navigators are healthcare professionals, who serve as ... versus 30-day, driving utilization of home delivery through pharmacy benefits manager ( PBM ). + Provides clinical consultation and drug information to matrix partners… more
- CenterWell (Frankfort, KY)
- …caring community and help us put health first** The Senior Clinical Pharmacist 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 mitigate… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception ... Member and Provider Service (MAPS), Health and Medical Management, IT & Operations, PBM account support team and other customer service areas. + Develop strategies… more
- Elevance Health (Wilmington, DE)
- **Formulary Pharmacist - CarelonRx** **Location** : The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work ... lens, to deliver member-centered, lasting pharmacy care. The **Clinical Pharmacist ** is responsible for supporting formulary management activities. **How you… more
- The Cigna Group (Fairfield, OH)
- …at our Fairfield, OH location.** **POSITION SUMMARY** This position is the Pharmacist -in-Charge of the Evernorth Pharmacy located in Fairfield, Ohio. This role will ... of quality trends with intervention when needed. The role requires current pharmacist licensure in Ohio and will require additional individual pharmacist … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The Clinical Pharmacist , In-House Clinical Programs is responsible for working with prescribers, members, ... or multiple chronic co-morbid conditions requiring complex medication regimens. The pharmacist would also support care management with identifying and resolving… more