• Clinical Pharmacist - UM

    CVS Health (Buffalo Grove, IL)
    …more personal, convenient and affordable. **Position Summary** The Utilization Management ( UM ) clinical development pharmacist will develop clinically ... quantity and formulary review programs for CVS Health. The UM pharmacist will participate in the interpretation,... Management , Formulary Administration, and Clinical Affairs. The UM Clinical Development pharmacist may be called… more
    CVS Health (02/04/25)
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  • Remote Clinical UM Pharmacist

    Healthfirst (NY)
    …forth by CMS and/or NYSDOH + Work across departments as needed to complete Utilization Management reviews + Review monthly reports and provide feedback on ... + Pharmacy degree from an accredited school of pharmacy + Registered Pharmacist with a state license in good standing. + Work experience conducting… more
    Healthfirst (01/24/25)
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  • Pharmacist - Drug Use Policy - Hybrid-…

    Cedars-Sinai (Beverly Hills, CA)
    …a timely and efficient manner. Additionally, providing clinical support and oversight for all utilization management ( UM ) activities on an ongoing basis, in ... considered a hybrid role. As a Drug Use Policy Pharmacist (DUP) at the Cedars-Sinai Medical Network Foundation, you...Prior experience in drug policy analysis and drug formulary management highly preferred. + Critically evaluate and interpret data… more
    Cedars-Sinai (12/01/24)
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  • Senior Clinical Pharmacist -Evernorth…

    The Cigna Group (Bloomington, MN)
    …update of coverage policies and clinical criteria supporting formulary and utilization management programs. When appropriate, pharmacists will represent Cigna ... The Senior Clinical Pharmacist , Cigna Health Care Drug policy pharmacist...assigned policies/ clinical topic areas + Collaborate with Medical Management / Formulary and UM teams supporting clinically… more
    The Cigna Group (02/04/25)
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  • Director Pharmacy Health Engagement

    Highmark Health (Harrisburg, PA)
    …case management , MTM services, and integrated knowledge of pharmacy UM guidelines + Other duties as assigned or requested. **EXPERIENCE** **Required** + ... + 5 years of experience leading a health-related (preferably utilization , medication management ) function within a pharmacy...practice in PA, NY, WV, or DE + Active pharmacist licensein good standing **Preferred** + Board Certified Medication… more
    Highmark Health (12/10/24)
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  • Clinical Program Development Director/RPh…

    Prime Therapeutics (Columbus, OH)
    …Responsibilities: + Oversee a team of pharmacists in a discipline such as Prime UM ( Utilization Management ) program development or Clinical reporting and ... a service such as Clinical program development, Clinical product management , Clinical system development & data analysis or other...(PharmD) or Bachelor of Science Pharmacy Degree + Current pharmacist license in good standing with the State Board… more
    Prime Therapeutics (01/07/25)
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