- CVS Health (Northbrook, IL)
- …health care more personal, convenient and affordable. **Position Summary** As a Rebate Formulary Analyst, you will perform a critical role in the analysis of ... by completing a thorough interpretation of the contract and thorough analysis of formulary and plan design data on a monthly/quarterly basis. In this role, you… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager, Contract & Formulary Compliance Date: Sep 18, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57777 **Who ... to make a difference with. **The opportunity** The Manager, Contract & Formulary Compliance is responsible for supporting the development, performance and analysis… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …Market Access account managers and the contracted account to gain alignment on formulary product placement and compliance and to recover previously paid rebate or ... discounts in the event of noncompliant formulary findings. **How you'll spend your day** + Review Managed Care Contracts, Formularies, Utilization Management, and PA… more
- The Cigna Group (Morris Plains, NJ)
- …position is responsible for the oversite of implementation activities related to formulary management and utilization management on the pharmacy and medical benefit ... responsible for the management of the clinical pharmacists who work to support formulary management activities as well as oversight of key functions that the… more
- The Cigna Group (St. Louis, MO)
- …acumen to advise functional leaders and educate other team members. Delivers formulary consulting clinical modeling support, but also works on broader projects, ... department internally and externally serving as conduit to educate downstream formulary consulting stakeholders resulting in an optimal formulary consulting… more
- The Cigna Group (Morris Plains, NJ)
- …at an office location with occasional travel. **Job Description:** Supply Chain - Formulary Development Residency + Our residency is a 12-month holistic program that ... a robust foundation in managed care, specifically with a focus in formulary development, management and operational execution. The resident will have opportunities… more
- Sharp HealthCare (San Diego, CA)
- …boundaries approved by P&T/T&S committees.Identifies, resolves and documents prescribing, formulary and therapeutic issues through integration of patient variables, ... a timely manner about therapeutic issues or problems.Follows up on formulary compliance issues and/or communicates issues to management.Participates in Code-Blue… more
- Prime Therapeutics (Columbus, OH)
- …specific clinical programs and drug strategy recommendations including drug formulary , Utilization Management programs, and other drug therapy related products ... clinical stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy… more
- HCA Healthcare (Salem, VA)
- …errors accurately and in a timely manner.* 11. Sustains the formulary by minimizing non- formulary procurements, utilizing therapeutic substitution protocols, ... on PAR levels 49. Orders medication based on clinical need in conjunction with formulary initiatives 2 50. Works with DOP or designee as needed in inventory… more
- YesCare Corp (Coxsackie, NY)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- Amneal Pharmaceuticals (New York, NY)
- …Director is responsible for prioritization of assigned health systems to create formulary access for Rytary along with inpatient implementation within health system ... report to the National Director - IDN/Health Systems. Essential Functions: + Expand formulary access for all IDN products in assigned health systems by leveraging… more
- The Cigna Group (Philadelphia, PA)
- …in this posting.** **RESPONSIBILITIES:** + Responsible for the commercial formulary change process evaluating pharmacy and medical drug strategy opportunities ... and formulary product enhancements to drive pharmacy affordability to Cigna...management strategies and drug utilization review programs to enhance formulary strategies and improve clinical outcomes in alignment with… more
- UNC Health Care (Morrisville, NC)
- …communities we serve. Summary: Pharmacy Benefit Management Pharmacist will develop formulary and drug utilization management strategies that will be implemented for ... inappropriate utilization and optimize drug spend. Responsibilities: + Coordinate formulary management including business committee decision making and implementation,… more
- YesCare Corp (Elmore, AL)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- YesCare Corp (Coxsackie, NY)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- CareOregon (Portland, OR)
- …responsibilities include customer service, claims processing, prior authorizations, formulary exceptions, appeals, grievances, and project participation. Essential ... or pharmacies, letters & mailings, and reports. Prior Authorizations (PA) and Formulary Exceptions + Verify member's plan eligibility and applicable benefit for drug… more
- Cardinal Health (Guntersville, AL)
- …the following items are part of the committee meetings: current drug trends, formulary additions, formulary deletions, annual formulary approval, non- ... technology applications within the Pharmacy. + Use Econotherapeutic best practices in formulary and cost control. + Use Cardinal Health applications like DCOA, to… more
- YesCare Corp (Philadelphia, PA)
- …and Physicals, and all emergency care needs. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents ... pertinent observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for Regional Medical Director's… more
- YesCare Corp (Philadelphia, PA)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- HCA Healthcare (Dallas, TX)
- …designing, implementing and managing the pharmacy clinical programs. This includes formulary management, policy and procedure development and education across the ... alternatives to medical staff as needed + Sustain the hospital formulary , minimizing non- formulary procurements, utilizing therapeutic interchanges and promotes… more
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