- The Cigna Group (Bloomfield, CT)
- **Clinical Program Sr. Manager - Commercial Formulary Solutions** **JOB PROFILE SUMMARY** The Sr. Manager, Formulary Solutions is a dynamic role responsible for ... assisting with the strategic formulary development and maintenance of our Express Scripts standard...development and maintenance of our Express Scripts standard Commercial formulary offerings as well as overseeing Marketplace Formulary… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Full Time / 40 Hours** **The Pharmacy Specialist of Drug Policy and Formulary Management** practices as a clinical expert in specialty practice area(s). This ... position is responsible for system-wide formulary and medication-use oversight at EHC with a focus on the following activities: 1. Supporting activities that impact… more
- The Cigna Group (St. Louis, MO)
- …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
- Penn State Health (Hershey, PA)
- …###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The System Formulary Clinical Coordinator is responsible for the ... development, implementation, and management of the formulary system within the pharmacy platform. This role ensures that the system formulary is evidence-based,… more
- The Cigna Group (Bloomfield, CT)
- …**Role Summary:** This position is responsible for the development of formulary strategies involving both pharmacy and medical products, clinical actions following ... Analytics, Compliance, Legal, and Specialty Pharmacy. **Responsibilities:** + Execute formulary management strategies for major specialty and non-specialty drug… more
- Elevance Health (Columbus, OH)
- **PBM Formulary Analyst II (Business Analyst II)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The **PBM Formulary Analyst II (** **Business Analyst II)** is responsible for translating… more
- Elevance Health (Mason, OH)
- **Business Analyst III (PBM Formulary Analyst III)** **CarelonRx** **Location:** Alternate locations may be considered. This position will work in a hybrid model ... (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. **Schedule:** 9-5 EST Monday-Friday _A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the… more
- Centene Corporation (New York, NY)
- …The Clinical Pharmacist processes review prior authorization requests for non- formulary medications for clinical appropriateness. This assures members receive the ... provider and/or reviews the pharmacy technician's recommended denial, suggested formulary alternatives, comments and attachments for appropriateness. + Verifies… 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
- 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
- Amgen (Washington, DC)
- …this vital role you will work with internal business partners to manage formulary validation efforts to ensure discounts are appropriately earned by customers. There ... team including contracting interpretation for payment processing, dispute resolution, formulary validation, and other activities as needed + Provide project… more
- Catholic Health Initiatives (Lufkin, TX)
- …and competency assessment of pharmacists and pharmacy technicians. + Contributes to formulary management and works with health care providers to ensure formulary ... and other healthcare providers as necessary. + Responsible for managing the drug formulary by ensuring operational and inventory efficient processes are in place and… more
- Mount Sinai Health System (Greenlawn, NY)
- …medications accurately and in a timely fashion. + Resolves questions regarding formulary and non- formulary medications, following policies and procedures. + ... medications accurately and in a timely fashion. + Resolves questions regarding formulary and non- formulary medications, following policies and procedures. +… more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- …manages all pharmacy related activities related to pharmacoeconomics, formulary management, and VA authorized community care prescriptions. Responsibilities ... prescriptions written by providers conform to both national and local VA formulary and adjudicates non- formulary requests. Provides direct clinical service for… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …and reporting. Programs and program activities focus on pharmaceutical formulary selection; budgetary execution; formulary implementation; medication ... to comply with local, VISN, and National contracts or approved formulary substitutions. Provides information to patients, providers, and other healthcare personnel… more
- The Cigna Group (Bloomfield, CT)
- …and implements financial and business processes to support and enhance formulary rebate optimization for the client's formularies. Position will have ... and analyze large data sets. Works in collaboration with Clinical and Formulary Consulting Leadership to provide strategic opportunities to maximize value for… more
- Veterans Affairs, Veterans Health Administration (Surprise, AZ)
- …clinical outcomes, and team member growth and development. Monitor drug utilization ( formulary , non- formulary , restricted) and intervene to ensure formulary ... drug, dosage, schedule, duration, and directions. Objectively support adherence to the formulary and demonstrate the assertiveness and poise that is needed to handle… more
- YesCare Corp (Goshen, 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
- 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
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