- UTMB Health (Webster, TX)
- …pharmacy compliance with professional standards and relevant legal, regulatory, formulary , contractual, and safety requirements Performs system data entry of ... utilization management information, prepacking information, drug purchasing information, or non- formulary approval information LICENSES, REGISTRATIONS OR CERTIFICATIONS Required: Registered… more
- VitalCore Health Strategies (Bridgewater, MA)
- …verbal or telephone orders are countersigned as required. Adhere to approved formulary for therapeutic regimens before utili Review all non- formulary requests ... to ensure documentation of pertinent observations and treatment conclusions. Utilize available in-house resource personnel for treatment and resolution of identified problems before utili referral. Provide emergency treatment on-site and respond appropriately… more
- VitalCore Health Strategies (Baraga, MI)
- …verbal or telephone orders are countersigned as required. Adhere to approved formulary for therapeutic regimens before utili Review all non- formulary requests ... to ensure documentation of pertinent observations and treatment conclusions. Utilize available in-house resource personnel for treatment and resolution of identified problems before utili referral. Provide emergency treatment on-site and respond appropriately… more
- Shannon Health (San Angelo, TX)
- …asked to take part in the decision-making process on chemotherapy formulary management, treatment protocols, compliance with regulations, and improvement of patient ... outcomes. Education Education Type Program of Study Required/Preferred High School Diploma N/A Required* Bachelor's Degree Pharmacy Required* Doctorate Degree Pharmacy Preferred* Experience Number of Years Type of Experience Required/Preferred 3-5 Years… more
- HCA Healthcare - Chief Medical Officer (Bradenton, FL)
- …on HCA clinical technologies. Collaborates with HPG and Supply Chain on formulary and supply opportunities. Medical Staff Affairs Develops, implements, and monitors ... disruptive physician and impaired physician policies, and develops monitoring and intervention programs in the region. Provides recommendations in the development and/or revision of hospital policies and procedures pertinent to the medical staff and medical… more
- The Cigna Group (Bloomington, MN)
- The Evernorth Formulary Solutions Residency is a 12-month immersive program designed to build a strong foundation in formulary strategy and execution. Residents ... gain hands-on experience across the full formulary lifecycle-from pipeline strategy to operational implementation. This residency offers a unique lens into the PBM… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …a program manager, who is responsible for all Medicare Part D formulary creation and submissions, which includes utilization management criteria development for the ... upcoming contract years. This individual creates and executes the Medicare Part D formulary , delivering value and quality to the Plan's Part D enrollees, while… more
- CVS Health (Buffalo Grove, IL)
- …and clinical consistency. Responsibilities include supporting clinical workgroups, enterprise formulary initiatives, and additional formulary related clinical ... needs. The role will consult as a subject matter expert facilitating formulary decision-making process and continual enhancement of the formulary management… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …for developing and growing clinical solutions for Vertex clients to include formulary management programs. **Job Summary:** The Director of Clinical & Formulary ... Operations will be responsible for developing and creating clinical and formulary management options for Vertex clients. This role will oversee a team of… more
- The Cigna Group (Bloomington, MN)
- …Program Senior Advisor, Strategic Markets is responsible for assessing formulary positioning alongside applicable utilization management policies to determine client ... Pharmaceutical Contracting, Clinical Consulting and Pharmaceutical Invoicing teams to ensure formulary tier and clinical rules are interpreted correctly and will… more
- CVS Health (Concord, NH)
- …critical role in shaping and executing the organization's Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will ... closely with cross-functional teams to implement strategic initiatives, support formulary development and maintenance, and ensure alignment with regulatory… more
- CVS Health (Woonsocket, RI)
- …and every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis ... 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
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- Summary The Formulary and Drug Utilization Manager position guides the appropriate medication use strategy for optimal patient safety, cost effectiveness, and ... strategic plans, and ensure cost-efficiency measures are met. Responsibilities The Formulary and Drug Utilization Manager position is responsible for managing… more
- Cardinal Health (Lewiston, ME)
- …the pharmacy management team providing leadership for clinical programs, formulary management, cost containment programs, and improved pharmacoeconomic outcomes. ... the following items are part of the committee meetings: current drug trends, formulary additions, formulary deletions, annual formulary approval, non-… more
- RxBenefits (Charlotte, NC)
- …with RxBenefits and PBM partner products. + Be the SME on the formulary disruption process, results, and applicability to our modeling inclusive of the incumbent ... designations, network disruption, RxBenefits designations, formulary exclusion impact, member impact, and formulary alternatives in connection with new prospect… more
- Grifols Shared Services North America, Inc (Minneapolis, MN)
- …systems, accounts and customers related to disease awareness, product discussions, formulary coverage, pricing (where appropriate) and collaborating with key opinion ... and fellows, Infusion Suite Nurse, Clinical Pharmacists, DOP for formulary consideration and specialty pharmacy etc.) *Demonstrate account-based selling skills… more
- Cardinal Health (Tewksbury, MA)
- …the following items are part of the committee meetings: current drug trends, formulary additions, formulary deletions, annual formulary approval, non- ... Team Clinical Director and client as required + Provides direction in hospital formulary management and serves as a consultant regarding P&T topics + Serves or… more
- Prime Therapeutics (Providence, RI)
- …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
- Penn Medicine (Philadelphia, PA)
- …(PPMC). This leadership role oversees clinical pharmacy programs, formulary management, cost-containment strategies, and educational initiatives. The Coordinator ... utilization and implement cost-saving initiatives without compromising quality of care. ** Formulary & Medication Management** + Represent PPMC at System Pharmacy &… more
- Highmark Health (Montpelier, VT)
- …member claims history, clearly defines the medical necessity of non- formulary and prior authorization medication exception requests. Interacts with pharmacy ... Take necessary steps to perform a complete and accurate evaluation of all non- formulary drug exception requests prior to approval, authorization or claim override. +… more
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