- 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
- CVS Health (Austin, TX)
- …within the United States. Required Qualifications * 2 years' experience working as a pharmacist in a PBM setting. * Current experience working within Commercial ... personal, convenient and affordable. Ready to take your Clinical Pharmacist skills to the next level with a Fortune...Prior Authorizations in Caremark PBM * Demonstrated experience using clinical resources, eg, Micromedex,… more
- New York State Civil Service (Albany, NY)
- …a pharmacist and develop policy proposals to lessen any burdens on pharmacist imposed by PBM practices;* Manages interactions with pharmacies and ... the Special Assistant will be a member of the PBM regulatory team with an expertise in pharmacy. Duties...the following:* Provides expert guidance and advice to the PBM regulatory team regarding pharmacy operations and PBM… more
- Medical Mutual of Ohio (OH)
- …Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Clinical** **Intervention** ** Pharmacist I** As assigned, supports any of the following ... pharmacist specialty areas; formulary and policy development, intervention programs...interventions and creation of new initiatives. . Contributes with PBM /vendor oversight activities including regular or ad-hoc audits of… more
- Elevance Health (Tampa, FL)
- ** Pharmacist Clinical** _Location: Virtual with 1-3 days/week in the field meeting with providers around Northern Florida. The ideal candidate will live within 50 ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacist Clinic** **al** is responsible for providing clinical pharmacy support… more
- BrightSpring Health Services (Tempe, AZ)
- 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
- BrightSpring Health Services (Morton Grove, IL)
- …Friday 2pm-10pm every other weekend Rotating holidays REQUIRED : active IL Pharmacist License We offer: DailyPay Competitive pay Shift differential Health, dental, ... stressfulsituations. + Ability to work cooperatively with both pharmacists and technicians. + Pharmacist License that is current and in good standing with the State… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …for core practice area(s) and pain management. 2) Serves as the pharmacist subject matter expert on assigned pain management related committees and subcommittees. ... approved by national, VISN, or local pharmacy benefits management ( PBM ) and focuses on quality patient care in a...(ie, Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a… more
- BrightSpring Health Services (Tempe, AZ)
- …stressfulsituations. + Ability to work cooperatively with both pharmacists and technicians. + Pharmacist License that is current and in good standing with the State ... provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices nationwide flexible and adaptable solutions… more
- BrightSpring Health Services (Kansas City, KS)
- …+ Ability to work cooperatively with both pharmacists and technicians.OTHER REQUIREMENTS: + Pharmacist License that is current and in good standing with the State ... provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices nationwide flexible and adaptable solutions… more
- Molina Healthcare (Columbus, OH)
- …medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage determinations ... appeals in a timely, compliant, and accurate manner. The Pharmacist , UM will also be responsible for serving as...a member-centered interdisciplinary care team. + Works with the PBM to manage formulary changes and update marketing on… more
- CareFirst (Baltimore, MD)
- …but could be more frequent at times.** **PURPOSE:** The **Formulary Clinical Pharmacist ** will perform comprehensive clinical services with a focus on formulary ... FUNCTIONS:** + Collaborates with internal teams and our Pharmacy Benefit Manger ( PBM ) to continuously ensure accuracy and compliance for all CareFirst commercial… 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
- ChenMed (Columbus, OH)
- …expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and proactive professional who excels ... execution. + Works in collaboration with Part D Clinical Pharmacist to deliver presentations, publications, and other informative activities...+ Experience in a managed care setting (HMO, MSO, PBM ) is a plus + Certified to provide immunization… more
- ChenMed (Miami, FL)
- …and we need great people to join our team. The Part D Clinical Pharmacist Manager is a dynamic and experienced Pharmacist knowledgeable in evidence-based ... with supervising Pharmacy Technicians + Experience in a managed care setting (HMO, MSO, PBM ) , HEIDS Part D quality measures is preferred + Completion of Medication… more
- Prime Healthcare (Aurora, IL)
- …Responsibilities The Specialty Pharmacy Pharmacist Supervisor reports to the ... Qualifications EDUCATION, EXPERIENCE, TRAINING Required qualifications: + Current state Registered Pharmacist License. + BS in Pharmacy or PharmD degree required. +… more
- US Tech Solutions (TX)
- **Job Title:** **Prior Authorization Pharmacist ** **Location:Remote** **Duration: 6+ months contract** **Job Description:** + Responsible for reviewing and ... Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at...required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- Highmark Health (Pittsburgh, PA)
- …administration, pharmacy program or product development within a health plan or PBM setting; experience managing Medicare Part D plans is highly desired._ ... **ESSENTIAL RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC code… more
- CVS Health (Scottsdale, AZ)
- …our offices in Scottsdale, AZ.** **Required Qualifications** + 7+ years of PBM , audit, or pharmacy experience + Licensed Pharmacist **Preferred Qualifications** ... + 10+ years of PBM experience + 2+ years of pharmacy experience + 5+ years of audit experience + Understanding of SQL databases and querying skills + Familiarity with state and federalpharmacy audit legislation + Strong motivational and team leadership… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …problem solve deliveries for patients with no physical address. Assists the Hometown Pharmacist with the CMOP reject reports. Reprints or re-submits labels to CMOP ... be mailed or destroyed based on CPRS notes and guidance from a pharmacist . Inpatient Pharmacy Sterile Product Compounding. Follow USP 797/800 Guidelines for the… more