- CVS Health (Cumberland, RI)
- … management (UM) programs and the formulary/UM management systems for the enterprise . The role will support clinical workstream activities in meeting ... maintenance of the CVS Caremark's standard and client-modified formularies, utilization management programs/policies and assuring clinical appropriateness,… more
- Humana (Providence, RI)
- …us put health first** Humana Healthy Horizons is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and executing strategy ... across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, assess, and translate state… more
- CVS Health (Providence, RI)
- …cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as ... cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as… more
- CVS Health (Cumberland, RI)
- …you will define, develop and provide information and analysis to drive the decision making process for internal leadership related to Medical Economics - Medical ... is to provide accurate, relevant data and analysis for utilization and unit cost management to support each Plan...act on the drivers: Plan CEO, Plan CFO, Market Clinical Leads, Actuarial, Chief Network Officer, Operations * Work… more