- CVS Health (Boston, MA)
- …affordable. **POSITION SUMMARY** : As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their ... information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with...AND RESPONSIBILITIES** : Ensure accuracy of case setup and clinical review of Medicare appeals cases +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Clinical Pharmacist , In-House Clinical Programs is responsible for working with ... management with identifying and resolving drug-related problems for participants . The clinical pharmacist will assist the Pharmacy Department in the measurement… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity ... maintain compliance with all regulatory requirements. + Support product portfolio, including Medicare Part D which includes rotational weekend and holiday… more
- Elevance Health (Smithfield, RI)
- …(formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. In this pivotal ... role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account...comprehended and met effectively. + Collaborating closely with the clinical teams for programs and outcomes, home delivery, specialty… more
- Humana (Providence, RI)
- …first** The Clinical Pharmacy Provider Engagement Associate Director, HPS Clinical Program Strategy, partners with Medicare Leadership to generate pharmacy ... **Become a part of our caring community and help us...Provider Groups. This role will lead a team of Clinical Pharmacists who work in market to develop and… more
- Humana (Providence, RI)
- …of experience in clinical strategy and/or HealthPlan operations + Professional clinical license (eg, MD, Registered Nurse or Pharmacist ) or advanced degree ... **Become a part of our caring community and help us put health first** The Clinical Strategy Team is a multi-disciplinary team focused on using advanced… more
- Prime Therapeutics (Providence, RI)
- …Responsible for support and development of Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team. Responsible ... clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all clinical pharmacy… more