- Humana (Columbus, OH)
- …put health first** Humana is seeking an experienced management professional to lead the Pharmacy Stars team. In this role, the selected candidate will be ... Pharmacy and Corporate Stars /Quality Teams, serving as Enterprise Part D/ Pharmacy Stars Task Force Leader + Responsible party within Stars team for… more
- Highmark Health (Columbus, OH)
- …Manage individual projects for timely review with the Director , Clinical Pharmacy . + Participate in Medicare Stars performance measures to drive contribution ... and duration edits, quantity limits, step-care edits, generic sampling, pharmacy policy review and development and/or review of member...to excellence (5 Stars ). + Other duties as assigned or requested. **QUALIFICATIONS**… more
- CVS Health (Columbus, OH)
- …that are evidence-based.* Work collaboratively with the Behavioral Health, Pharmacy , member outreach, Care Management, National Quality Management, Utilization ... illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical coverage review,… more