- 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 ... requests from providers via phone and fax for the Retail Pharmacy, Medicare Advantage Part D, Home Infusion Therapy, and Medical Utilization Management benefits.… more
- Elevance Health (Woburn, MA)
- …(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 (Boston, MA)
- …first** The Clinical Pharmacy Provider Engagement Associate Director, HPS Clinical Program Strategy, partners with Medicare Leadership to generate pharmacy ... advocacy through key Provider Groups. This role will lead a team of Clinical Pharmacists who work in market to develop and grow positive, long-term relationships… more
- Humana (Boston, MA)
- …of experience in clinical strategy and/or HealthPlan operations + Professional clinical license (eg, MD, Registered Nurse or Pharmacist ) or advanced degree ... caring community and help us put health first** The Clinical Strategy Team is a multi-disciplinary team focused on...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Prime Therapeutics (Boston, MA)
- …drives every decision we make. **Job Posting Title** Director, Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** Responsible for ... Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team. Responsible for managing current Medical Pharmacy clients and… more