- CareFirst (Baltimore, MD)
- …travel into the offices on occasion.** **PURPOSE:** The Quality and Cost of Care Clinical Pharmacist plays critical role in improving and maintaining the quality ... **Resp & Qualifications** **Although this position is remote , candidates are preferred to live in the...monitoring, and chronic disease state management for patients in clinical programs. The Quality Clinical Pharmacist… more
- Healthfirst (NY)
- …+ Ensure all clinical criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New York State Department of Health (NYSDOH) ... units based on dosing, indication, weight, BMI and other clinical considerations + Develop clinical criteria and...degree from an accredited school of pharmacy + Registered Pharmacist with a state license in good standing. +… more
- Centene Corporation (Honolulu, HI)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... a fresh perspective on workplace flexibility. This is a remote -HI position. The individual must reside in Hawaii and...in Hawaii and have a valid and active Hawaii Pharmacist license. There may be times that in-person meetings… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... at www.experiencecolumbus.com ! **About the job:** The **Patient Care Pharmacist ** , within the scope of the Ohio ...three years of institutional pharmacy experience in an advanced clinical setting is preferred + Effective Communication Skills +… more
- US Tech Solutions (AZ)
- **Job Title:** ** Pharmacist ** **Location: Remote ** **Duration: 12+ months contract** **Job Description:** + As an RPh Advisor you will be directly supporting ... Medicare Part D members and providers with requests related...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program ... Manager is responsible for the management of all client specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Dir, Specialty Clinical Solutions- REMOTE **Job Description Summary** Responsible for support and ... Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team. Responsible for managing current Medical Pharmacy clients and… more
- Molina Healthcare (WA)
- …MTM Pharmacy Services staff work to ensure that Molina members have access to Medicare Star medications and those meds are used in a cost-effective, safe manner. ... (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen… more
- Pennsylvania State University (Hershey, PA)
- …months) required + Clinical research study coordination experience required + Clinical background (eg, RN, LPN, EMT-P, RT, Pharmacist , etc.) strongly ... following areas: + Clinical research budget development and negotiation + Clinical research budget and/or finance management + Medicare coverage analysis +… more
- US Tech Solutions (RI)
- …reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with ... status and results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as appropriate. **Experience:** +… more
- US Tech Solutions (May, OK)
- …complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist . + In order ... + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties as needed… more
- American Institutes for Research (Rockville, MD)
- …initiatives. Ideally, the candidate will have experience with pharmaceutical care in a clinical or retail setting. The policy analyst will lead tasks related to AIR ... Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate...and lead the annual drug list update. + Provide clinical expertise with evidence-based best practices to provide technical… more
- Adecco US, Inc. (Dallas, TX)
- …as needed with patients physician office and/or pharmacy. * Coordinate with the Clinical Pharmacist to ensure that any discrepancies between medications are ... Adecco Healthcare & Life Sciences in hiring a remote Sr. Pharmacy Technician. This role is remote / work from home. Please read below and apply below. **Type:**… more