- Novo Nordisk Inc. (Buffalo, NY)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... and tailor approach to customers Analyze bidding policies/contracts in order to influence formulary status, as applicable May analyze impact of managed care in the… more
- Novo Nordisk Inc. (Salinas, CA)
- …treatment of diabetes, obesity, and the reduction of adverse cardiovascular events. As part of the team, you will have frontline exposure to our portfolio vision, ... who want to do the same. In exchange, we offer the chance to be part of a truly global workplace, where passion and engagement are met with opportunities for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Job Description: This pharmacist clinician is a program manager, who is responsible for all Medicare Part D formulary creation and submissions, which ... for the current and upcoming contract years. This individual creates and executes the Medicare Part D formulary , delivering value and quality to the… more
- Rhythm Pharmaceuticals (Boston, MA)
- …experience required + Deep understanding of: + Medicare Part D landscape, including CMS regulations, PDPs/MA-PDs, and formulary decision-making and/or + ... access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop and maintain… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... information and completing timely and accurate documentation of all Medicare Part D requests, in...a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non- Formulary requests (50%) + 6. Performs other related projects… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... information and completing timely and accurate documentation of all Medicare Part D requests, in...a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non- Formulary requests (50%) + Performs other related projects and… more
- Penn Medicine (Lancaster, PA)
- …care rounds , as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist interdepartmental ... Committee on the appropriate use of medications and or inclusion in the hospital formulary . + Interprets and evaluates all medication orders and assures for safe and… more
- Penn Medicine (Lancaster, PA)
- …patient care rounds), as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist ... Committee on the appropriate use of medications and/or inclusion in the hospital formulary . + Interprets and evaluates all medication orders and assures for safe and… more
- Novo Nordisk (Buffalo, NY)
- …impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... customers + Analyze bidding policies/contracts in order to influence formulary status, as applicable + May analyze impact of...Records. Qualifications + Bachelor's or equivalent egree, and/or Pharm D required + Minimum one (1) year of experience… more
- Takeda Pharmaceuticals (Boston, MA)
- …system. Ensures the accuracy, integrity, and timeliness of all payments for Commercial and Medicare Part D contracted customers, including rebates, fees and ... as well as external parties including Payers and GPOs. + Supports all Commercial and Medicare Part D internal/external audits by preparing and providing the… more
- CVS Health (Topeka, KS)
- …on behalf of Elevance Health/CarelonRx across all lines of business (Commercial, Medicaid, Medicare Part D , etc.). In addition, the manager works ... with pharmacy contracts and contract-related documents, state and federal laws, Medicaid and Medicare Part D regulations. **Education** + Bachelor's degree… more
- United Therapeutics (LA)
- …Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare ( Part B and Part D ) Job Location This position will require ... awareness during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits… more
- Sanofi Group (Morristown, NJ)
- …+ Demonstrated experience in working in specialty pharmacy + Understanding of Commercial, Medicare Part D and Medicaid + Experience identifying trends ... to ensure the goal of profitable access. **About Sanofi:** We're an R& D -driven, AI-powered biopharma company committed to improving people's lives and delivering… more
