- Elevance Health (Columbus, OH)
- ** PBM Clinical / Benefit Testing Analyst III (Business Analyst III)** _Location: This position will work a hybrid model (1-2 days/week in office). The ... a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Clinical / Benefit Testing Analyst III (Business Analyst… more
- Medical Mutual of Ohio (OH)
- …initiatives, with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for refills, claim reprocessing and to members to ... strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for refills, claim reprocessing...processes and maintaining procedural tracking documents. . Coordinates with Clinical Pharmacists and PBM for Part D… more
- Elevance Health (Miami, FL)
- **Pharmacist Clinical ** _Location: Virtual with 1-3 days/week in the field meeting with providers around Florida._ A proud member of the Elevance Health family of ... IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacist Clinic**… more
- Prime Therapeutics (Columbus, OH)
- …gathering sessions + Validate the clinical and data accuracy of clinical programs including performance of user acceptance testing of applications and ... every decision we make. **Job Posting Title** Technical Principal Clinical Program Pharmacist - Remote **Job Description** **We are...+ Broad experience in or exposure to the Pharmacy Benefit Management ( PBM ) business **Minimum Physical Job… more
- Veterans Affairs, Veterans Health Administration (Danville, IL)
- …Commission (TJC) standards, Veterans Affairs (VA) performance measures, VA Pharmacy Benefits Management ( PBM ) initiatives and will integrate these standards ... after review of the EDRP application. Responsibilities The Pain Management Clinical Pharmacy Practitioner (CPP) works collaboratively with primary care providers at… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …the PBM adjudication platform. Translates client benefit needs into the PBM platform and all associated testing to ensure accurate and efficient data ... as designated by BOM, via approved communication channels such as Clinical , Pricing, Benefit Review Team, Eligibility, and Implementation departments.… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …Inpatient Services Directives, Policies, and Handbooks relating to CSPs, VHA Pharmacy Benefits Management ( PBM ) Guidance for CSPs, Guidelines for Safe ... Program Manager, IV Room, promotes and manages drug therapy based on current clinical knowledge that is consistent with policies established at the National, VISN,… more
- Veterans Affairs, Veterans Health Administration (Danville, IL)
- …and efficacy policies. Adherence to rules and regulations set forth by the PBM (Pharmacy Benefit Management office). Provides direct supervision to the drug ... of all CPRS and VISTA prescription order entry by clinical and operational pharmacy staff. Monitoring compliance with ...All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen… more