- Molina Healthcare (Columbus, OH)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... patient outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage… more
- Healthfirst (NY)
- …forth by CMS and/or NYSDOH + Work across departments as needed to complete Utilization Management reviews + Review monthly reports and provide feedback on ... + Pharmacy degree from an accredited school of pharmacy + Registered Pharmacist with a state license in good standing. + Work experience conducting… more
- Cedars-Sinai (Beverly Hills, CA)
- …a timely and efficient manner. Additionally, providing clinical support and oversight for all utilization management ( UM ) activities on an ongoing basis, in ... considered a hybrid role. As a Drug Use Policy Pharmacist (DUP) at the Cedars-Sinai Medical Network Foundation, you...Prior experience in drug policy analysis and drug formulary management highly preferred. + Critically evaluate and interpret data… more
- Highmark Health (Harrisburg, PA)
- …case management , MTM services, and integrated knowledge of pharmacy UM guidelines + Other duties as assigned or requested. **EXPERIENCE** **Required** + ... + 5 years of experience leading a health-related (preferably utilization , medication management ) function within a pharmacy...practice in PA, NY, WV, or DE + Active pharmacist licensein good standing **Preferred** + Board Certified Medication… more
- Prime Therapeutics (Columbus, OH)
- …Responsibilities: + Oversee a team of pharmacists in a discipline such as Prime UM ( Utilization Management ) program development or Clinical reporting and ... a service such as Clinical program development, Clinical product management , Clinical system development & data analysis or other...(PharmD) or Bachelor of Science Pharmacy Degree + Current pharmacist license in good standing with the State Board… more