- Excellus BlueCross BlueShield (Rochester, NY)
- …pharmacist clinician is a program manager, who is responsible for all Medicare Part D formulary creation and submissions, which includes utilization ... for the current and upcoming contract years. This individual creates and executes the Medicare Part D formulary , delivering value and quality to the Plan's Part… more
- HCA Healthcare (Jourdanton, TX)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure that we continue to ... you to apply! **Job Summary and Qualifications** General Statement of Duties: The clinical pharmacist demonstrates proficiency in all pharmacist functions to… more
- Elevance Health (Grand Prairie, TX)
- …for employment, unless an accommodation is granted as required by law._ The ** Pharmacist Clinical ** is responsible for managing the selection and utilization of ... ** Clinical Analytic Pharmacist ** A proud member of the...pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary … more
- Penn Medicine (Lancaster, PA)
- …Our employees shape our future each day. Are you living your life's work? Job: Clinical Pharmacist Hours: 36 hrs per week, evenings, 7 on/ 7 off Location: ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Penn Medicine (Lancaster, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... 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
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity… more
- US Tech Solutions (May, OK)
- …provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non- Formulary requests (50%) + 6. Performs other related projects and duties as ... 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
- Premera Blue Cross (Mountlake Terrace, WA)
- …we serve through our Healthsource blog: https://healthsource.premera.com/ . The **Senior Clinical Pharmacist ,** **Oncology Program** will lead and help develop ... appropriate and cost-effective use of medication, aligning with and supporting Premera's clinical and financial goals. Join us to shape and lead a pioneering… more
- US Tech Solutions (AZ)
- …a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non- Formulary requests (50%) + Performs other related projects and duties as assigned ... **Job Title:** ** Pharmacist ** **Location: Remote** **Duration: 12+ months contract** **Job...As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related… more
- UnityPoint Health (Sioux City, IA)
- …+ Screens and affirms appropriateness of orders including allergy check, formulary compliance, pregnancy & lactation status, dosing, duplicate orders etc. + ... and other departments. + Becomes involved with Performance Improvement Projects, Clinical Initiatives, and other work projects as assigned, and completes them… more
- Prime Therapeutics (Providence, RI)
- … clinical programs and drug strategy recommendations including drug formulary , Utilization Management programs, and other drug therapy related products and ... consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design… more
- Penn Medicine (Philadelphia, PA)
- …use of information technology for pharmacotherapy management. + Implement and maintain clinical pharmacy programs that support meeting Medicare Core Measures. ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Penn Medicine (Philadelphia, PA)
- …use of information technology for pharmacotherapy management.* Implement and maintain clinical pharmacy programs that support meeting Medicare Core Measures. ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Sanford Health (Fargo, ND)
- …Hours:** 40.00 **Salary Range:** $53.00 - $87.50 **Job Summary** The Ambulatory Care Pharmacist at Sanford Health delivers innovative and high-quality care as a part ... of our healthcare team. The pharmacist provide comprehensive medication management for a wide variety...the clinic support staff. o Conduct Office Visits or Medicare Annual Wellness Visits at assigned clinic(s) o Assist… more
- Point32Health (MA)
- …of marketplace developments and regulatory and licensing requirements as it relates to Clinical Pharmacy and formulary management. + Other duties and projects as ... (https://www.point32health.org/) . **Job Summary** Under the direction of the Director, Clinical Pharmacy Operations, the Senior Manager, Clinical Pharmacy… more
- Highmark Health (Montpelier, VT)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... member claims history, clearly defines the medical necessity of non- formulary and prior authorization medication exception requests. Interacts with pharmacy… more
- CareFirst (Baltimore, MD)
- …evaluation, and quality improvement activities. + Experience with developing and implementing clinical programs. + Experience with Medicare Part D and Medicaid ... programs including Maryland Medicaid, Dual Prime Special Needs Plan (DSNP), and Medicare Advantage products. This role has oversight of pharmacy staff and develops… more
- Humana (Miramar, FL)
- …nurses and patients to aid the accurate dispensing of medications by the pharmacist + Accurately inputs pertinent clinical and demographic information into the ... and internal departments to ensure accuracy and completeness of all pertinent clinical , billing and demographic information in accordance with the policies and… more
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