- US Tech Solutions (May, OK)
- …6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. ... perform prior authorization as per policy and procedure. + The Pharmacist /Clinician will apply clinical knowledge to plan approved criteria for reviews of cases.… more
- 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 … more
- US Tech Solutions (May, OK)
- …**Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… more
- Elevance Health (Denver, CO)
- …the Possibilities. Make an Extraordinary Impact.** **Title** : Population Health Management Pharmacist ( Clinical Pharmacist ) **Location(s):** Denver, CO, Las ... granted as required by law.** The **Population Health Management Pharmacist ( Clinical Pharmacist )** oversees ...quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly preferred.… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting comprehensive… 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
- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of...Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a… 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 benefits. ... cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to...information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with… 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...Estimate future financial impact of new therapeutic options leveraging clinical and analytic data for Commercial, Medicare ,… 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 ... care rounds , as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist interdepartmental… 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 ... Premera's oncology program as part of a core team. You'll collaborate cross-functionally with...cost-effective use of medication, aligning with and supporting Premera's clinical and financial goals. Join us to shape and… more
- Centene Corporation (Harrisburg, PA)
- …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, ... Define and develop standard and custom formularies for assigned plan. + Develop clinical criteria for medications, recommend plan design changes, and clinical … more
- Atlantic Health System (Morristown, NJ)
- …medication regimens and providing recommendations to optimize therapy based on clinical guidelines and best practices. + Conducting medication reconciliation to ... related to medication use and patient safety. + Documenting interventions, clinical assessments, and recommendations in the electronic health record. + Staying… more
- US Tech Solutions (AZ)
- …contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to...information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with… more
- US Tech Solutions (May, OK)
- **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data ... collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ...be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous… more
- US Tech Solutions (May, OK)
- **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data ... prior authorization for commercial and specialty medications. + The clinical pharmacist will apply clinical ...experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy… more
- CenterWell (Phoenix, AZ)
- …caring community and help us put health first** The Staff Specialty Operations Pharmacist applies clinical and operational knowledge to ensure effective and ... setting + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in… more
- Saratoga Hospital (Saratoga Springs, NY)
- Retail Pharmacist Location: Saratoga Springs, NY Employment Type: Part -time Shift/Schedule: Day shift Department: Retail Pharmacy Salary Range: $55.00 - $71.34 ... About the Role We're looking for a dedicated Retail Pharmacist to join our team and help us continue...families deserve. In this role, you'll be a vital part of our clinical team, ensuring excellent… more
- Corewell Health (Grand Rapids, MI)
- …adherence + Educate members on disease state and medication + Educate members on Medicare Part D benefits and drug coverage to increase understanding and improve ... December. Job Description The Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist , will engage with Medicare members to… more
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