- Excellus BlueCross BlueShield (Rochester, NY)
- …This pharmacist clinician is a program manager, who is responsible for all Medicare Part D formulary creation and submissions, which includes utilization ... upcoming contract years. This individual creates and executes the Medicare Part D formulary, delivering...assigned by management. Minimum Qualifications: + Unrestricted NYS Licensed Pharmacist . + Pharm. D . In lieu of a… 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 ... + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy...required with at least two years' experience as a pharmacist . Must have an active license in good standing.… more
- US Tech Solutions (May, OK)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... Monday-Friday 9:30am-6pm local time zone** **Job Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based...experience. **Education:** + Pharm D . required with at least two years' experience as… 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...Prior Authorization Call Handling. **Education:** **Bachelor's Degree Required, Pharm D & Pharmacist License of Current state… more
- US Tech Solutions (May, OK)
- … availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical...2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** +… more
- US Tech Solutions (May, OK)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical...experience. **Education:** + Pharm D . required with at least two years experience as… more
- Elevance Health (Denver, CO)
- …in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly preferred. + Experience ... **Be Part of an Extraordinary Team** CarelonRx is a...Make an Extraordinary Impact.** **Title** : Population Health Management Pharmacist (Clinical Pharmacist ) **Location(s):** Denver, CO, Las… 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...and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical… 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 ... The Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist , will engage with Medicare members to improve medication… more
- Humana (Miramar, FL)
- **Become a part of our caring community and help us...of an accredited School of Pharmacy + Current, active pharmacist licensure (Pharm. D ., RPH) in state of ... put health first** The Pharmacist is a licensed professional who is responsible for...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- US Tech Solutions (TX)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Job Title:** **Prior Authorization Pharmacist ** **Location:Remote** **Duration: 6+ months contract** **Job Description:**...experience. **Education:** + Pharm D . required with at least two years experience as… 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 ... quality assurance data. + . Responsibilities: + Minimum Required Qualifications: + Pharm. D . or BS Pharmacy with equivalent relevant experience required. + Current… more
- Penn Medicine (Lancaster, PA)
- …the business. Responsibilities: + Minimum Required Qualifications: + BS Pharmacy or Pharm D required. + Current Pharmacist licensure or eligible to reciprocate ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...or risk, or to tension as a regular, consistent part of the job. + Variety and change: Ability… more
- Penn Medicine (Lancaster, PA)
- …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: Lancaster General ... patient care rounds), as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist… more
- HCA Healthcare (Marion, NC)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Pharmacist with Mission Hospital McDowell you can be a part of an ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...in our organization. We are looking for an enthusiastic Pharmacist to help us reach our goals. Unlock your… more
- Centene Corporation (Harrisburg, PA)
- …Develop and implement programs designed to impact DUR for both Medicaid and Medicare + Develop, implement, and maintain policies and procedures for the pharmacy ... department + Participate in the coordination of the Medicare MTM program + Assist case management team with members including clinical rounds presentations… more
- CareFirst (Baltimore, MD)
- …activities. + Experience with developing and implementing clinical programs. + Experience with Medicare Part D and Medicaid guidelines and requirements. + ... programs including Maryland Medicaid, Dual Prime Special Needs Plan (DSNP), and Medicare Advantage products. This role has oversight of pharmacy staff and develops… more
- Martin's Point Health Care (Portland, ME)
- …or non-dispensing role (ambulatory care, managed care, quality management). Knowledge + Knowledge of Medicare Part D , Stars, and HEDIS quality measures. + ... the primary care setting. Working under the supervision of a licensed pharmacist , the technician assists with medication management, quality measure gap closure, and… more
- University of Southern California (Los Angeles, CA)
- …knowledge and understanding of third-party claims billing, particularly rules and requirements for Medicare Part B DMEPOS and Medi-Cal. The Director of Pharmacy ... federal and state laws and regulations. Required Credentials: + Pharm. D . + State of California Registered Pharmacist ...+ Pharm. D . + State of California Registered Pharmacist License + Minimum of 3 years managerial experience… more