- CVS Health (Providence, RI)
- …And we do it all with heart, each and every day. **Position Summary** The Clinical Pharmacist will be responsible for supporting the creation and maintenance of ... facilitating formulary decision-making process and continual enhancement of the formulary management systems for the enterprise, and provide direction to… more
- Prime Therapeutics (Providence, RI)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist Remote **Job Description** The Clinical Staff ... Pharmacist is responsible for the processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step therapy,… more
- CVS Health (Providence, RI)
- …**Preferred Qualifications** + Work experience with RxClaim, Zynchros (or other formulary management tool), Salesforce. + Adept at Excel, PowerPoint, ... a critical role in shaping and executing the organization's Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you… more
- Prime Therapeutics (Providence, RI)
- …be responsible to understand current industry trends and illustrate expert knowledge of clinical products and formulary management strategies in order to ... + Develop and present clinical program solutions, including formulary and utilization management recommendations, to Administrative Services Only… more
- Prime Therapeutics (Providence, RI)
- …staff, medical management staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors ... knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and… more
- Highmark Health (Providence, RI)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail pharmacy and/or third… more
- Prime Therapeutics (Providence, RI)
- …services that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer. + Practices and maintains ... of specialty injectable prescription drugs, disease states, health plan formulary management techniques and medical terminology. **Preferred Qualifications**… more
- Prime Therapeutics (Providence, RI)
- …presentation of corporate recommendations to committee(s); partner with cross-functionally with Clinical Program Management , Specialty, Health Plan Markets and ... an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market… more
- Highmark Health (Providence, RI)
- …**SKILLS** + In-depth knowledge of the pharmacy industry, including benefit design, formulary management , and pharmacy best practices. + Proven ability to ... degree **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + PA clinical licensure/certifications such as RN, RD, Pharmacist **Language (Other… more