- Highmark Health (Sacramento, CA)
- …and stakeholders. Secondary responsibilities will also include supporting formulary coding , implementation, and testing processes in partnership with the pharmacy ... overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. + Participate in Medicare Stars performance measures to… more
- Elevance Health (CA)
- …reviews by utilizing appropriate medical policies and clinical guidelines in compliance with department guidelines and consistent with the members eligibility, ... May process a medical necessity denial determination made by a Medical Director . + Develops and fosters ongoing relationships with physicians, healthcare service… more