- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, ... market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve health outcomes. The Formulary Strategy… more
- Humana (Harrisburg, PA)
- …with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes ... in determining objectives and approaches to assignments. The Senior Formulary Operations Management Professional collaborates with healthcare professionals, pharmacists,… more
- The Cigna Group (Philadelphia, PA)
- …Advisor, Strategy & Financial Analysis will provide consultation to custom formulary clients thorough contract interpretation and rebate financial modeling. As a ... the opportunity to identify strategic opportunities for clients to optimize their formulary to drive value for both internal and external organizations. Works… more
- Prime Therapeutics (Harrisburg, PA)
- …for managing Prime's Trade Relations program(s) for medical and pharmacy formulary and market access strategies and all related partner/customer relationships ... team, which is responsible for the communication and pull through of formulary strategies directly with clients. **Responsibilities** + Direct the oversight of Trade… more
- Highmark Health (Pittsburgh, PA)
- …(MA) market. The incumbent will contribute to recommendations for annual/ongoing formulary and program strategies, in close collaboration with matrix partners and ... leadership and stakeholders. Secondary responsibilities will also include supporting formulary coding, implementation, and testing processes in partnership with the… more
- CenterWell (Harrisburg, PA)
- …care, PBM, market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while ... health outcomes and costs. + Help facilitate and provide transparency to informed formulary and medical drug decisions made consistent with our formulary guiding… more
- YesCare Corp (Philadelphia, PA)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- Highmark Health (Harrisburg, PA)
- …pharmacy strategies and other pharmacy strategy teams to execute on the formulary /utilization (UM) and other strategic pharmacy products. This job will be ... UM operations functions, turnaround time and overall handling of pharmacy UM/ formulary requests. + Collaborates with the pharmacy organization to ensure that… more
- Geisinger (Port Matilda, PA)
- …administration of the medication. + Identifies and resolves routine prescribing, formulary , and therapeutic issues and suggests appropriate formulary ... and clinical personnel on matters relating to drug therapy, drug information, formulary status of a particular agent, and active and inactive medications… more
- Geisinger (Danville, PA)
- …and major drug interactions. + Reviews all medication orders for prescribing, formulary , and therapeutic issues. + Suggests appropriate formulary alternative(s) ... based on the patient's clinical parameters. + Consults and advises members of the medical staff on matters relating to specific drug therapy problems and monitors and acts on patient laboratory results. + Provides in-depth drug information and other… more