- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Clinical Formulary Pharmacist works to ensure that Molina members have access to all medically necessary prescription drugs ... those drugs are used in a cost-effective, safe manner. The Clinical Formulary Pharmacist is responsible for creating, operating, and monitoring Molina Health Plan's… more
- Humana (Atlanta, GA)
- …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
- CenterWell (Atlanta, GA)
- …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
- Option Care Health (Atlanta, GA)
- …ensure orders are appropriate for home, recommend free water flushes, adhere to formulary supply, and confirms path to payment based on insurance guidelines. Reviews ... and sales management. Educational topics to include clinical nutrition, reimbursement and formulary compliance. + Assists in the orientation and training of new… more
- Molina Healthcare (Atlanta, GA)
- …state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider ... policies). **KNOWLEDGE/SKILLS/ABILITIES** + Performs initial receipt and review of non- formulary or prior authorization requests against plan approved criteria.… more
- Prime Therapeutics (Atlanta, GA)
- …Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management ... licensure or registration in accordance with state requirements AND an active national certification (eg, PTCB or ExCPT). + In states that do not require licensure… more
- Molina Healthcare (Augusta, GA)
- …state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider ... communicates plan benefit information, including but not limited to, formulary information, copay amounts, pharmacy location services and prior authorization… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …Possible $1,000 per year reimbursement (must be full-time with board certification ). Malpractice: Free liability protection with tail coverage provided. Contract: No ... access and timeliness standards; prescription order entry, National VA formulary Requirements, and customer service standards. Demonstrates flexibility in responding… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and processes to ensure financial medication stewardship. + Actively participates in formulary review and medication selection to promote cost savings. Supports and ... or equivalent experience in the specialty area. Relevant Pharmacy Specialty Board Certification is preferred. + Active Georgia Pharmacist license. + Basic Life… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and be eligible for licensure in the state of Georgia. Board Certification is encouraged. Experience precepting students and residents is also preferred. The ... and processes to ensure financial medication stewardship. + Actively participates in formulary review and medication selection to promote cost savings. Supports and… more