- Centene Corporation (Tallahassee, FL)
- …and respond to provider and pharmacy calls regarding the prior authorization and formulary process + Perform review of pharmacy and override process in compliance ... minutes + Assist with members' inquiries related to the formulary process + Performs other duties as assigned +...in a managed care environment. Medicare and/or Medicaid experience preferred . Prior experience using analysis tools or systems (ex:… more
- Centene Corporation (Tallahassee, FL)
- …and respond to provider and pharmacy calls regarding the prior authorization and formulary process + Perform review of pharmacy and override process in compliance ... minutes + Assist with members' inquiries related to the formulary process + Performs other duties as assigned +...in a managed care environment. Medicare and/or Medicaid experience preferred . Prior experience using analysis tools or systems (ex:**… more
- Teva Pharmaceuticals (Jacksonville, FL)
- …to solve problems and provide solutions + Remain apprised of all product formulary developments within facilities + Work with the discharge coordinator to understand ... care setting with a detailed understanding of the buy-and-bill model, formulary placement, P&T committees, and in-services required + Experience in psychiatric… more
- Meta (Tallahassee, FL)
- …using insurance benefits 3. Manage Meta's product status under different formulary scenarios and in- vs. out-of-network provider conditions 4. Influence product ... of vision insurance across multiple providers 11. Experience with insurance formulary management and provider network strategies 12. Experience building partnerships… more
- Wellpath (West Palm Beach, FL)
- …(HSA) * Wellness program featuring fitness memberships and product discounts * Preferred banking partnership and discounted rates for home and auto loans ... legible progress note documentation in SOAP format and adheres to formulary guidelines. + Responds to emergencies and makes logical decisionsregardingnon-… more
- Cardinal Health (Tallahassee, FL)
- …information and extract key insights to inform Manufacturer specific strategy. + ** Formulary and market intelligence:** Monitor benefit designs (eg formulary ... + Background as a clinician (holding an RN, MSN or PharmD - highly preferred ) + Ideally targeting individuals that also bring 2-5+ years of experience in the… more
- Molina Healthcare (St. Petersburg, FL)
- …pharmacy internal monitors who support processes involved with the review of non- formulary drugs or other drugs requiring prior authorization. + Supervises pharmacy ... daily unit operations to ensure prompt and appropriate processing of requests for non- formulary or prior authorized required drugs. + Ensures that average phone call… more
- Prime Therapeutics (Tallahassee, FL)
- …Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management ... of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement… more
- Prime Therapeutics (Tallahassee, FL)
- …Group Purchasing Organization (GPO), directing work related to pharmacy formulary development, market access functions of branded pharmaceutical manufacturers, and ... Ensure manufacturers' products are brought forth internally to evaluate rebate and formulary opportunities for Prime's business + Serve as a department resource for… more
- Grifols Shared Services North America, Inc (Miami, FL)
- …influencer champions to submit and approve P&T requests to add product to formulary . + Develop physician influence champions to drive a new standard-of-care and ... needs and aligned strategy for pull-through in both pre and post formulary additions and customer-centric solutions. + Manage resources to fulfill customer needs… more