- Molina Healthcare (Grand Rapids, MI)
- **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 (Lansing, MI)
- …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 (Lansing, MI)
- …Optimization of drug coverage benefits for appropriate care and reduced costs ( preferred formulary products, lower cost alternatives and home delivery pharmacy) ... competency with MS Office programs such as Word, Excel and Power Point ** Preferred Qualifications** + Clinical residency in ambulatory care or similar discipline +… more
- Prime Therapeutics (Lansing, MI)
- …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
- CenterWell (Lansing, MI)
- …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
- Corewell Health (Grand Rapids, MI)
- …eligibility problems, and other non-routine questions. Educates customers on drug formulary guidelines, including drug formulary alternatives and prior ... effectively discuss covered alternatives to find less expensive options on the formulary to treat diagnosis + Collaborates with internal and external resources,… more
- CVS Health (Lansing, MI)
- …programs including Step Therapy, Prior Authorization, Quantity Limits, Drug Lists, Formulary and more. - supporting new implementations activities as well as ... queries when necessary to ensure that all clinical Utilization Management programs and Formulary setups are meeting client intent - work closely with the client to… more
- Henry Ford Health System (Detroit, MI)
- …Henry Ford Health as a Pharmacy Buyer! Previous Buyer and Pharmacy experience preferred . GENERAL SUMMARY: Schedule: Full Time - Day Shifts Location: Detroit, MI The ... relates to dollar thresholds and days outstanding. + Actively cross references non- formulary or non-inventoried item requests to defined formulary products and… more
- Molina Healthcare (Ann Arbor, MI)
- …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
- Sanofi Group (Detroit, MI)
- …Responsibilities:** + Implements strategies and tactics to support appropriate formulary placement and reimbursement (coverage, coding, payment, and patient access) ... **About You** **Required Qualifications** + Bachelor's degree required; Master's/advanced degree preferred + 2+ years direct managed care experience ** Preferred … more