- Molina Healthcare (Detroit, MI)
- …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
- Meta (Lansing, MI)
- …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
- Veterans Affairs, Veterans Health Administration (Wyoming, MI)
- …based on objective laboratory findings. Reviews and evaluates requests for non- formulary and restricted drugs for appropriateness and compliance with established ... histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication… more
- Cardinal Health (Lansing, MI)
- …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 (Ann Arbor, MI)
- …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 (Lansing, MI)
- …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
- Prime Therapeutics (Lansing, MI)
- …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
- Grifols Shared Services North America, Inc (Detroit, MI)
- …influencer champions to submit and approve P&T requests to add product to formulary . + Develop physician influencer 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
- Novo Nordisk (Ann Arbor, MI)
- …tailor approach to customers + Analyze bidding policies/contracts in order to influence formulary status, as applicable + May analyze impact of managed care in the ... and other individuals who make or influence the purchasing, prescribing, and/or formulary decisions (and others within the influence map) + Researches, understands… more
- Boehringer Ingelheim (Grand Rapids, MI)
- …the appropriate key stakeholders in discussions on the payer environment, copays, and formulary access. + Supports products on Payor formularies. + Works in concert ... from an accredited institution required. Master's degree from an accredited institution preferred . * A minimum of four (4) years successful pharmaceutical sales… more