- Humana (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- …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
- Molina Healthcare (Dayton, OH)
- …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
- Molina Healthcare (Cincinnati, OH)
- …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
- Teva Pharmaceuticals (Dayton, OH)
- …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
- Sanofi Group (Cincinnati, OH)
- …Responsibilities:** + Implements strategies and tactics to support appropriate formulary placement and reimbursement (coverage, coding, payment, and patient access) ... You** **Required Qualifications** + Bachelor's degree required; Master's/advanced degree preferred + Minimum 8 years field-based pharmaceutical/biotech Sales and/or… more
- Meta (Columbus, OH)
- …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