- 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
- Grifols Shared Services North America, Inc (Cincinnati, OH)
- …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
- Cardinal Health (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- …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
- OhioHealth (Columbus, OH)
- …for at least a couple years and/or PGY2 oncology residency strongly preferred **Responsibilities And Duties:** 40% Clinical and Operational Activities The individual ... activities of the department. Other specific areas of focus include formulary and purchasing management. 40% Clinical Quality and Regulatory Oversight The… more
- Prime Therapeutics (Columbus, OH)
- …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
- Deloitte (Columbus, OH)
- …on average, based on the work you do and the clients/sectors you serve Preferred : + Prior professional services or federal consulting experience + 14+ years of ... arrangements for PBMs contracts, including evaluation of disruption related to formulary changes + Experience reviewing and negotiating pharmacy contracts (pricing… more
- Elevance Health (Mason, OH)
- …Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates reports relating to rebates, physician ... scope of practice in a state or territory of the United States. ** Preferred Capabilities, Skills, and Experiences:** + Call center experience with high call volumes… more
- Veterans Affairs, Veterans Health Administration (Findlay, OH)
- …procedures. Medical management will be in accordance with VA policy and VA formulary and State regulations. The physician will dedicate 20 percent of their time ... day and championing the expansion within the Medical Center. Preferred experience for this position would be residency trained...with the desired current technology. In addition, it is preferred that the candidate have teaching experience in the… more