- Excellus BlueCross BlueShield (Rochester, NY)
- …a program manager, who is responsible for all Medicare Part D formulary creation and submissions, which includes utilization management criteria development for the ... This individual creates and executes the Medicare Part D formulary , delivering value and quality to the Plan's Part...using a phone, with or without a headset. In support of the Americans with Disabilities Act, this job… more
- Northwell Health (New Hyde Park, NY)
- …care organization, Pharmacy benefit manager, or health plans + Experience in formulary management, P&T committee support , and/or utilization management (PA, ST, ... therapy guidelines, and overseeing pharmacy benefit claims adjudication to match formulary intent. This role involves critical evaluation of clinical literature,… more
- Independent Health (Buffalo, NY)
- …preference strategies to optimize drug utilization, ensure cost-effective prescribing, and support formulary compliance across healthcare systems. + Periodic ... travel to conferences or industry meetings may be required. + Build a strong professional relationship between Reliance Rx and the regional provider community to facilitate the acquisition of additional prescription volume; seek unique opportunities to further… more
- Wolters Kluwer (Albany, NY)
- …content strategy and influence product direction. + Experience with clinical decision support tools, formulary management, or medication safety programs. + ... of standards for safe, scalable, and clinically meaningful medication decision support . The ideal candidate brings deep clinical expertise and strong communication… more
- RxBenefits (New York, NY)
- …our Employee Benefit Consultants (EBC). The SPA will be assigned to support two Business Development Executives and their assigned Employee Benefit Consultants. The ... Analytics, Finance, Marketing, Product Team, SLT, and ELT in support of closing new business. + Manage the life...PBM partner products. + Be the SME on the formulary disruption process, results, and applicability to our modeling… more
- YesCare Corp (Coxsackie, NY)
- …of a legacy of excellence. You'll have access to the resources, training, and support needed to enhance your skills and reach your full career potential. Your role ... in call as needed for the role. + Adhere to the approved formulary for therapeutic regimens and request non- formulary medication approval when necessary.… more
- University of Rochester (Rochester, NY)
- …and controlled substance vault to ensure appropriate workflow as required to support dispensing of medications based on medication orders. + Communication to all ... Analysis, Failure Modes and Effects Analysis, etc. + Oversees non- formulary medication inventory, preparation if needed, and reorder points...Create - and Make the World Ever Better. In support of our values and those of our society,… more
- New York State Civil Service (Albany, NY)
- …functions within the Medicaid Pharmacy Program. Duties include performing formulary management activities, policy development, evaluating and updating Medicaid ... provider inquires and requests for coverage, Drug Utilization Review (DUR) Board support including review of the clinical materials and assistance with logistics and… more
- Novo Nordisk (Buffalo, NY)
- …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
- Wellpath (Valhalla, NY)
- …we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: * DailyPay, receive your money as ... best in class clinical resources for training, education, and point of care support . **How you make a difference** The Nurse Practitioner (NP) under the supervision… more