- Prime Therapeutics (Springfield, IL)
- …while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication ... clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer. + Practices and maintains the principles of utilization… more
- Highmark Health (Springfield, IL)
- …Review + 3 years of experience in Account Support + 1 year of experience in Managed Care Support + 1 year of experience in Consulting **SKILLS** + In-depth ... in lieu of bachelor's degree. **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred** +… more
- Prime Therapeutics (Springfield, IL)
- …work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology ... optimize drug utilization, patient outcomes, and cost-effectiveness through value-based care models, digital health initiatives, and patient support program +… more