• Policy Clinical Pharmacist - REMOTE

    Prime Therapeutics (Lincoln, NE)
    …Bachelor of Science Pharmacy Degree + 1 years of pharmacy, managed care and/or pharmaceutical industry experience + Current pharmacist license in good ... as a team. + Data review and interpretation skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM) + Oncology experience +… more
    Prime Therapeutics (08/28/25)
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  • Clinical Pharmacist (Algo),…

    Prime Therapeutics (Lincoln, NE)
    …Bachelor of Science Pharmacy Degree + 1 years of pharmacy, managed care and/or pharmaceutical industry experience + Current pharmacist license in good ... as a team. + Data review and interpretation skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM) + Oncology experience +… more
    Prime Therapeutics (08/19/25)
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  • Medicaid Drug Strategy Pharmacist Lead

    CenterWell (Lincoln, NE)
    …Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or implement ... for the Medicaid lines of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the development… more
    CenterWell (08/20/25)
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  • Staff Utilization Management Pharmacist

    Humana (Lincoln, NE)
    …continuously improving the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review ... community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and… more
    Humana (08/27/25)
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  • Senior Clinical Programs Pharmacist

    CenterWell (Lincoln, NE)
    …Medicare and/or Medicaid experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's business ... community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with a focus on… more
    CenterWell (08/08/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Lincoln, NE)
    …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
    Highmark Health (08/26/25)
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  • Clinical Solutions Strategy Senior Director…

    Prime Therapeutics (Lincoln, NE)
    …10 years of work experience within medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in the United States ... optimizing drug utilization, patient outcomes, and cost-effectiveness through value-based care models, digital health initiatives, and patient support program +… more
    Prime Therapeutics (07/31/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Lincoln, NE)
    …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
    Prime Therapeutics (07/01/25)
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