- Humana (Jefferson City, MO)
- …The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in ... 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
- CVS Health (Jefferson City, MO)
- …collaborates with Health Plan Clinical Advisor to understand the client's clinical strategy and roadmap to create a clinical operations plan. The Clinical Operations ... to facilitate gathering formulary and utilization management requirements and designs the drug level setup for projects on the operations plan while ensuring… more
- Humana (Jefferson City, MO)
- …into financial to ensure Humana profitability. This individual will support our drug pipeline forecasting team, working directly with financial analysts and clinical ... as we inform Humana on the impact of new drug launches. This individual will focus on the pharmaceutical...modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging… more
- Prime Therapeutics (Jefferson City, MO)
- …is responsible for the management of all client specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management ... member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding… more
- Prime Therapeutics (Jefferson City, MO)
- … strategy and manages Prime's corporate relationship with pharmaceutical drug manufacturers. This position leverages a deep understanding of the healthcare ... care to its members and related client messaging as well as strategy pull through. **Responsibilities** + Maintain expert knowledge of the pharmaceutical industry,… more
- Elevance Health (St. Louis, MO)
- …program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How you will make an impact:** ... Pharmacy and Therapeutics Committee including therapeutic class reviews, policy review, drug monographs, and formulary recommendations. + Develop strategies to drive… more
- Elevance Health (St. Louis, MO)
- …programs within the prior authorization space + Verifies member, provider, and drug information and inputs data for the prior authorization pharmacists. + Educates ... requests from physicians' offices and ensures compliance with Medicare and Medicaid requirements; inform relevant parties of all prior authorization determinations.… more