- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for ... and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to maintain compliance with all regulatory requirements. + Support product portfolio, including Medicare Part D which includes rotational weekend and holiday ... your true colors to blue. The Role The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity...providers via phone and fax for the Retail Pharmacy, Medicare Advantage Part D , Home… more
- State of Massachusetts (Northampton, MA)
- …and protective device forms * Communicates with pharmacist to provide and ensure Medicare Part D insurance plans are in place. * Responsible for ... by the RN Managers and State Op. Directors. As part of daily assignments, the incumbent will be required...Schedule: 3:00pm - 11:00pm * Days Off: Thursday/Friday As part of daily assignments, the incumbent will be required… more
- Prime Therapeutics (Boston, MA)
- …+ Experience within the PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract language and risk mitigation ... are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ### or email… more