- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs...to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of… more
- Point32Health (Canton, MA)
- …the direction of the Pharmacy Utilization Management (UM) Supervisor, the Per Diem Clinical Pharmacist is responsible for reviewing, processing and managing the ... for coverage determinations (CD), and exceptions. The Per Diem Clinical Pharmacist ensures timely disposition of reviews...A minimum of 3 years full-time experience as a pharmacist , preferably PBM and/or managed care setting.… more
- Elevance Health (Woburn, MA)
- **Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... -first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacist Clinical ** will be responsible for managing...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The Role The Clinical Pharmacist , Medicare Clinical Programs is responsible for providing ... management with identifying and resolving drug-related problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in the… more
- RxBenefits (Boston, MA)
- …assigned. _Required Skills / Experience:_ + 8+ years of combined Account Management and Clinical Pharmacist experience. + Current Pharmacist license in good ... The Clinical Account Director will be responsible for nurturing...are met. They will leverage their expertise as a pharmacist to provide insightful, evidence-based recommendations, foster long-term partnerships,… more
- Prime Therapeutics (Boston, MA)
- At Prime Therapeutics (Prime), we are a different kind of PBM , with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a ... the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The ...PharmD or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with State Board of… more
- Point32Health (MA)
- …and federal regulatory and accreditation requirements in all geographies. Collaborates with PBM to optimize member experience and clinical outcomes. Directs ... . **Job Summary** Under the direction of the Director, Clinical Pharmacy Operations, the Senior Manager, Clinical ...review by therapeutic class. Work with Pharmacy Benefit Manager ( PBM ) to monitor pharmacy spend and performance to identify… more
- Prime Therapeutics (Boston, MA)
- …office staff, medical management staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + ... Prime Therapeutics (Prime), we are a different kind of PBM , with a purpose beyond profits and a unique...the future of pharmacy with us. **Job Posting Title** Clinical Pharmacy Technician Sr - Remote **Job Description** Evaluates… more
- Prime Therapeutics (Boston, MA)
- …an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market ... of corporate recommendations to committee(s); partner with cross-functionally with Clinical Program Management, Specialty, Health Plan Markets and other internal… more
- Insight Global (Boston, MA)
- …preparation, labeling, and distribution of these products to help facilitate clinical trials research. This position will ensure compliance with regulatory standards ... being followed at all times. Working under the supervision of a licensed pharmacist (s) within the research space, the technician will assist with the receiving… more