- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Program Management Director - Remote **Job Description** **Are you looking for a ... our account team. You will be responsible for all clinical products, formulary, and UM strategies.** The Clinical...PharmD or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with State Board of… more
- Actalent (Dallas, TX)
- …triage coverage determination requests submitted from providers and determine if a pharmacist review is required. You will also obtain verbal authorizations and ... request detailed clinical information from prescribers, approve coverage determination requests based...enter and document coverage determination request decisions into the PBM system. Additionally, you will notify providers and/or members,… more
- Actalent (Houston, TX)
- …be responsible for approving or denying requests and sending them for a pharmacist 's final review. Although the position primarily involves desk work, you may ... Track coverage determination requests submitted from providers and determine if a pharmacist review is required. + Obtain verbal authorizations and request detailed … more
- Actalent (San Antonio, TX)
- …coverage determination requests submitted by providers and assess the need for pharmacist review. + Obtain verbal authorizations and request detailed clinical ... criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond to client inquiries… more
- Baylor Scott & White Health (Temple, TX)
- …This includes selecting and managing the outsourced Pharmacy Benefit Manager ( PBM ). They also handle the purchase, storage, compounding, packaging, and dispensing ... Monitors pharmacy work environments for BSWH. Partners closely with medical, clinical , and senior leadership. Develops growth strategies, achieves targets, and… more
- WTW (Houston, TX)
- …Willis Towers Watson is looking for an energetic individual with growth, pharmacy, clinical and client facing expertise to join our growing team. As a Pharmacy ... problem solver who possesses the ability to balance client clinical needs and business growth. You will collaborate with...practice as well as engage in cross-functional activities. A pharmacist is strongly preferred but not required. **The Role**… more
- Actalent (Dallas, TX)
- …triage coverage determination requests submitted from providers and determine if a pharmacist review is required + Obtain verbal authorizations and request detailed ... clinical information from prescribers + Approve coverage determination requests...Enter and document coverage determination request decision into the PBM system and notify providers and/or members + Respond… more
- Intermountain Health (Austin, TX)
- **Job Description:** The Pharmacy Government Stars Pharmacist Coordinator plays a pivotal role in improving the quality performance of government-sponsored ... Medicare and CMS Star Ratings. This position is responsible for driving clinical quality initiatives, particularly around key measures such as medication adherence,… more
- Elevance Health (Grand Prairie, TX)
- …IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. **Location** **Hybrid 1:** ... aid in the dispensing of prescriptions to patients by the CarelonRx Pharmacist . Responsible for complex pharmacy, patient, and prescriber encounters, including, but… more
- Prime Therapeutics (Austin, TX)
- …with providers, members, and pharmacies to gather and document accurate clinical information about qualified members' medications and disease states related to ... to ensure appropriate interaction is scheduled with appropriate MTM clinician (ie, Pharmacist ) + Perform outreach calls to pharmacies to research contact information… more