- CenterWell (Phoenix, AZ)
- …our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , ... mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex issues where the… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , ... to mitigate cost trend and improve health outcomes. The Formulary Strategy Pharmacist Lead work assignments involve moderately complex to complex issues where the… more
- Prime Therapeutics (Phoenix, AZ)
- …and drives every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional-Senior- REMOTE **Job Description** Maintains the inventory of ... + 1 years of pharmacy, managed care and/or pharmaceutical industry experience + Current pharmacist license in good standing with the State Board of Pharmacy in the… more
- Actalent (Tempe, AZ)
- …triage coverage determination requests submitted from providers and determine if a pharmacist review is required. You will also obtain verbal authorizations and ... criteria, and enter and document coverage determination request decisions into the PBM system. Additionally, you will notify providers and/or members, respond to… more
- Actalent (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …Track coverage determination requests submitted from providers and determine if a pharmacist review is required. + Obtain verbal authorizations and request detailed ... criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond to client inquiries… more
- Actalent (Tucson, AZ)
- …determination requests submitted by providers and assess the need for pharmacist review. + Obtain verbal authorizations and request detailed clinical information ... criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond to client inquiries… more
- Actalent (Phoenix, AZ)
- …determination requests submitted by providers and assess the need for pharmacist review. + Obtain verbal authorizations and request detailed clinical information ... defined criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and members. + Respond to client inquiries… more
- Prime Therapeutics (Phoenix, AZ)
- …Experience within the PBM industry, Medicaid, Medicare, and health plans + Pharmacist / Pharm D + Experience with contract language and risk mitigation concepts ... years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business development; also to… more
- Prime Therapeutics (Phoenix, AZ)
- …+ Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with the State Board of Pharmacy in the State ... + 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… more