- WTW (Tampa, FL)
- …within the practice as well as engage in cross-functional activities. A pharmacist is strongly preferred but not required. Note: Employment-based non-immigrant visa ... clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of ...PBM ) vendor procurement and negotiation + Audits of PBM performance (financial and operational) + Strategy for Specialty… more
- Actalent (Jacksonville, FL)
- …and making initial determination decisions-approving or denying them before forwarding to a pharmacist for final review. You'll work with a variety of health plans ... coverage determination requests submitted by healthcare providers. + Assess whether pharmacist review is necessary for specific requests. + Obtain verbal… more
- Actalent (Orlando, FL)
- …Track coverage determination requests submitted by providers and assess if a pharmacist review is necessary. + 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
- Prime Therapeutics (Tallahassee, FL)
- …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 (Tallahassee, FL)
- …+ 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
- Prime Therapeutics (Tallahassee, FL)
- …+ 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 ... of work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology… more
- Actalent (Miami, FL)
- …responsible for approving or denying prior authorizations and forwarding them to a pharmacist for final review. Responsibilities + Handling all health plans and all ... and/or escalated member issues. + Escalate questions regarding prescriptions to a Pharmacist for interpretation or direction on processing. + Assist with inbound… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …that have been approved by national, VISN, or local pharmacy benefits management ( PBM ) and focuses on quality patient care in a cost-effective manner. Actively ... of the United States (ie, Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full,… more