- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages ... the coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful Part D … more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** Leads and supervises team of pharmacy call center and operations staff responsible to ensure that members have access to ... medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality… more
- Elevance Health (Atlanta, GA)
- …and developing recommendations on data related to Pharmacy cost of care, pharmacy trends, and other Medicare book of business' related issues/metrics. **How ... ** Pharmacy Financial Analyst, Cost of Care - Business...to identify cost drivers and trend patterns within the Medicare Part D Individual and Group markets + Identifies… more
- Elevance Health (Atlanta, GA)
- …Clinical Pharmacy Care Center (CPCC) team. The CPCC is a clinical pharmacy call center that services Medicare , Medicaid, and the Commercial member ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care._ **Title** : ** Pharmacy Technician II - Adherence**… more
- Elevance Health (Atlanta, GA)
- …by law. The **Clinical Pharmacy Care Center (CPCC)** is a clinical pharmacy call center that services Medicare , Medicaid, and the Commercial member ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. **Title:** Pharmacy Technician II **Hours:** 12pm - 8:30pm… more
- Highmark Health (Atlanta, GA)
- …efficiencies. + Manage individual projects for timely review with the Director, Clinical Pharmacy . + Participate in Medicare Stars performance measures to drive ... drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to recommendations for… more
- Molina Healthcare (Atlanta, GA)
- …development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, ... providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements… more
- Molina Healthcare (Savannah, GA)
- …keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy , and quality functions. You surface systemic issues, steer partners toward ... * Track record coordinating cross-functional action plans with Enrollment, Claims, Pharmacy , Network, and Member Services * Hands-on experience maintaining evidence… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director, Pharmaceutical Trade ... responsible for managing Prime's Trade Relations program(s) for medical and pharmacy formulary and market access strategies and all related partner/customer… more
- Molina Healthcare (GA)
- **Job Summary** Molina Healthcare is hiring for several Pharmacy Technicians. These roles are 100% Remote and require you be licensed either State or Nationally. ... Friday 10am to 630pm **Mountain Standard Time.** Molina MTM Pharmacy Services staff work to ensure that Molina members...work to ensure that Molina members have access to Medicare Star medications and those meds are used in… more