- Humana (Albany, NY)
- …caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting comprehensive… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Clinical Pharmacist Lead-Florida monitors drug development pipeline, and medical literature, ... to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Highmark Health (Albany, NY)
- …risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent then conducts thorough research ... to evaluate the patient and extensive clinical judgement and discretion to provide recommendations for closing the gap in care. The incumbent may interact with the… more
- The Cigna Group (New York, NY)
- …to the clients. + Training and Development + Participate with ongoing training (eg, clinical , PIS, or policy updates) as necessary in collaboration with regional ... multiple states, using technology to maximize the cognitive contributions of clinical pharmacists to quality patient care. The Telepharmacist actively engages with… more
- Medtronic (Westchester, NY)
- …connected, compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's ... as the face of the company and are field clinical diabetes experts. CTMs report to the Clinical...is to be in the field 4-5 days/week and remote the remaining days. This position is an exciting… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... Management Program activities, and performs the activities as directed by departmental policy and leadership, current NYS DOH, CMS regulations and standards if… more
- CenterWell (Albany, NY)
- …respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed ... leading pharmacy practice/compliance for a large pharmacy + Active pharmacist license for the state of employment + Extensive...and USP guidance + Experience in providing guidance for clinical operational aspects of pharmacy + Ability to manage… more
- Cardinal Health (Albany, NY)
- …the continuum of care. The team's mission is to provide exceptional clinical , supply chain, analytics, and operational expertise to improve patient access, increase ... hospital pharmacies. The Regional Director of Pharmacy oversees the Remote Pharmacy Services (RPS) team. This team provides pharmacy...other client facing reports & audits + Oversee operational Policy & Procedures for RPS, including client facing … more
- Highmark Health (Buffalo, NY)
- …case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered at the onset of ... identified cases that require additional notification to member, provider, and/or pharmacist .At times, outreach to providers and/or pharmacists may be required to… more