- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Clinical Formulary Pharmacist works to ensure that Molina members have access to all medically necessary prescription drugs ... those drugs are used in a cost-effective, safe manner. The Clinical Formulary Pharmacist is responsible for creating, operating, and monitoring Molina Health Plan's… more
- Humana (Frankfort, KY)
- …with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes ... in determining objectives and approaches to assignments. The Senior Formulary Operations Management Professional collaborates with healthcare professionals, pharmacists,… more
- CVS Health (Pittsburgh, PA)
- …and Compliance teams to produce and validate data for exam requests. ** Formulary Management** + Develop and maintain CVS Caremark's template formularies including ... and management, including prior authorization, step therapy, quantity limits, and formulary exceptions. + Recognize decisions reflect clinical best practices and… more
- The Cigna Group (Bloomington, MN)
- …Advisor, Strategy & Financial Analysis will provide consultation to custom formulary clients thorough contract interpretation and rebate financial modeling. As a ... the opportunity to identify strategic opportunities for clients to optimize their formulary to drive value for both internal and external organizations. Works… more
- CVS Health (Woonsocket, RI)
- …and every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis ... by completing a thorough interpretation of the contract and thorough analysis of formulary and plan design data on a monthly/quarterly basis. In this role, you… more
- Grifols Shared Services North America, Inc (Indianapolis, IN)
- …systems, accounts and customers related to disease awareness, product discussions, formulary coverage, pricing (where appropriate) and collaborating with key opinion ... and fellows, Infusion Suite Nurse, Clinical Pharmacists, DOP for formulary consideration and specialty pharmacy etc.) *Demonstrate account-based selling skills… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …will play a pivotal role in developing, implementing, and managing formulary strategies that ensure clinically appropriate and cost-effective medication use. This ... collaborating across departments and with external stakeholders to optimize formulary design, utilization management, and strategic pharmacy initiatives. **What you… more
- Prime Therapeutics (Pierre, SD)
- …for managing Prime's Trade Relations program(s) for medical and pharmacy formulary and market access strategies and all related partner/customer relationships ... team, which is responsible for the communication and pull through of formulary strategies directly with clients. **Responsibilities** + Direct the oversight of Trade… more
- YesCare Corp (Coxsackie, NY)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- University of Michigan (Ann Arbor, MI)
- …Policy to improve patient care outcomes by reviewing new medications for formulary inclusion, managing policies, protocols, and guidelines designed to improve the ... role, they will interface with medical specialties regarding medication formulary , medication use standards, medication improvement initiatives, and evidence-based… more