- HCA Healthcare - Chief Medical Officer (San Antonio, TX)
- …on HCA clinical technologies. Collaborates with HPG and Supply Chain on formulary and supply opportunities. Medical Staff Affairs Develops, implements, and monitors ... disruptive physician and impaired physician policies, and develops monitoring and intervention programs in the region. Provides recommendations in the development and/or revision of hospital policies and procedures pertinent to the medical staff and medical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …a program manager, who is responsible for all Medicare Part D formulary creation and submissions, which includes utilization management criteria development for the ... upcoming contract years. This individual creates and executes the Medicare Part D formulary , delivering value and quality to the Plan's Part D enrollees, while… more
- The Cigna Group (St. Louis, MO)
- The Evernorth Formulary Solutions Residency is a 12-month immersive program designed to build a strong foundation in formulary strategy and execution. Residents ... gain hands-on experience across the full formulary lifecycle-from pipeline strategy to operational implementation. This residency offers a unique lens into the PBM… more
- CVS Health (Buffalo Grove, IL)
- …and clinical consistency. Responsibilities include supporting clinical workgroups, enterprise formulary initiatives, and additional formulary related clinical ... needs. The role will consult as a subject matter expert facilitating formulary decision-making process and continual enhancement of the formulary management… more
- The Cigna Group (St. Louis, MO)
- …acumen to advise functional leaders and educate other team members. Delivers formulary consulting clinical modeling support, but also works on broader projects, ... department internally and externally serving as conduit to educate downstream formulary consulting stakeholders resulting in an optimal formulary consulting… more
- Elevance Health (Dearborn, MI)
- **Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and supports core clinical programs such as DUR and formulary management. **How you will make an impact:** +...**How you will make an impact:** + Leads Medicaid formulary management processes. + Responsible for all member, stakeholder,… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …for developing and growing clinical solutions for Vertex clients to include formulary management programs. **Job Summary:** The Director of Clinical & Formulary ... Operations will be responsible for developing and creating clinical and formulary management options for Vertex clients. This role will oversee a team of… more
- The Cigna Group (Bloomington, MN)
- …Program Senior Advisor, Strategic Markets is responsible for assessing formulary positioning alongside applicable utilization management policies to determine client ... Pharmaceutical Contracting, Clinical Consulting and Pharmaceutical Invoicing teams to ensure formulary tier and clinical rules are interpreted correctly and will… 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
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- Summary The Formulary and Drug Utilization Manager position guides the appropriate medication use strategy for optimal patient safety, cost effectiveness, and ... strategic plans, and ensure cost-efficiency measures are met. Responsibilities The Formulary and Drug Utilization Manager position is responsible for managing… more
