- 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 (Buffalo Grove, IL)
- …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
- Publicis Groupe (Morristown, NJ)
- …with managed care data sets (APLD, Xponent Plantrak, Symphony Payer Source, MMIT, Fingertip Formulary ) is preferred , but not required + Minimum of a BS degree ... buy and bill products; medical and pharmacy benefit is preferred + Highly proficient and experienced in one or...SAS with advanced knowledge of at least language strongly preferred ; willingness to learn SAS/ SQL is a must… more
- STG International (Leavenworth, KS)
- …stock par levels, to ensure drug inventory turnover. + Encourage generic and preferred formulary usage while maintaining contract adherence. + Receives and ... Some duties of a may include: + Maintain costs and adhere to budget and formulary requirements. + Manage, supervise, and schedule pharmacy staff. + Maintain drug… more
- CenterWell (Peoria, AZ)
- …Optimization of drug coverage benefits for appropriate care and reduced costs ( preferred formulary products, lower cost alternatives and home delivery pharmacy) ... competency with MS Office programs such as Word, Excel and Power Point ** Preferred Qualifications** + Clinical residency in ambulatory care or similar discipline +… more
- J&J Family of Companies (San Francisco, CA)
- …business customers and/or local market commercial payers/health plans is also highly preferred . + Knowledge of formulary processes, health care contractual ... to achieve sales growth and drive utilization through optimal formulary access for the entire NA Innovative Medicine portfolio...+ BA/BS Degree required. + Advanced degree (ie MBA) preferred . + Eight or more years of healthcare industry… 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 (Scottsdale, AZ)
- …or internships utilizing analytical skills. + Experience working in Microsoft Excel. ** Preferred Qualifications:** + Experience in a formulary , health care, ... 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… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …pharmacy initiatives. **What you will do** : + Develop and manage formulary strategies, including tier placement, exclusions, and preferred drug selections ... will play a pivotal role in developing, implementing, and managing formulary strategies that ensure clinically appropriate and cost-effective medication use. This… more
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