- Highmark Health (Nashville, TN)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... member claims history, clearly defines the medical necessity of non- formulary and prior authorization medication exception requests. Interacts with pharmacy… more
- Henry Ford Health System (Bingham Farms, MI)
- …Committee and oversees the development and implementation of the health plan's formulary , clinical , and quality improvement programs. + Assures that drug ... Ford Health and HAP to align innovative pharmacy solutions with clinical excellence, affordability, and patient-centered care. The Vice President is accountable… more
- Elevance Health (Mason, OH)
- …at improving member care through proper medication management. + Perform weekly clinical prior authorizations and coverage determinations for Medicaid and ... (formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The **Managed Care… more
- Humana (Miramar, FL)
- …nurses and patients to aid the accurate dispensing of medications by the pharmacist + Accurately inputs pertinent clinical and demographic information into the ... and internal departments to ensure accuracy and completeness of all pertinent clinical , billing and demographic information in accordance with the policies and… more
- Prime Therapeutics (Salem, OR)
- …an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market ... ensure manufacturers' products are brought forth internally to evaluate rebate and formulary opportunities for Prime's business + Provide key leadership within Trade… more
- University of Miami (Miami, FL)
- …pharmaceuticals and pharmaceutical benefit designs focus on total health through the formulary , with procurement driven by clinical efficacy.4. Collaborates with ... of emerging technologies and innovative services.6. Develops, evaluates, and proposes clinical and research pharmacy programs to enhance current and future pharmacy… more