- Actalent (Atlanta, GA)
- …providers. You will need to evaluate these requests and determine if pharmacist intervention is necessary. Your role will involve obtaining verbal authorizations, ... requesting detailed clinical information, and approving requests based on set criteria....set criteria. Additionally, you will document decisions in the PBM system and communicate outcomes to providers and members.… more
- Prime Therapeutics (Carson City, NV)
- …an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market ... of corporate recommendations to committee(s); partner with cross-functionally with Clinical Program Management, Specialty, Health Plan Markets and other internal… more
- CVS Health (Columbus, OH)
- …Director for Aetna Better Health OhioRISE will be responsible for all clinical , financial, operational and compliance activities related to the prescription drug ... for plan members. This is a remote, work from home role open to qualified pharmacist candidates **licensed and residing** in the State of Ohio. **What you will do**… more
- Henry Ford Health System (Bingham Farms, MI)
- …Ford Health and HAP to align innovative pharmacy solutions with clinical excellence, affordability, and patient-centered care. The Vice President is accountable ... This leader will shape HAP's pharmacy benefit design, utilization management, PBM relationships, and formulary strategy to improve outcomes, optimize drug spend,… more
- WTW (Seattle, WA)
- …deliver unparalleled value to our clients and the broader pharmacy community. A pharmacist degree and license in good standing is required for this role. The ... and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM performance… more
- US Tech Solutions (May, OK)
- …reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...centre environment managing 75 calls/day. + Six months of PBM /pharmaceutical related work strongly desired + At least two… more
- US Tech Solutions (RI)
- …reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...center environment managing 75 calls/day. + Six months of PBM /pharmaceutical related work strongly desired + At least two… more
- US Tech Solutions (May, OK)
- …+ Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties as needed ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...volume calls. + 6 months of experience working in PBM on managed care environments **Skills:** + Prior Authorization… more
- US Tech Solutions (RI)
- … clinical questions, escalations and judgement calls to the pharmacist team. **Responsibilities:** This position takes in-coming calls from members, providers, ... timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist . **Experience:** -… more
- Insight Global (Boston, MA)
- …preparation, labeling, and distribution of these products to help facilitate clinical trials research. This position will ensure compliance with regulatory standards ... being followed at all times. Working under the supervision of a licensed pharmacist (s) within the research space, the technician will assist with the receiving… more