- Trinity Health (Caldwell, ID)
- …Expected to perform in a manner consistent with the vision of the SAHS Pharmacy to optimize medication management across all dimensions of care, every time. ... **CLINICAL PHARMACIST** **VALUE BASED CARE** Responsible for providing comprehensive medication management services for patients cared for by the Saint Alphonsus… more
- Cardinal Health (Jackson, MS)
- … workflows or IT software, preferred + Experience with EMR / EHR, pharmacy management software, and/or healthcare billing software, preferred + Ability to ... platforms and integrates customer perspectives and data into the design and management of commercial technologies. This job family interfaces with Customer Service… more
- Trinity Health (Boise, ID)
- …Expected to perform in a manner consistent with the vision of the SAHS Pharmacy to optimize medication management across all dimensions of care, every time. ... CARE CLINICAL PHARMACIST** **SUMMARY:** Responsible for providing comprehensive medication management services for patients cared for by the Saint Alphonsus… more
- Centene Corporation (Jefferson City, MO)
- …functional stakeholders across the enterprise + Provide medical leadership for all utilization management , pharmacy , case management , disease management , ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- CVS Health (Phoenix, AZ)
- …will position CVS Health as a leader in client satisfaction and service in the Pharmacy Benefit Management marketplace. *Candidate must be in Pacific or ... weight management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences of our… more
- Regeneron Pharmaceuticals (Charleston, WV)
- …maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products **This role ... for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, Appeals, detailed… more
- Molina Healthcare (Tampa, FL)
- …provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice, capitation, HMO ... and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …operations, technology oversight, quality improvement, supply chain, specialty and retail pharmacy , and revenue cycle management . All responsibilities are ... + Ensures compliant purchasing of 340B medications and provides real-time guidance to pharmacy buyers and staff on purchasing, inventory management , and other… more
- Prime Therapeutics (Lansing, MI)
- …**Preferred Qualifications** + Experience working in an agile environment + Experience in Pharmacy Benefit Management (PBM) or related industry Every ... $138,000.00 based on experience and skills. To review our Benefits , Incentives and Additional Compensation, visit our Benefits...we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want… more
- Prime Therapeutics (Boston, MA)
- …progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated ... on multiple projects simultaneously **Preferred Qualifications** + Previous leadership/people management experience + PBM/health care experience + Certified Compliance… more