- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …related to coverage determinations, will be responsible for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to ... will assist in the development and oversight of the Part D Drug Formulary and administration of the Drug Utilization Management Program. This includes weekly new… more
- The Cigna Group (Morris Plains, NJ)
- …our utilization management (UM) policies align with clinical guidance, drive formulary intent, and are operationally feasible to implement. The successful candidate ... will work closely with the drug policy team, formulary strategy teams, and other matrixed partners to assess for UM policies business impacts and contract adherence.… more
- Sharp HealthCare (La Mesa, CA)
- …boundaries approved by P&T/T&S committees.Identifies, resolves and documents prescribing, formulary and therapeutic issues through integration of patient variables, ... in a timely manner about therapeutic issues or problems.Follows up on formulary compliance issues and/or communicates issues to management. Participates in Code-Blue… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …systems, accounts and customers related to disease awareness, product discussions, formulary coverage, pricing (where appropriate) and collaborating with key opinion ... and fellows, Infusion Suite Nurse, Clinical Pharmacists, DOP for formulary consideration and specialty pharmacy etc.) *Demonstrate account-based selling skills… more
- Sharp HealthCare (La Mesa, CA)
- …T /T and S committees.* Identifies, resolves and documents prescribing, formulary and therapeutic issues through integration of patient variables, clinical status, ... a timely manner about therapeutic issues or problems.* Follows up on formulary compliance issues and/or communicates issues to management.* Participates in Code-Blue… more
- Sharp HealthCare (San Diego, CA)
- …boundaries approved by P&T/T&S committees.Identifies, resolves and documents prescribing, formulary and therapeutic issues through integration of patient variables, ... a timely manner about therapeutic issues or problems.Follows up on formulary compliance issues and/or communicates issues to management.Participates in Code-Blue… more
- YesCare Corp (Clio, AL)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- Molina Healthcare (Cleveland, OH)
- …state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider ... UM will also be responsible for serving as a formulary and drug information resource, assisting technicians and other...respect to the pharmacy benefit. + Serves as the formulary expert. + Ensures Molina is compliant with the… more
- YesCare Corp (Waxahachie, TX)
- …Will provide call as needed for the role. + Adheres to approved formulary for therapeutic regimens before utilizing non- formulary procedure. Documents pertinent ... observations and logical conclusions to validate need for non- formulary medication on non- formulary request form for...to validate need for non- formulary medication on non- formulary request form for Medical Director's approval when non-… more
- Sharp HealthCare (La Mesa, CA)
- …Adverse Drug Reaction programs. Identifies, resolves and documents prescribing, formulary and therapeutic issues through integration of patient variables, clinical ... and Community.Participates in ongoing data collection for MUE's. Participates in formulary management through participation in formulary review's. Follows up… more
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