• Medicaid Formulary Clinical…

    Elevance Health (Wilmington, DE)
    ** Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... -first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacist Clinical ** will be responsible for managing...management. **How you will make an impact:** + Leads Medicaid formulary management processes. + Responsible for… more
    Elevance Health (10/13/25)
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  • Pharmacist - Clinical Advisor

    CVS Health (Dover, DE)
    …least 2 and up to 4 market segments for any particular client (Medicare, Medicaid , Exchange, or Commercial). The Health Plan Clinical Advisor is responsible for ... Clinical Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members...any federal, state or local regulatory requirements that impact formulary , UM and or clinical programs and… more
    CVS Health (10/08/25)
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  • Pharmacy Coordinator

    Highmark Health (Dover, DE)
    …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
    Highmark Health (10/16/25)
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