- Molina Healthcare (Orlando, FL)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... patient outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage… more
- CVS Health (Tallahassee, FL)
- …long-term vision and strategy around Part B drug management related to utilization management ( UM ), clinical programs, and pharmacy operations. + Lead ... every day. As the Senior Manager, Aetna Medicare Medical Pharmacist , you will play a key role in the...B and specialty drugs. Key areas of responsibility include utilization management , clinical programs, and operational excellence.… more
- Prime Therapeutics (Tallahassee, FL)
- …evaluation for coverage determination requests for prior authorization (PA) or other utilization management ( UM ) programs, including quantity limits, step ... Pharmacist is responsible for the processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step therapy,… more