- Humana (Springfield, IL)
- …our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical ... holiday in 2025** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting comprehensive… more
- CVS Health (Buffalo Grove, IL)
- …Audits and Market Checks** + Ensure template formularies design and application of utilization management (UM) criteria align with MHPAEA and other federal/state ... + Provide QA and sign-off on audit responses and corrective action plans. ** Utilization Management ** + Understand UM development and management , including… more
- Prime Therapeutics (Springfield, IL)
- … Pharmacist is responsible for the processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step therapy, ... for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including quantity limits, step therapy,… more
- CVS Health (Buffalo Grove, IL)
- …we do it all with heart, each and every day. **Position Summary** The Clinical Pharmacist , UM Development Regulatory is a key contributor to ensuring pharmacy ... Equity Act (MHPAEA). This role supports the development and maintenance of evidence-based utilization management (UM) criteria and serves as a subject matter… more
- CVS Health (Buffalo Grove, IL)
- …pharmaceuticals, disease management and therapeutics. Knowledge of utilization management interventions including prior authorization, step therapy, ... exciting opportunity to join our growing team as a Clinical Development Pharmacist ! Are you looking for...the ability to be consultative to product owners, account management and clients. Knowledge of formulary management … more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13348/ clinical -staff- pharmacist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) ... in training and orientation of new employees. + Provides technical and clinical information and communicates results of monitoring activities to patients, nurses and… more
- Trinity Health (Maywood, IL)
- …join the Loyola team and become Loyola Strong! **What you'll do:** Clinical pharmacists provide comprehensive pharmaceutical care to designated service areas or ... function as members of multidisciplinary teams to improve medication therapy management . These positions act as drug information resources and their responsibilities… more
- Adecco US, Inc. (Springfield, IL)
- …data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing ... related to job . Meet productivity and performance expectations set forth by management . . Support Clinical Service Engagement team as needed for special… more
- Rush University Medical Center (Chicago, IL)
- …o Leverage data to improve medication safety, reduce errors, and enhance clinical decision-making. * Data Management and Integration o Gather business ... data from various sources, such as electronic health records (EHRs), pharmacy management systems, and clinical decision support tools into actionable datasets… more
- AdventHealth (Bolingbrook, IL)
- …staff including directing work flow and assurance of completion of duties. Demonstrate clinical expertise in area of practice. **The value you'll bring to the ... in advising and counseling patients and healthcare team. + Monitors drug utilization information and detects potential drug interactions, overlaps, over and under… more
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