- Highmark Health (Des Moines, IA)
- …Serve as the clinical SME for PCP value based reimbursement programs, Medicare STARS, Medicaid HEDIS, for both the Organization's internal and external key stake ... + Board Certified Ambulatory Care Pharmacist + Board Certified Geriatric Pharmacist **SKILLS** + Analytical Skills + Medicare + Presentation Delivery +… more
- UnityPoint Health (Cedar Falls, IA)
- …Sat and Sun 10am-6pm rotating + Job ID: 155871 Overview AS NEEDED Retail Pharmacist M-F 7:30am-6pm Sat and Sun 10am-6pm rotating Cedar Falls, IA As Needed A ... Retail Pharmacist is responsible for channeling his or her entire...community through the efficient delivery of medications, application of clinical expertise and educational activities . Why UnityPoint Health?… more
- Actalent (Des Moines, IA)
- …and triaging coverage determination requests submitted by providers and determining whether a pharmacist review is required. You will play a key role in obtaining ... verbal authorizations, requesting detailed clinical information from prescribers, and approving coverage determination requests based on defined criteria.… more
- CenterWell (Des Moines, IA)
- …years' experience leading pharmacy practice/compliance for a large pharmacy + Active pharmacist license for the state of employment + Extensive experience in ... and USP guidance + Experience in providing guidance for clinical operational aspects of pharmacy + Ability to manage...participate in federal prescription programs + Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters… more
- Highmark Health (Des Moines, IA)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... offerings and rules/regulations across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by state, while being… more