• Clinical Utilization…

    BrightSpring Health Services (Louisville, KY)
    Our Company PharMerica Overview The Clinical Utilization Management Pharmacistis responsible for providing data driven consultative services to clients that ... impact client cost savings and enhance patient outcomes. The pharmacist works closely with Billing, Clinical Operations,...outcomes. The pharmacist works closely with Billing, Clinical Operations, Account Management and Sales to… more
    BrightSpring Health Services (08/09/25)
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  • Pharmacist , Utilization…

    Molina Healthcare (Louisville, KY)
    …requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy services (such as, therapeutic drug monitoring, ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members...the Manager. + Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization ,… more
    Molina Healthcare (09/25/25)
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  • Pharmacist , Clinical /Medication…

    Molina Healthcare (Bowling Green, KY)
    …track general trends in drug utilization and identify potential targeted utilization management activities. * Works with healthcare services team (eg, data ... Provides support and subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to… more
    Molina Healthcare (09/24/25)
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  • Clinical Staff Pharmacist Remote

    Prime Therapeutics (Frankfort, KY)
    … 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
    Prime Therapeutics (10/01/25)
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  • Clinical Integrity Pharmacist…

    Prime Therapeutics (Frankfort, KY)
    …with a health plan + Prior client-facing experience + Prior experience with utilization management + Strong MS Office skills, experience with databases and ... and drives every decision we make. **Job Posting Title** Clinical Integrity Pharmacist - REMOTE **Job Description** Job...as a team player. + Good organizational and time management skills, with the ability to manage multiple tasks… more
    Prime Therapeutics (09/27/25)
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  • Sr Mgr, Aetna Medicare Medical Pharmacy…

    CVS Health (KY)
    …Expert for Part B and specialty drugs. Key areas of responsibility include utilization management , clinical programs, and operational excellence. Responsible ... every day. As the Senior Manager, Aetna Medicare Medical Pharmacist , you will play a key role in the...around Part B drug management related to utilization management (UM), clinical programs,… more
    CVS Health (09/27/25)
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  • Dispensing Pharmacist - Long Term Care…

    CVS Health (Jeffersontown, KY)
    …labeling. + Check for appropriateness of therapy through prospective drug utilization review including assessment for appropriateness of therapy, high risk ... drug products or solutions and maintain all applicable required IV documentation and clinical monitoring and supervision of IV department colleagues + Assist in the… more
    CVS Health (08/31/25)
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  • Clinical Pharmacy Manager

    Cardinal Health (Glasgow, KY)
    …in the state of Kentucky. + Prior inpatient/hospital experience. + Prior clinical pharmacy management experience preferred. + Board Certification(s) preferred. + ... prescribed medications, supplies and related processes. **_Job Summary_** The Manager, Clinical creates continuing education programs for the pharmacy and/or the… more
    Cardinal Health (09/25/25)
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  • Clinical Account Director - Remote

    Prime Therapeutics (Frankfort, KY)
    … clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and ... Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for the management...PharmD or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with State Board of… more
    Prime Therapeutics (10/01/25)
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  • Clinical Account Manager - Remote

    Prime Therapeutics (Frankfort, KY)
    …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... visa or residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality, network, pharmacy or project management OR a… more
    Prime Therapeutics (09/25/25)
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