• Medicaid Formulary Clinical…

    Elevance Health (Dearborn, MI)
    ** 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)
    - Related Jobs

  • Pharmacist - Clinical Advisor

    CVS Health (Lansing, MI)
    …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 (10/22/25)
    - Related Jobs

  • Pharmacist , Utilization Management (UM)…

    Molina Healthcare (MI)
    …state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider ... utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and… more
    Molina Healthcare (09/25/25)
    - Related Jobs

  • Medicare- Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity… more
    Humana (10/07/25)
    - Related Jobs

  • Pharmacy Coordinator

    Highmark Health (Lansing, MI)
    …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)
    - Related Jobs

  • Vice President - Pharmacy Health Plan…

    Henry Ford Health System (Bingham Farms, MI)
    …Committee and oversees the development and implementation of the health plan's formulary , clinical , and quality improvement programs. + Assures that drug ... Ford Health and HAP to align innovative pharmacy solutions with clinical excellence, affordability, and patient-centered care. The Vice President is accountable… more
    Henry Ford Health System (10/09/25)
    - Related Jobs

  • VP Pharmaceutical Trade Relations - REMOTE

    Prime Therapeutics (Lansing, MI)
    …an environment of collaboration and communication; partner with leaders across clinical , sales and client engagement to bring competitive opportunities to market ... ensure manufacturers' products are brought forth internally to evaluate rebate and formulary opportunities for Prime's business + Provide key leadership within Trade… more
    Prime Therapeutics (09/03/25)
    - Related Jobs