• Pharmacist , Utilization…

    Molina Healthcare (Lincoln, NE)
    … (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
    Molina Healthcare (06/05/25)
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  • Clinical Staff Pharmacist - REMOTE

    Prime Therapeutics (Lincoln, NE)
    …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
    Prime Therapeutics (05/31/25)
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  • Clinical Pharmacist , Formulary Clinical…

    CVS Health (Lincoln, NE)
    …Senior Manager in Medical Affairs and is responsible for clinical drug list, formulary, and utilization management ( UM ) analyses, with a focus on MHP. The ... environment + 2 to 3 years demonstrated experience in formulary development and pharmacy utilization management + Deep, broad knowledge of drug and disease state… more
    CVS Health (06/04/25)
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