- Elevance Health (Grand Prairie, TX)
- ** 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
- CVS Health (TX)
- …a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist Position supporting Medicaid Prior Authorization. An active OK, ... 3+ years experience working as a pharmacist . + Knowledge of clinical program components, formulary designs, and prescription benefit trends. **Preferred… more
- HCA Healthcare (Jourdanton, TX)
- …individual is recognized. Submit your application for the opportunity below: Clinical Pharmacist Methodist Hospital Atascosa **Benefits** Methodist Hospital ... **_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure that we continue to… more
- CVS Health (TX)
- …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
- Molina Healthcare (Dallas, TX)
- …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 (Houston, TX)
- …**Job Summary** Provides support and subject matter expertise for pharmacy formulary liaison activities between the business and its customers (members, providers ... to the pharmacy benefit. * Serves as the designated formulary expert. * Ensures Molina is compliant with the...quality metrics. * Assists call center pharmacy technicians with clinical questions and phone calls from prescribers, pharmacies and/or… more
- Prime Therapeutics (Austin, TX)
- … clinical programs and drug strategy recommendations including drug formulary , Utilization Management programs, and other drug therapy related products and ... consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design… more
- Highmark Health (Austin, TX)
- …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
- Prime Therapeutics (Austin, TX)
- …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