Clinical Pharmacist

4 days ago

Hingham, United States BlueCross & BlueShield of Massachusetts Full time

The Role. The Clinical Pharmacist- Commercial is primarily responsible for oversight/support of the formulary offerings, utilization management protocols, and related clinical programs. This role leverages clinical expertise and a strong understandin Clinical, Pharmacist, Insurance, Healthcare, Skills, Management, Support, Business

  • Clinical Pharmacist Reviewer

    2 weeks ago

    Hingham, United States BlueCross & BlueShield of Massachusetts Full time

    The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception requests from providers via phone and fax for the Retail Pharmacy, Medicare Advantage Part D, Home Infusion Therapy, and Medical Utilizatio Clinical, Pharmacist, Operations Analyst, Technical Support, Pharmacy, Insurance, Healthcare, Program

  • Pharmacy Operations Clinical Pharmacist Manager

    2 months ago

    Hingham, United States BlueCross & BlueShield of Massachusetts Full time

    The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day clinical operational UM activities to ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage determina Clinical, Operations, Pharmacy, Pharmacist, Manager, Operations Manager, Insurance, Healthcare

  • Clinical Pharmacist, Medicare Clinical Programs Specialist

    4 weeks ago

    Hingham, Montana, United States Blue Cross Blue Shield of Massachusetts Full time

    About the Role:The Clinical Pharmacist, Medicare Clinical Programs is a key member of our team, responsible for working with prescribers, members, and an interdisciplinary team to enhance the care of BCBSMA members with high-cost or multiple chronic co-morbid conditions requiring complex medication regimens.This role will support care management with...

  • Pharmacy Operations Clinical Pharmacist Director

    4 weeks ago

    Hingham, Massachusetts, United States BlueCross & BlueShield of Massachusetts Full time

    Job SummaryThe Pharmacy Operations Clinical Pharmacist Manager at BlueCross & BlueShield of Massachusetts oversees the day-to-day clinical operational activities to ensure compliance with Commercial and Medicare Advantage Part D coverage determinations. This role involves managing and directing clinical staff to achieve operational excellence in pharmacy...