Location:
US -
Kansas -
Topeka
Posted: July 3, 2024
Company :
Highmark Inc.
:
JOB SUMMARY
This job works in a team oriented environment monitoring FDA-approvals, drug manufacturer pipelines, and assess drug utilization reports, in order to develop and execute the the Organization's Drug Formulary, and/or recommend codes for pharmaceutical based reporting. The incumbent may write drug monographs for Committee review; develops and implements the Organization's management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling, pharmacy policy review and development and/or review of member specific information to improve individual outcomes as an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on appeals in accordance with our regulatory guidelines. The incumbent develops and implements physician, pharmacy, account, and member educational initiatives that promote the Organizations Formularies, utilization management programs, and case/ disease management initiatives; providing clinical review and decisions for physician and member appeals and participates on cross-functional committees to develop and implement clinical and operational initiatives.
ESSENTIAL RESPONSIBILITIES
Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC code capture, and monthly identification of high risk members.
Gateway - Assist in the development of Gateways Drug Formularies by monitoring FDA-approvals and drug manufacturer pipelines, assessing drug utilization reports, and writing drug monographs for Pharmacy & Therapeutics Committee review.
Assist in the development and implementation of utilization management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling medical policy review and development, member facing outreach initiatives
Develop and implement physician, pharmacy, account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and disease management initiatives.
Provide clinical review and decisions including but not limited to: physician and member appeals, member or provider information/education.
Participate on cross-functional committees to develop and implement clinical and operational initiatives within Integrated Clinical Services. May participate in outreach efforts as needed to effectively reach goals of Medication Therapy Management programs to include, but not limited to Comprehensive Medication Reviews and Targeted Medication Reviews.
Identify and assist in managing department process improvements to maximize overall efficiencies.
Manage individual projects for timely review with the Director, Clinical Pharmacy.
Participate in Medicare Stars performance measures to drive contribution to excellence (5 Stars).
Other duties as assigned or requested.
QUALIFICATIONS
Required
Bachelor of Science in Pharmacy with experience in clinical / formulary management or a Doctor of Pharmacy degree with experience in clinical formulary management
5 years of related, progressive experience int he area of specialization
An understanding of managed care principles and practices is essential
Demonstration of strong verbal and written communication skills, as well as, proficiency in the use of computer-based data processing
Microsoft Office products, and database applications
Pharmacy license
Preferred
SKILLS
Be able to quickly identify and prioritize essential elements of problem
Independently or in a team, be able to identify the root issues and formulate potential solutions
Accurately use logic and reasoning in identifying alternate solutions, conclusions or approaches to problems. Potential solutions should be synthesized into presentation, timetable to resolution and appropriate follow up with measurable outcomes
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer:The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Companys Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employees responsibility to comply with the companys Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance .
Read the full job description and apply online on the recuiter's web-site
CDL-A Lease Purchase Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
La Crosse
Posted: July 1, 2024
LEASE OPERATORS: CDL-A Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DEDICATED / REGIONAL RUNSDRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION LEASE OPERATOR PERKS • START NOW TO LOCK IN THE DISCOUNT FUEL RATE OF $.99! • Minimum weekly pay • New safety and performance
read more...
View Job Details
Senior Caregiver/CNA
Location:
United States -
KS -
KS -
Mission
Posted: May 7, 2024
Westchester Village is an innovative , beautiful, 5 star, boutique style senior living community. Our mission is simple: to enrich the lives of our residents through purpose, passion & joy in life! Our Community offers several levels of living including: independent living, assisted living,
read more...
View Job Details
CDL A Regional Truck Drivers - Earn Up To $110K/Year 5 000
Location:
United States -
KS -
KS -
Lenexa
Posted: May 1, 2024
Pacific Shipping Is Hiring Regional CDL A Truck Drivers! Earn Up To $110,000 Per Year - Home Weekly- Average 3,200 Miles Per Week $5,000 Sign On Bonus Driver MUST HAVE CDLA and 18 Months of Verifiable Experience Pacific Shipping operates solo drivers on dedicated routes averaging 3,200 miles per
read more...
View Job Details
CDL-A Lease Purchase Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Victoria
Posted: July 1, 2024
LEASE OPERATORS: CDL-A Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DEDICATED / REGIONAL RUNSDRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION LEASE OPERATOR PERKS • START NOW TO LOCK IN THE DISCOUNT FUEL RATE OF $.99! • Minimum weekly pay • New safety and performance
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL A Regional Truck Drivers - Earn Up To $110K/Year 5 000
Location:
United States -
KS -
KS -
Olathe
Posted: May 1, 2024
Pacific Shipping Is Hiring Regional CDL A Truck Drivers! Earn Up To $110,000 Per Year - Home Weekly- Average 3,200 Miles Per Week $5,000 Sign On Bonus Driver MUST HAVE CDLA and 18 Months of Verifiable Experience Pacific Shipping operates solo drivers on dedicated routes averaging 3,200 miles per
read more...
View Job Details
Certified Medication Aide CMA - Flexible Scheduling
Location:
United States -
KS -
KS -
Shawnee
Posted: July 3, 2024
Colonial Village is an innovative , beautiful, 5 star, boutique style senior living community. Our mission is simple: to enrich the lives of our residents through purpose, passion & joy in life! Our Community offers several levels of living including: independent living, assisted living, short-term
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Ottawa
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
Certified Medication Aide CMA - Flexible Scheduling
Location:
United States -
KS -
KS -
Olathe
Posted: July 3, 2024
Colonial Village is an innovative , beautiful, 5 star, boutique style senior living community. Our mission is simple: to enrich the lives of our residents through purpose, passion & joy in life! Our Community offers several levels of living including: independent living, assisted living, short-term
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Logan
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Talmage
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL-A Lease Purchase Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Woodbine
Posted: July 1, 2024
LEASE OPERATORS: CDL-A Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DEDICATED / REGIONAL RUNSDRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION LEASE OPERATOR PERKS • START NOW TO LOCK IN THE DISCOUNT FUEL RATE OF $.99! • Minimum weekly pay • New safety and performance
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Hesston
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL A Regional Truck Drivers - Earn Up To $110K/Year 5 000
Posted: May 1, 2024
Pacific Shipping Is Hiring Regional CDL A Truck Drivers! Earn Up To $110,000 Per Year - Home Weekly- Average 3,200 Miles Per Week $5,000 Sign On Bonus Driver MUST HAVE CDLA and 18 Months of Verifiable Experience Pacific Shipping operates solo drivers on dedicated routes averaging 3,200 miles per
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Tipton
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Paradise
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL-A Lease Purchase Reefer Truck Driver Job 1 250 1 800/Week
Posted: July 1, 2024
LEASE OPERATORS: CDL-A Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DEDICATED / REGIONAL RUNSDRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION LEASE OPERATOR PERKS • START NOW TO LOCK IN THE DISCOUNT FUEL RATE OF $.99! • Minimum weekly pay • New safety and performance
read more...
View Job Details
CDL A OTR Lease Purchase Truck Drivers - Avg Annual Earnings of $225k
Posted: April 1, 2024
NEW RATE INCREASE • $1.40/PER LOADED MILE PLUS MAJOR FUEL DISCOUNTS PASSED ON TO YOU AVERAGE ANNUAL EARNINGS OF $225,000 2022 - 2025 Freightliners • • NEW LEASE PROGRAM - Payments start at $300/Week plus $.25 per mile! • PAID Dispatched Empty Miles • NO Contractor Admin Fee! • OTR Opportunities •
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Clyde
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL-A Dedicated Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Gardner
Posted: July 1, 2024
CDL-A Dedicated Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION ALL DRIVERS ENJOY: • 99% NO TOUCH FREIGHT • $800 ORIENTATION PAY • PASSENGER & PET PROGRAM • LATE-MODEL EQUIPMENT 2021-2024 TRUCKS • PAID HOTEL, MEALS, &
read more...
View Job Details
CDL A Regional Truck Drivers - Earn Up To $110K/Year 5 000
Posted: May 1, 2024
Pacific Shipping Is Hiring Regional CDL A Truck Drivers! Earn Up To $110,000 Per Year - Home Weekly- Average 3,200 Miles Per Week $5,000 Sign On Bonus Driver MUST HAVE CDLA and 18 Months of Verifiable Experience Pacific Shipping operates solo drivers on dedicated routes averaging 3,200 miles per
read more...
View Job Details
CDL-A Lease Purchase Reefer Truck Driver Job 1 250 1 800/Week
Location:
United States -
KS -
KS -
Palmer
Posted: July 1, 2024
LEASE OPERATORS: CDL-A Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DEDICATED / REGIONAL RUNSDRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION LEASE OPERATOR PERKS • START NOW TO LOCK IN THE DISCOUNT FUEL RATE OF $.99! • Minimum weekly pay • New safety and performance
read more...
View Job Details
CDL-A Lease Purchase Reefer Truck Driver Job 1 250 1 800/Week
Posted: July 1, 2024
LEASE OPERATORS: CDL-A Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DEDICATED / REGIONAL RUNSDRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION LEASE OPERATOR PERKS • START NOW TO LOCK IN THE DISCOUNT FUEL RATE OF $.99! • Minimum weekly pay • New safety and performance
read more...
View Job Details
CDL-A Lease Purchase Reefer Truck Driver Job 1 250 1 800/Week
Posted: July 1, 2024
LEASE OPERATORS: CDL-A Reefer Truck Drivers - Earn $1,250-$1,800 Wk! DEDICATED / REGIONAL RUNSDRIVER PAY INCREASE: • EARN $1,250 - $1,800/WK DEPENDING ON YOUR LOCATION LEASE OPERATOR PERKS • START NOW TO LOCK IN THE DISCOUNT FUEL RATE OF $.99! • Minimum weekly pay • New safety and performance
read more...
View Job Details
CNA - Certified Nursing Assistant Part-time or Full-time
Posted: June 21, 2024
Colonial Village is an innovative , beautiful, 5 star, boutique style senior living community. Our mission is simple: to enrich the lives of our residents through purpose, passion & joy in life! Our Community offers several levels of living including: independent living, assisted living, short-term
read more...
View Job Details