Our Pharmacy Benefit Consulting - Pbirx - 888-rxpbirx PDFs

We are available to help clients examine their PBM arrangements to confirm that the PBMs are meeting the contractual integrity and financial responsibilities. We regularly perform audits of pharmacy claims, rebates, retired person drug aid (RDS), prescription drug occasion (PDE), efficiency guarantee (PG), corporate compliance, and data validation. Healthcare reform With the requirements of the Affordable Care Act (ACA) working between now and 2020, Milliman assists customers keep up to date with policies and the resulting cost-shifting impacts.

Medicare Part D We assist plan sponsors acquire a comprehensive understanding of all the options open up to them under Medicare Part D by evaluating and modeling a range of plan options. We can also assist execute and administer the picked option, and we can deal with the Centers for Medicare and Medicaid Provider (CMS) to certify the consultant en pharmacie strategy, perform the formulary review, and carry out other implementation-related activities.

Optum, Rx is a leading drug store benefit management organization serving companies, managed care companies, government markets and labor groups concentrated on solutions that assist control healthcare expenses, while keeping workers healthy and efficient. Pharmacy is a fast-moving, ever-changing environment. View the latest news and industry patterns below.

The Ultimate Guide To Employee Benefits Consulting: An Essential Role For Pharmacy

As a Pharmacy Consultant you will be at the forefront of managing drug store advantage tasks for big, complex clients and take advantage of your experience as a drug store benefits professional to make recommendations on plan style and management. You will take part in brand-new business activities and the development of new intellectual capital.

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The Requirements: 7+ years' experience and success in the design/management of big group drug store advantage prepares gotten in a consulting, brokerage or carrier/pharmacy advantage supervisor environment, Proven experience producing job strategies and successfully leading groups in execution of the project against strategy guidelines Demonstrated success in handling customer concerns and relationships, Desire and ability to expand relationships with present customers, Refined and well established oral and written communication skills, Self-starter mindset and capability to work individually and as part of a team, Versatility and shown ability to identify and solve problems, Strong analytical, innovative and integrative abilities, Experience in training/mentoring junior staff, Outstanding Microsoft Office abilities, particularly in Excel and Power, Point, Availability to travel on an as required basis, Bachelor's degree required, ideally with significant quantitative coursework, State Life and Health license required within 90 days of joining, CEBS classification preferred, Pharm, D or RPh classification wanted but not obligatory for this function.

Thompson C, Skrepnek G, Holderread B, Cothran T, Keast S. Predictive Modeling of Fibrosis Scores for Patients Detected with Persistent Liver Disease C in a State Medicaid PopulationHolderread B, Thompson C, Cothran T, Keast S. Trends in Hepatitis C Direct-Acting Antiviral Utilization in a State Medicaid Population Following the Removal of a Minimum Fibrosis Score RequirementConnell S, Teel A, Holderread B, Beasley B, Cothran T, Skrepnek G, Keast S.

The 5-Second Trick For Pharmacy Benefits Consulting Services

Impact of Naloxone Access Law Type Irregularity and Enactment on Naloxone Claims in the Medicaid Population From 2013 Through 2017Tidmore L, Holbrook M, Lambert TL, Shropshire D, Nesser N, Keast S. Elements Connected With High Levels of Persistent Psychotropic Polyclass in Oklahoma Foster Children. Tidmore L, Abbott M, Holderread B, Johnston S, Skrepnek G, Bulkely C, Cothran T, Nesser N, Keast S.

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Holderread B, Cothran T, Nesser N, Ratterman J, Beasley B, Travers J, Abbott M, Keast S. Overcoming Barriers to Value-Based Contracting in Medicaid. Travers J, Cothran T, Holderread B, Bulkley, C, Nesser N, Pham T, Keast S. Examination of Academic Detailing on Prescribing Patterns for Attention-Deficit/Hyperactivity Condition (ADHD). Keast S, Tidmore L, Shropshire D, Nesser N, Lambert T.