Rema Farran, Pharm D Email & Phone Number

Windsor, Ontario, Canada

• Serve as a SME in delivering pharmacy benefit management services for WithMe’s clients
• Work with Director of Clinical Impact and a team of pharmacists to provide the best medication guidance experience for our members
• Manage and partner with WithMe’s support vendors to maintain current and custom clinical programs and services, including formulary and utilization management programs
• Ensure products, programs and services provided are consistent with best practice approaches and in compliance with State/Federal requirements, as applicable
• Aid in the development and management of RFP process focusing on cost containment and utilization management strategies for potential clients
• Provide pharmacy insight and knowledge of key industry trends, product pipelines, specialty medications at both pharmacy and medical benefit channels, formulary and utilization management and rebate strategies, and.

Kansas, United States (Canada - Remote)

- Develop and maintain custom and standard formularies based on State mandated and company and/or client requirements in formulary tool and claims processing systems - Provide clinically sound recommendations regarding formulary changes in all lines of business as it relates to utilization management such as prior authorization, step therapy, quantity.

Detroit, Michigan, United States

Position Purpose: Define and develop standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D and the Health Information Marketplace- Develop drug product review and formulary recommendations by assessing drug use trends, new drug releases and review of primary literature- Analyze pharmacy cost of care.

Detroit

- Conducts drug utilization evaluations in order to foster best practices in prescribing, dispensing, administration, and monitoring of outcomes.- Performs detailed claim analysis for over and under drug utilization.- Provides clinical pharmacy direction for the health plan by reviewing therapeutic medication classes for the P&T committee.- Performs.

Detroit

- Provide clinical and pharmacoeconomic support and recommendations to the Manager of Clinical Operations relating to formulary, criteria, and P&Ps that ensure safe, efficacious, and cost-effective prescribing and drug use- Maintain drug pipeline for pharmacy benefits and medication related medical benefits (JCodes)- Collaborate closely with other.

Detroit

- Provide clinical support for client and State requested reports, drug monograph creation and review, clinical criteria development, formulary enhancement review, and drug utilization review- Participate in formulary development and management- Create formulary criteria, drug approval criteria, and manage policy & procedure (P&P) updates and requests.

Detroit, MI

- Improve quality of service to members through prior authorizations, program development, drug utilization review, and patient care - Collaborate with other medical team members to develop guidelines- Review of authorization, denial, and appeal utilization- monitor prescribing patterns and make recommendations- Assist in drug recalls, alerts, and pharmacy.

Southfield, Michigan

- Prescription order entry, verification, and filling- Over-the-counter medication recommendation and consultation- Management of overall workflow and technician processes- Medication therapy management- Excellent Patient care and consultation- Prescription and documentation filing- Maintain proper compliance and execution of federal and state rules, laws.

Detroit, Michigan

- Prescription order entry and filling- Over-the-counter medication recommendation and consultation- Prescription and documentation filing- Verification and consultation of prescriptions with physicians and other such professionals- Clarifications of insurance coverage and policies