Benefits Manager definition

Benefits Manager means the organization that manages the medication benefits that are given to Clients that qualify for medication benefits.
Sample 1Sample 2Sample 3
Benefits Manager means the PBM Company that manages the medication benefits 14 that are given to Consumers that qualify for medication benefits.
Sample 1Sample 2
Benefits Manager. The private entity contracted by the ADMINISTRATION under the Health Reform Program to function as their pharmaceutical benefit manager responsible, for claims processing, drug utilization review, disease management, formulary control and beneficiary/customer information services for pharmaceutical benefits provided by the basic, special and mental health coverage of the Health Reform Program. PHYSICIAN INCENTIVE PLAN: Any compensation arrangements between INSURER and physician or physician groups that may directly or indirectly have the effect of reducing or limiting services furnished to Medicaid recipients enrolled with the insurer.
Sample 1Sample 2Sample 3

Examples of Benefits Manager in a sentence

  • Please refer to the Group Human Resources Manager or Benefits Manager for details about COBRA, or the applicability of COBRA to this Benefit Plan.

  • As is currently the case, the State may select the Pharmacy Benefits Manager, who shall implement the terms of this section in accordance with its contract with the State.

  • The Fund will request cost and usage reports from the Pharmacy Benefits Manager.

  • Basis of Presentation and Accounting Estimates The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary.

  • Medication is authorized and released when the Fund receives the letter of medical necessity and faxes a prior authorization to the Pharmacy Benefits Manager.

  • The dosage dispensed should not exceed a maximum of 6 pills per month, to be purchased through the Pharmacy Benefits Manager exclusively, so that controls are in place and monitoring can be ongoing.

  • If the Contractor subcontracts with a Pharmacy Benefits Manager (PBM) for its Hoosier Healthwise pharmaceutical services, the Pharmacy Director shall be responsible for oversight and Contract compliance of the PBM, including pharmacy audits, as well as any other audits or responses.

  • During any year, the Pharmacy Benefits Manager may bring forward revisions for discussion and review in accordance with this paragraph.

  • For Prescription Drugs provided by a Preferred Pharmacy, Covered Expense means the amount that the Carrier has negotiated with the Carrier's Pharmacy Benefits Manager as total reimbursement for the covered Prescription Drugs.

  • The Pharmacy Benefits Manager shall, in accordance with industry standards, categorize (and may subsequently recategorize) prescription drugs into three (3) tiers: generic, preferred brand and non-preferred brand.


More Definitions of Benefits Manager

Benefits Manager means the Pharmaceutical Benefits Management (PBM) Company 26 that manages the medication benefits that are given to Behavioral Health Services (BHS) & Medical & 27 Institutional Health Services (MIHS) clients that qualify for medication benefits.
Sample 1
Benefits Manager means the PBM Company that manages the medication benefits 4 that are given to BHS and MIHS clients that qualify for medication benefits. 5 AN 14. Pre-Licensed Psychologist means an individual who has obtained a Ph.D. or Psy.D. in 6 Clinical Psychology and is registered with the Board of Psychology as a registered Psychology Intern or 7 Psychological Assistant, acquiring hours for licensing and waivered in accordance with WIC Section 8 575.2. The waiver may not exceed five (5) years.
Sample 1
Benefits Manager means the Pharmaceutical Benefits Management (PBM) Company 10 that manages the medication benefits that are given to Behavioral Health Services (BHS) & Medical & 11 Institutional Health Services (MIHS) clients that qualify for medication benefits. 12 AV AY. Supportive Housing Personal Services Coordinator (PSC) means a person who provides 13 services in a supportive housing structure. This person will coordinate activities which will include, but 14 not be limited to: independent living skills, social activities, supporting communal living, assisting 15 residents with conflict resolution, advocacy, and linking clients with the assigned PSC for clinical 16 issues. Supportive Housing PSC will consult with the multidisciplinary team of clients assigned by the 17 program. The PSC’s will be active in supporting and implementing a full service partnership philosophy 18 and its individualized, strengths-based, culturally appropriate, and client-centered approach.
Sample 1
Benefits Manager means the PBM Company that manages the medication 15 culturally/linguistically competent and client-centered approach. 16 AK 17
Sample 1

Related to Benefits Manager

  • Executive Management means the CEO and the CFO for purposes of administering this Plan.

  • Executive manager means an individual employed by a new motor vehicle dealer in an executive capacity and who has a written employment agreement with the dealer that includes a right for the executive manager to purchase a controlling interest in the dealership at a future time or on the death or incapacity of the dealer.

  • Seattle Human Resources Director means the director of the Seattle Department of Human Resources or his or her designated management representative.

  • Human Resources means the District Office of Human Resources located in the District Office Building on the Foothill Campus.

  • Plan Manager means Investec Bank plc which is authorised by the PRA and regulated by the FCA and the PRA and bound by its rules.

  • county executive committee member means the county executive committee member responsible for matters relating to land;

  • Executive Director means the executive director of the

  • Health benefits plan means a benefits plan which pays or

  • Benefits Specialist means a specialized position that would primarily be responsible for coordinating Client applications and appeals for State and Federal benefits.

  • Executive Employee means those employees of the Company of Grade Level 10 or above.