- Prime Therapeutics (Providence, RI)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist Remote **Job Description** The Clinical ... for delegated products and services. **Responsibilities** + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA)… more
- CenterWell (Providence, RI)
- …and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity ... during peak season **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional responsible for conducting… more
- CVS Health (Providence, RI)
- …contracts for our growing DSNP market. **This role requires an active, unrestricted Pharmacist license in good standing.** **What you will do** + Cultivates and ... and evaluates requirements and specifications in building appropriate business and clinical processes and systems to support product initiatives + Incorporates… more
- Prime Therapeutics (Providence, RI)
- …services that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer. + Practices and maintains ... staff , cardholders, and pharmacies. + Escalates medical exception requests to nurse, pharmacist or physician on the utilization review clinical team when… more
- Prime Therapeutics (Providence, RI)
- …, medical management staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors ... make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization… more
- CVS Health (Providence, RI)
- …date with clinical guidelines, and collaborating with colleagues to share clinical information. -This role manages pharmacist support with accountability and ... an individual contributor (non-people manager) role. This is a remote role requiring a HIPAA-compliant workspace and is open...an assigned team/plan sponsors and does not involve managing staff . Pharmacist will not have any direct… more