- US Tech Solutions (May, OK)
- …**Responsibilities:** + The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal ... As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… more
- US Tech Solutions (May, OK)
- …7am - 430pm EST Sat and Sunday. Set Rotation. **Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and ... contract **Note:** + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. + **Shift Timing:**… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- CenterWell (Oklahoma City, OK)
- …our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes ... with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the analysis… more
- Prime Therapeutics (Oklahoma City, OK)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional-Senior- REMOTE **Job Description** Maintains the ... updates existing clinical algorithms based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical… more
- US Tech Solutions (May, OK)
- **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data ... collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ...authorizations. **Responsibilities:** + Ensure accuracy of case setup and clinical review of Medicare appeals cases. +… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical ... overtime during peak season **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional responsible for conducting… more
- US Tech Solutions (May, OK)
- …reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other ... clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided...results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as… more
- US Tech Solutions (May, OK)
- …and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist . **Responsibilities:** + ... + Review and process prior authorization requests by collecting necessary clinical and insurance documentation, ensuring all required information is accurate and… more
- US Tech Solutions (May, OK)
- …+ Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties as needed ... determination status and results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as appropriate + Other… more