- US Tech Solutions (May, OK)
- …Contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with...role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by… more
- US Tech Solutions (May, OK)
- …**Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management...cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to… 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. ... cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to...information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with… 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 ...be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous… 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)
- …requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through multiple ... reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other… more