- Humana (Tallahassee, FL)
- …necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical scenarios and ... help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for...holiday in 2025** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… more
- Actalent (Boca Raton, FL)
- …Contribute to regulatory compliance and high-quality patient care. Essential Skills + Certified Pharmacist + Prior authorization experience + Data entry ... Job Title: Pharmacist Job Description The Staff Pharmacist ...and collaboration with healthcare providers. This role supports both clinical and operational pharmacy functions, contributing to high-quality patient… more
- Actalent (Boca Raton, FL)
- …standards. Essential Skills + Certified Pharmacy Technician (Cpht). + Proficiency in prior authorization procedures. + Strong data entry skills. + Excellent ... Actalent is hiring a Pharmacist !Job Description The Staff Pharmacist is...and collaboration with healthcare providers. This role supports both clinical and operational pharmacy functions, contributing to high-quality patient… more
- Highmark Health (Tallahassee, FL)
- …and implementation of utilization management programs including but not limited to: prior authorization , dose and duration edits, quantity limits, step-care ... and stakeholders across the organization. Key responsibilities will include clinical review, assisting in navigating a complex regulatory environment, working… more
- Prime Therapeutics (Tallahassee, FL)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Medtronic (Pensacola, FL)
- …connected, compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's ... as the face of the company and are field clinical diabetes experts. CTMs report to the Clinical...+ Physician Assistant (PA) + Nurse Practitioner (NP) + Pharmacist AND + Associate's Degree and 4 years of… more
- Molina Healthcare (St. Petersburg, FL)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + Articulates ... (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen… more
- Actalent (Orlando, FL)
- …Pharmacy Technician. In this role, you will be responsible for reviewing prior authorization requests and making initial determination decisions-approving or ... denying them before forwarding to a pharmacist for final review. You'll work with a variety...for specific requests. + Obtain verbal authorizations and request clinical documentation from prescribers. + Approve coverage determinations based… more
- Actalent (Orlando, FL)
- …+ Strong computer skills, including proficiency in Microsoft Office. + Experience with prior authorization processes. + Customer service and data entry skills. ... TechnicianJob Description We are seeking a dedicated Pharmacy Technician to review Prior Authorizations for a Pharmacy Services department within a large healthcare… more
- Actalent (Orlando, FL)
- …computer skills, including familiarity with Microsoft Office and Outlook. + Experience with prior authorization , PBM systems, and data entry. + Experience in ... company's Pharmacy Services department. The primary role involves reviewing Prior Authorizations for medications, making initial approval or denial decisions,… more