- Humana (Albany, NY)
- …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...per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… more
- CVS Health (Albany, NY)
- …Insured Business + Collaborate with Utilization Management to develop and implement Prior Authorization Criteria specific to Aetna. **Cost of Care Initiatives** ... it all with heart, each and every day. **Position Summary** As a Clinical Formulary Strategy Pharmacist , you will play a key role in the assessment and execution… more
- University of Rochester (Rochester, NY)
- … pharmacist in medication dispensing. **ESSENTIAL FUNCTIONS** **_Clinical Staff Pharmacist - Medication Authorization and Distribution_** + Directs and ... hospital staff is conducted in an effective and professional manner. + Ensures pharmacist checks for all products requiring approval prior to dispensing,… more
- US Tech Solutions (New York, NY)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Job Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- University of Rochester (Rochester, NY)
- …in an effective and professional manner. + Checks all products requiring a pharmacist approval prior to dispensing. + Participates in departmental Q/A processes ... Pharmacy License and interest in ambulatory practice. + The newly-hired Level II pharmacist is someone with either prior (1 year) of relevant… more
- Mount Sinai Health System (Brooklyn, NY)
- …+ Appropriately checks all work conducted by non-licensed personnel requiring direct pharmacist supervision and authorization , eg, unit-dose cassette filling, IV ... Ensures rational drug therapy by reviewing inpatient and outpatient medication orders prior to dispensing. Evaluates new orders against existing patient profiles and… more
- University of Rochester (Rochester, NY)
- … clinical employees at various levels including pharmacists, pharmacy technicians, medical/ clinical staff, and central prior authorization staff. External ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... policies of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the … more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... policies of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the … more
- CDPHP (Latham, NY)
- …formulary coverage and CDPHP initiatives. The pharmacy tech will support initiatives including prior authorization work under the guidance of a licensed ... and external customers. + Must be conscientious, efficient and accurate in prior authorization , exception and medical/Rx necessity review processing. +… more