- Elevance Health (Columbus, OH)
- …Provides clinical consulting services to internal partners + Assists in implementing clinical programs within the prior authorization space + Researches ... such as DUR, DIS and formulary management. + Assists in developing and configuring prior authorization decision trees in the workflow tool + Participates in… more
- ProMedica Health System (Toledo, OH)
- …Performs clinical pharmacy duties under the direction of the Director. The Clinical and Operational Clinical Pharmacist IV support the development, ... unless noted otherwise o Clinical Pharmacy Practice Performs all duties of Clinical Pharmacist I, II, and III. Communicates effectively orally and in writing… more
- Humana (Columbus, OH)
- …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
- Prime Therapeutics (Columbus, OH)
- …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
- Cleveland Clinic (Beachwood, OH)
- …+ Ensures timely access to high-cost therapies through proactive patient outreach, prior authorization , and patient assistance support. + Mentors pharmacists, ... proactive team ensures patients receive personalized care by managing prior authorizations, patient assistance programs, and comprehensive medication education.… more
- Molina Healthcare (Columbus, OH)
- …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
- Bon Secours Mercy Health (Boardman, OH)
- …or a prescriber's agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an ... those drugs from inventory locations; counting and pouring drugs into containers prior to dispensing by a pharmacist ; performing non-sterile drug compounding… more
- Bon Secours Mercy Health (Mason, OH)
- …or a prescriber's agent as authorized by state law and responsible pharmacist authorization . + Entering information into and retrieving information from ... those drugs from inventory locations; counting and pouring drugs into containers prior to dispensing by a pharmacist ; performing non-sterile drug compounding… more
- Bon Secours Mercy Health (Youngstown, OH)
- …or a prescriber's agent as authorized by state law and responsible pharmacist authorization . + Entering information into and retrieving information from ... drugs from inventory locations; counting and pouring dangerous drugs into containers prior to dispensing by a pharmacist ; performing non-sterile drug compounding… more
- Actalent (Columbus, OH)
- …+ Customer service skills. + Data entry proficiency. + Experience with Prior Authorization processes. + Registered Pharmacy Technician. Additional Skills & ... within a large healthcare insurance company. The role involves reviewing Prior Authorizations for determinations, managing health plans, and handling various types… more