- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… more
- US Tech Solutions (May, OK)
- …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...**Skills:** + Prior Authorization + Medicare Part D **Education:**… more
- US Tech Solutions (May, OK)
- …**Skills:** + Managed Care exp and Medicare/Medicaid knowledge Counseling + Prior Authorization + Pharmacy Benefit Management **Experience:** + Previous ... cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to...pharmacy experience in PBM or Prior Authorization . + Experience in Medicaid or… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on each ... member services department . + Refer cases not meeting clinical criteria to the Pharmacist and MD...prior authorization . + Train and mentor representatives...prior authorization . + Train and mentor representatives on the PA… more
- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior … more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... services department . + * Refer cases not meeting clinical criteria to the Pharmacist and MD...prior authorization . + * Train and mentor...prior authorization . + * Train and mentor representatives on the… more
- US Tech Solutions (May, OK)
- …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
- Humana (Oklahoma City, OK)
- …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
- Adecco US, Inc. (Tulsa, OK)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify, and assess detailed clinical information. . Interpret medical and pharmacy policy criteria... questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy… more