- 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)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based...Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical … more
- US Tech Solutions (May, OK)
- …criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist /Clinician ... for urgent PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on … 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...per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… 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)
- …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)
- …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
- US Tech Solutions (May, OK)
- …06+ months contract **Note:** + Ideal candidates must have experience of Prior Authorization , Medicare Part D and Pharmacy Benefit Management experience. ... and Sunday. Set Rotation. **Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part...+ **Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization is required.** + Appropriate state… 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