- Actalent (Houston, TX)
- …and triaging coverage determination requests submitted by providers and determining whether a pharmacist review is required. You will play a key role in obtaining ... verbal authorizations, requesting detailed clinical information from prescribers, and approving coverage determination requests based on defined criteria.… more
- Centene Corporation (Austin, TX)
- …into systems based on approved guidelines and approvals provided from clinical pharmacists. + Takes member/prescriber/ pharmacist inquiry calls for benefit ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...Applicants for the job have the flexibility to work remote from home anywhere in the United States. Candidates… more
- Actalent (Houston, TX)
- …+ Track coverage determination requests submitted by providers and determine if a pharmacist review is required. + Obtain verbal authorizations and request detailed ... clinical information from prescribers. + Approve coverage determination requests...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
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