- Actalent (Tampa, FL)
- …Track coverage determination requests submitted from providers and determine if a pharmacist review is required. + Obtain verbal authorizations and request detailed ... clinical information from prescribers. + Approve coverage determination requests...Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond… more
- Actalent (Orlando, FL)
- …coverage determination requests submitted by providers and assess the need for pharmacist review. + Obtain verbal authorizations and request detailed clinical ... criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond to client inquiries… more
- Actalent (Orlando, FL)
- …+ Track coverage determination requests submitted by providers and assess if pharmacist review is needed. + Obtain verbal authorizations and request detailed ... clinical information from prescribers. + Approve coverage determination requests...Enter and document coverage determination request decisions in the PBM system and notify providers and/or members. + Respond… more
- Actalent (Orlando, FL)
- …Track coverage determination requests submitted from providers and determine if a pharmacist review is required. + Obtain verbal authorizations and request detailed ... clinical information from prescribers. + Approve coverage determination requests...Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond… more
- Actalent (Orlando, FL)
- …assess coverage determination requests submitted by providers. + Determine whether pharmacist review is required and coordinate accordingly. + Obtain verbal ... authorizations and request detailed clinical information from prescribers. + Approve or deny coverage...based on established criteria. + Document decisions in the PBM system and notify providers and members. + Respond… more
- Actalent (Orlando, FL)
- …+ Track coverage determination requests submitted by providers and assess if pharmacist review is necessary. + Obtain verbal authorizations and request detailed ... clinical information from prescribers. + Approve coverage determination requests...Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond… more
- Actalent (Orlando, FL)
- …and making initial determination decisions-approving or denying them before forwarding to a pharmacist for final review. You'll work with a variety of health plans ... coverage determination requests submitted by healthcare providers. + Assess whether pharmacist review is necessary for specific requests. + Obtain verbal… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The Pharmacy Government Stars Pharmacist Coordinator plays a pivotal role in improving the quality performance of government-sponsored ... Medicare and CMS Star Ratings. This position is responsible for driving clinical quality initiatives, particularly around key measures such as medication adherence,… more
- Prime Therapeutics (Tallahassee, FL)
- …with providers, members, and pharmacies to gather and document accurate clinical information about qualified members' medications and disease states related to ... to ensure appropriate interaction is scheduled with appropriate MTM clinician (ie, Pharmacist ) + Perform outreach calls to pharmacies to research contact information… more