- Highmark Health (Columbus, OH)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
- Bon Secours Mercy Health (Youngstown, OH)
- …and operational excellence. Full Time and Part Time **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose of ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
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