- Veterans Affairs, Veterans Health Administration (Kerrville, TX)
- Summary The Clinical Pharmacy Specialist (CPS) provides evidence-based pharmaceutical care services through direct care with patients and consultation with other ... findings per facility procedures. Reviews and evaluates requests for assigned prior authorization drugs for appropriateness and compliance with established… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... residency on a one to one basis. *Preferred Experience:* Experience as a clinical pharmacy specialist *Onsite Presence: Is Required * It is the policy of… more
- Elevance Health (Irving, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - ... weeks/30 days at the Plano, TX office. The **Referral Specialist II** is responsible for providing support to a...that include verifying eligibility and benefits for medical and pharmacy payers through multiple methods for specialty chronic and… more
- Prime Therapeutics (Austin, TX)
- … Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- HCA Healthcare (Dallas, TX)
- …Qualifications** **_* This is a Full Time Day Shift position *_** The Pharmacy Clinical/Operations Specialist BMT is responsible for participating and leading ... patient medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy ... Licenses/Certifications + Must have ONE of the following prior to the first day of employment: 1. Current… more
- HCA Healthcare (San Antonio, TX)
- …charitable organizations. Apply Today! **Job Summary and Qualifications** As a Pharmacy Clinical/Operations Specialist , you will be responsible for participating ... monitoring patient medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy staff and… more
- HCA Healthcare (San Antonio, TX)
- …want your knowledge and expertise! **Job Summary and Qualifications** As a Pharmacy Clinical/Operations Specialist , you will be responsible for participating and ... monitoring patient medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy staff and… more
- US Tech Solutions (San Antonio, TX)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Baylor Scott & White Health (Johnson City, TX)
- …approaches** to reduce provider burden: + **RX Workgroup** (handles refill and prior authorization requests) + **RN Case Management** (continuity support for ... listening for note-writing, starting June 2025) + **EConsults** (formal "curbside" specialist consultations) + ** Pharmacy consults** for medication selection and… more