- Mayo Clinic (Rochester, MN)
- …Mayo Clinic Specialty Pharmacy, Infusion Therapy Center, and insurance prior authorization teams. **Qualifications** **Required Qualifications** + ... and Nephrology are seeking a dedicated and skilled **Nephrology Ambulatory Care Pharmacist ** to join our **Medication Management Services (MMS)** team. This 0.8 FTE… more
- Humana (St. Paul, MN)
- …conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical ... and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical… more
- Humana (St. Paul, MN)
- …Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization , formulary management and clinical programming + ... our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical… more
- Actalent (Minneapolis, MN)
- …+ Compounding + Pharmacist + Prescription review + Order Verification + Prior authorization + Pharmaceutical + Long-term care + Compound Additional Skills & ... Job Title: Pharmacist In ChargeJob Description We are seeking a dedicated Pharmacist In Charge (PIC) to oversee all aspects of pharmacy operations within a… more
- Actalent (Eden Prairie, MN)
- …home healthcare supplies. Essential Skills + Proficiency in pharmacy practices including prior authorization and compounding. + Possession of a Pharmacy License ... Pharmacist (Long-term Care, Overnights) Job Description We are...Description We are seeking a dedicated and skilled Overnight Pharmacist to join our team. This role involves reviewing… more
- Fairview Health Services (Minneapolis, MN)
- …customer's needs. Address third party prescription questions, which may include prior authorizations, vacation supplies, dose changes, price check and drug ... in the computer system quickly and accurately; including entering refill authorization requests and entering and calculating complex prescriptions such as compounds… more
- Highmark Health (St. Paul, MN)
- …**JOB SUMMARY** This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review ... RESPONSIBILITIES** + Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the… more
- Mille Lacs Health System (Onamia, MN)
- …position works in the pharmacy department under the direction of a registered pharmacist , providing services to patients serviced in all departments. Job Duties The ... in this section must be supervised by a Licensed Pharmacist : + Accept new written prescriptions or refill orders.*...telephone, and process orders.* + Contact providers for refill authorization .* + Take oral, fax, and written authorization… more
- Prime Therapeutics (St. Paul, MN)
- …Clinical Liaison - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Highmark Health (St. Paul, MN)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document… more