- US Tech Solutions (New York, NY)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Actalent (Buffalo, NY)
- …managing quality, appropriateness, safety, and cost for these member populations. The pharmacist will conduct prior authorization reviews, focusing on ... Remote Pharmacist Must be local to Buffalo New York!...loss and diabetes medications. + Perform utilization reviews and prior authorization reviews for the pharmacy and… more
- Kelly Services (Rochester, NY)
- **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the Rochester, NY area. Let us help you grow at work and ... weekend beginning no later than January 2026 **Summary Description** The Pharmacy Prior Authorization Technician performs initial-level processing and review of … more
- University of Rochester (Rochester, NY)
- …in an effective and professional manner. + Checks all products requiring a pharmacist approval prior to dispensing. + Participates in departmental Q/A processes ... who work in other areas of the department. **Medication Authorization and Distribution:** + Understands and follows departmental and...interest in ambulatory practice. + The newly-hired Level II pharmacist is someone with either prior (1… more
- Mount Sinai Health System (New York, NY)
- …Appropriately checks all work conducted by non-licensed personnel requiring direct pharmacist supervision and authorization , eg, unit-dose cassette filling, IV ... Ensures rational drug therapy by reviewing inpatient and outpatient medication orders prior to dispensing. Evaluates new orders against existing patient profiles and… more
- WMCHealth (Valhalla, NY)
- …ensuring pharmacy services are integrated into patient care workflows + Coordinate prior authorization and financial assistance efforts, working with specialty ... Pharmacist a€" Specialty and Retail Pharmacy Company: WMC...(https://pm.healthcaresource.com/cs/wmc1/#/preApply/29999) Internal Applicant link Job Details: Job Summary: The Pharmacist in the Specialty and Retail Pharmacy serves as… more
- CDPHP (Albany, NY)
- …I is primarily responsible for the operational review of pharmacy medical exception/ prior authorization requests, the communication to members and providers on ... professionals required. + Experience with managed care pharmacy principles including prior authorization reviews, formulary management, and utilization review… more
- University of Rochester (Rochester, NY)
- …to optimize medication therapy and patient outcomes. The centralized order verification pharmacist will also have a working knowledge of the operational aspects of ... shifts, evening shifts, weekends, and holidays. **ESSENTIAL FUNCTIONS** **_Medication Authorization and Distribution:_** + Understand and follow departmental and… more
- WMCHealth (Valhalla, NY)
- …clinical teams + Exercise sound judgement in the escalation of clinical questions to the pharmacist on duty + Prior Authorization & Billing Management: + ... Exercise sound judgement in the escalation of clinical questions to the pharmacist on duty + Prior Authorization & Billing Management: + Initiate and manage … more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance ... levels including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party… more