- UPMC (Pittsburgh, PA)
- … clinical , quality, and efficiency improvements through the management of the Formulary, Prior Authorization , and other clinical programs. This role is ... expertise to develop, implement, and manage the pharmacy benefit. The Senior Clinical Pharmacist assists in managing pharmacy utilization and provides expertise… more
- ProMedica Health System (Toledo, OH)
- …40 **Shift:** Days (United States of America) **Job Summary:** As the Clinical Pharmacist IV, you provide comprehensive inpatient pharmacy services, including ... unless noted otherwise* ** Clinical Pharmacy Practice** + Performs all duties of Clinical Pharmacist I, II, and III. + Communicates effectively orally and in… more
- Prime Therapeutics (Salt Lake City, UT)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Near Salt Lake, UT) **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to...the area of specialization (PGY 2). Experience as a clinical pharmacist in the area of specialization… more
- US Tech Solutions (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and… more
- UPMC (Bridgeville, PA)
- …+ Interface with other departments and identify medical documentation in support of prior authorization requests. + Act as a conduit of information between ... Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This...adjudication of claims under the supervision of a licensed pharmacist . This position provides customer service to Rx Partners… more
- US Tech Solutions (RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Summary:** + The Tech I Prior Auth. takes in-bound calls from providers, pharmacies,...clinical questions, escalations and judgement calls to the pharmacist team. + The Tech I will also assist… more
- Medtronic (Anchorage, AK)
- …connected, compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's ... as the face of the company and are field clinical diabetes experts. CTMs report to the Clinical...+ Physician Assistant (PA) + Nurse Practitioner (NP) + Pharmacist AND + Associate's Degree and 4 years of… more
- Sharp HealthCare (San Diego, CA)
- …to obtain laboratory data or pertinent chart notes for all prior authorization requests.Processes information received, verifying eligibility and benefits ... Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior authorization decision to medical offices and/or pharmacies,… more
- University of Rochester (Rochester, NY)
- … clinical employees at various levels including pharmacists, pharmacy technicians, medical/ clinical staff, and central prior authorization staff. External ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more