- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- Adecco US, Inc. (Phoenix, AZ)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. Ensure determinations are clinically sound,… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... and after hours pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required… more
- US Tech Solutions (May, OK)
- …hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- CVS Health (Santa Fe, NM)
- …necessary indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist support to the ... each and every day. **Position Summary** As a Clinical Pharmacist , you will review Prior Authorizations, verify...necessary indications and review clinical documentation in support of prior authorization reviews. The primary function of… more
- US Tech Solutions (May, OK)
- …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
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... pharmacist will apply clinical knowledge to plan approved criteria...prior authorizations. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations… 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 Washington (Seattle, WA)
- …Pharmacy Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Part-Time / 20 hours ... specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the...shall be performed under the supervision of a registered pharmacist **PRIMARY JOB RESPONSIBILITIES** * Review and screen new… more