- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …and documents all received prescriptions in CPRS. Reviews Community Care Referral Authorization (CCRA) Website and CPRS to determine authorization of Non-VA ... system. Monitors profiles for abuse potential and notifies the Pharmacy Supervisor if discovery is made. Telephone Triage Answers...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- US Tech Solutions (TX)
- **Job Title:** ** Prior Authorization Pharmacist** **Location: Remote ** **Duration: 6+ months contract** **Job Description:** + Responsible for reviewing and ... authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital… more
- Access Dubuque (Dubuque, IA)
- …is a certified pharmacy technician to assess medication therapy, support prior authorization processes, mentor data entry staff, and collaborate across teams ... Clinical Review Technician - CPhT Required **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3625746 Posted...appropriateness of medication therapy as part of the clinical review/ prior authorization process. + Communicate clinical review… more
- US Tech Solutions (May, OK)
- … authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations Manager, you will work ... for LVN/LPN roles." **Job Description:** + This is a remote position and requires the ability to effectively support...admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee… more
- Access Dubuque (Dubuque, IA)
- …to client + Assists in managing and conducting the clinical review/ prior authorization process, including communicating clinical rationale, formulary therapeutic ... Clinical Account Manager **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3543661 Posted...or Kansas City, MO, or the position can be remote within the United States. **Employment Type:** Full-Time, Salaried… more
- Cleveland Clinic (Cleveland, OH)
- …who excels in this role will: + Provide support for the financial, prior authorization , and denial appeals processes for outpatient drug infusions, ensuring ... most respected healthcare organizations in the world. Cleveland Clinic's inpatient pharmacy areas support distributive and clinical pharmacy services provided… more
- Amgen (Phoenix, AZ)
- …order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms + Review ... coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate… more
- Adecco US, Inc. (Minneapolis, MN)
- …a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role **must reside in...guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy technicians… more
- Adecco US, Inc. (Henderson, NV)
- …a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside...guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy technicians… more
- US Tech Solutions (May, OK)
- …contract **Note:** + Ideal candidates must have experience of Prior Authorization , Medicare Part D and Pharmacy Benefit Management experience. + **Shift ... + **Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization is required.** + Appropriate state license required. + Basic computer skills… more