- 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
- Actalent (Eagan, MN)
- 100% REMOTE POSITION( PRIOR AUTHORIZATION ) Job Title: Pharmacist : Job Description: Your main role will be utilizing your clinical skills to complete ... utilization management reviews ( Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more)....(PharmD) or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with the State Board… more
- Actalent (Boca Raton, FL)
- …Contribute to regulatory compliance and high-quality patient care. Essential Skills + Certified Pharmacist + Prior authorization experience + Data entry ... Job Title: Pharmacist Job Description The Staff Pharmacist is responsible for ensuring the safe, effective, and appropriate use of medications through accurate… 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
- Sharp HealthCare (San Diego, CA)
- …prescription issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Notifies pharmacist of computer warnings, ... Pharmacist .Adheres to all legal and pharmacy procedures, including pharmacist check of all work prior to...procedures, including pharmacist check of all work prior to dispensing.Understands and maintains knowledge of contracted third… more
- Sharp HealthCare (San Diego, CA)
- …prescription issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Notifies pharmacist of computer warnings, ... Pharmacist .Adheres to all legal and pharmacy procedures, including pharmacist check of all work prior to...procedures, including pharmacist check of all work prior to dispensing.Understands and maintains knowledge of contracted third… 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
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