- CVS Health (Phoenix, AZ)
- …Certified Oncology Pharmacist (BCOP) required + 2+ years clinical pharmacist experience, inclusive of prior authorization experience + Knowledge of ... based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist /Clinician will apply … more
- CVS Health (Phoenix, AZ)
- …Certified Oncology Pharmacist (BCOP) required * 2+ years clinical pharmacist experience, inclusive of prior authorization experience * Knowledge of ... other business needs. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on … more
- Prime Therapeutics (Phoenix, AZ)
- …for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for… more
- Mayo Clinic (Phoenix, AZ)
- …**Responsibilities** We are recruiting for two abdominal solid organ transplant clinical specialist pharmacists to cover the following: + (1) OUTPATIENT abdominal ... (kidney/pancreas/liver) SOT pharmacist that covers outpatient kidney/pancreas/liver services. + (1) Hybrid...teaching conferences. + Keeps abreast of changing protocols and clinical pharmacy standards as they pertain to applicable area… more
- US Tech Solutions (AZ)
- …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...healthcare. **Skills:** + Prior Authorization . + Medicare. + … more
- Intermountain Health (Phoenix, AZ)
- …excellent customer service as appropriate to practice site. + Assists the pharmacist in collecting clinical and other patient information and maintaining ... demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, safe, efficacious, efficient, and cost-effective… more
- Molina Healthcare (Scottsdale, AZ)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction),… more
- Prime Therapeutics (Phoenix, AZ)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Pharmacy Technician Sr **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Actalent (Arizona City, AZ)
- …& Qualifications + Experience in data entry and customer service. + Knowledge of prior authorization processes. + Experience in call center operations and health ... Your responsibilities will include obtaining verbal authorizations, requesting detailed clinical information from prescribers, and approving coverage determination requests… more
- BrightSpring Health Services (Scottsdale, AZ)
- …insurance verification is completed, and authorization is in place or requested prior to giving the referral to a pharmacist . + Understands which insurance ... referral checklists are complete + Enters patient demographic, insurance and authorization information into the computer system + Obtains authorizations and… more