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- …AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design ... * Board Certified Oncology Pharmacist (BCOP) required * 2+ years clinical pharmacist experience, inclusive of prior authorization experience * Knowledge of… more
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- … in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage determinations , ... for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to...Therapeutics Committee Meeting + CMS Model Letter Reviews + Coverage Determinations and monitoring of optimal cost… more
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