- CVS Health (FL)
- … Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... experience using clinical resources, eg, Micromedex, Lexicomp, Clinical Pharmacology * Prior authorization ... authorization pharmacy technicians and/or providers for clinical information. * Active pharmacist license that… more
- Elevance Health (Miami, FL)
- …GA, Indianapolis, IN, Richmond, VA, Miami, FL, Mason, OH **Title** : Senior Clinical Pharmacist **Hybrid:** This role requires associates to be in-office 1 ... granted as required by law.** **Shift:** Monday-Friday Daytime Hours The **Senior Clinical Pharmacist ** is responsible for developing and implementing pharmacy… more
- Prime Therapeutics (Tallahassee, FL)
- …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
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …For more information, refer to Required Documents below. The Miami VAMC PACT (Float) Clinical Pharmacist Specialist functions as a member of their assigned PACT ... adjustment recommendations based on objective laboratory findings. Reviews and evaluates prior authorization and non-formulary drug requests for appropriateness… more
- Molina Healthcare (Miami, FL)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for… more
- Molina Healthcare (Orlando, FL)
- …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 (Tallahassee, FL)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Technician - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Tallahassee, FL)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Medtronic (Sarasota, FL)
- …connected, compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's ... as the face of the company and are field clinical diabetes experts. CTMs report to the Clinical...+ Physician Assistant (PA) + Nurse Practitioner (NP) + Pharmacist **_AND_** + Associate's Degree and 4 years of… more
- Highmark Health (Tallahassee, FL)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as… more
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