- CVS Health (Tallahassee, FL)
- …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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Clinical Pharmacist in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage ... for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to...+ Make recommendations on utilization management edits such as Prior Authorization , Step Therapy and Quantity Limits… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist - REMOTE **Job Description** The Clinical Pharmacist ... systems to support benefit coverage decisions and contingent therapy, quantity limits, and prior authorization programs + Develop and maintain point of service… more
- Actalent (Tampa, FL)
- …of Pharmacy Degree + Board of Pharmacy Specialties (BPS) certification + Clinical pharmacist experience + Experience in medication prescribing, dispensing, ... Clinical Oncology Pharmacist - Tampa, FL...Experience with policy development and implementation + Experience with prior authorization processes Work Environment The work… more
- Molina Healthcare (Miami, 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
- Intermountain Health (Tallahassee, FL)
- …management skills. **Preferred Qualifications** + Pharmacy management experience. + Previous prior authorization . + patient assistance experience. + Master's ... service experience and that the best possible operational and clinical outcomes are achieved. Leader will implement and support...role and location within 90 days of hire. + Prior experience and demonstrated competence in area of practice… 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 ... Liaison - New York **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or… more
- Molina Healthcare (Jacksonville, FL)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. * Articulates ... (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen… more
- NTT DATA North America (Orlando, FL)
- …providing professional phone assistance to all callers through the criteria based prior authorization process. * Maintains complete, timely and accurate ... documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist...but not limited to: outbound calls, reviewing and processing Prior Authorizations received via fax and ePA, monitoring and… more