- Elevance Health (Miami, FL)
- …strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. Title : Prior Authorization Clinical Pharmacist Virtual: This role ... for employment, unless an accommodation is granted as required by law. The Prior Authorization Clinical Pharmacist is responsible for evaluating and… more
- Humana (Tallahassee, FL)
- …necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical scenarios and ... help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for...per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… more
- Humana (Tallahassee, FL)
- …Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization , formulary management and clinical programming ... of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing … more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …customers, supporting formulary initiatives, and executing utilization management tools like prior authorization programs and drug utilization reviews. + Offer ... MTM, acute-care setting or one (1) year experience as a clinical pharmacist preferred (not required). Experience and knowledge base of intravenous admixtures… 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
- Actalent (Tampa, FL)
- …+ Notify physicians, providers, and members of request decisions. Essential Skills + Prior authorization + Data entry + Pharmacy experience + Customer service ... providers. You will need to evaluate these requests and determine if pharmacist intervention is necessary. Your role will involve obtaining verbal authorizations,… more
- Option Care Health (St. Petersburg, FL)
- …as needed + Checks final product for particulate matter and container integrity prior to presenting to pharmacist for final check + Labels compounded ... and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health...of emergency breakdowns + Gathers and checks compounding material prior to its entry into the clean room +… more
- Centene Corporation (Tallahassee, FL)
- …care professionals with medication-related information and education. + Participates in the prior authorization review and appeals processes. + Participates in ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Mayo Clinic (Jacksonville, FL)
- …period of major expansion that will expand opportunities for research, and education, and clinical care that will benefit patients all over the world. We are looking ... duties within their Scope of Practice under the direct supervision of a Pharmacist ; they receive direction from their supervisor and other members of the Pharmacy… more
