- Humana (Atlanta, GA)
- …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 (Atlanta, GA)
- …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
- Prime Therapeutics (Atlanta, GA)
- …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
- US Tech Solutions (GA)
- …from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical ... Prior Authorization department. Reporting to the Pharmacy Operations Manager, you...member services department . + Refer cases not meeting clinical criteria to the Pharmacist and MD… more
- Actalent (Atlanta, GA)
- …+ 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