- CVS Health (Buffalo Grove, IL)
- …CVS Health has an exciting opportunity to join our growing team as a Clinical Development Pharmacist ! Are you looking for a clinically interesting role that ... be the role you are looking for! As a Clinical Development Pharmacist , you will create and...clinical content for all business segments (Commercial, Medicare, Medicaid and Marketplace) including standard and client requested programs… more
- Highmark Health (Springfield, IL)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... concerning oral, injectable and infusion medication requests, and drug claim edits/ prior authorizations. By reviewing member claims history, clearly defines the… more
- Actalent (Illinois City, IL)
- …team in the EST timezone. Technicians will be responsible for reviewing Prior Authorizations for coverage determination as part of a Pharmacy Services department ... role involves approving or denying requests, which are then sent to a Pharmacist for final review. This position involves handling various health plans and… more
- BrightSpring Health Services (Woodridge, IL)
- …Amerita.* Ensures that insurance verification is completed and authorization is in place prior to giving the referral to a Pharmacist .* Maintains confidentiality ... healthcare market* Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies* Knowledge of insurance verification and… more