- CVS Health (MO)
- … 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
- Prime Therapeutics (Jefferson City, MO)
- …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
- Adecco US, Inc. (Lake Saint Louis, MO)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify, and assess detailed clinical information. . Interpret medical and pharmacy policy criteria... questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy… more
- Prime Therapeutics (Jefferson City, MO)
- …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 (Jefferson City, MO)
- …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
- Elevance Health (St. Louis, MO)
- … authorization decision trees within the workflow tool + Assists in implementing clinical programs within the prior authorization space + Verifies member, ... for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you… more
- Highmark Health (Jefferson City, MO)
- …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
- Intermountain Health (Jefferson City, MO)
- …pharmacists in appropriate language. Develops protocols for the use of drugs requiring prior - authorization . Responds to clinical inquiries in a professional ... cost-effective quality pharmacy benefits to members. Responsible for providing clinical pharmaceutical support through physician/ pharmacist /member education and… more
- Option Care Health (Fenton, MO)
- …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
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