- CVS Health (OH)
- … 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 (Columbus, OH)
- …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
- Molina Healthcare (Akron, OH)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for… more
- Cleveland Clinic (Cleveland, OH)
- …who excels in this role will: + Provide support for the financial, prior authorization , and denial appeals processes for outpatient drug infusions, ensuring ... in the world. Cleveland Clinic's inpatient pharmacy areas support distributive and clinical pharmacy services provided by staff pharmacists, clinical pharmacy… more
- Molina Healthcare (Dayton, OH)
- …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
- Veterans Affairs, Veterans Health Administration (Toledo, OH)
- …pharmacist to receive from the Community Care representative. Initiates the non-formulary/ prior authorization process with the Community Care provider and ... fax with Community Care Provider regarding initiated communications concerning non-formulary/ prior authorization medications, clarifications, or medication change… more
- Prime Therapeutics (Columbus, OH)
- …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 (Columbus, OH)
- …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
- Cleveland Clinic (Beachwood, OH)
- …+ Ensures timely access to high-cost therapies through proactive patient outreach, prior authorization , and patient assistance support. + Mentors pharmacists, ... proactive team ensures patients receive personalized care by managing prior authorizations, patient assistance programs, and comprehensive medication education.… more
- Elevance Health (Mason, OH)
- … 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
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