- MetroHealth (Valley View, OH)
- …Pharmacy benefits verifications and payor preauthorization. Provides clinical oversight for Prior Authorization Specialists and is a resource for providers ... Ohio Board of Pharmacy approved institution. Possesses a current Pharmacist License from the State of Ohio Board of...of the following: * 1 year of experience with prior authorization practices or within a Pharmacy… 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 ... areas support distributive and clinical pharmacy services provided by staff pharmacists, clinical pharmacy specialists and pharmacy technicians, supporting 60… more
- ProMedica Health System (Toledo, OH)
- …history collection, inpatient reviews, medication stewardship, patient education, prior authorization facilitation, referral procurement, and discharge ... Days (United States of America) **Job Summary:** As the Clinical Pharmacist IV, you provide comprehensive inpatient pharmacy services, including drug distribution,… more
- Highmark Health (Columbus, OH)
- …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. +...necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance… more