- CVS Health (Oklahoma City, OK)
- …AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design ... * Board Certified Oncology Pharmacist (BCOP) required * 2+ years clinical pharmacist experience, inclusive of prior authorization experience * Knowledge of… more
- US Tech Solutions (May, OK)
- …**Job Description:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. ... Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and… more
- US Tech Solutions (May, OK)
- …required to initiate and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as ... clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services...to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close… more
- US Tech Solutions (May, OK)
- …to initiate and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. ... clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical ...to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close… more
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