- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... and after hours pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required… more
- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- US Tech Solutions (May, OK)
- …hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- US Tech Solutions (May, OK)
- …that conducts criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist ... urgent PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical… more
- Intermountain Health (Oklahoma City, OK)
- …to termination, at the hiring manager's discretion. **Preferred** + Prior Authorization processing preferred **Physical Requirements:** **Physical Requirements** ... demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, safe, efficacious, efficient, and cost-effective… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- US Tech Solutions (May, OK)
- …pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on ... + Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + Shift priorities while exhibiting...each prior authorization . + Train and mentor representatives… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... * Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while... prior authorization . + * Train and mentor... prior authorization . + * Train and mentor representatives on the… more
- US Tech Solutions (May, OK)
- …prior authorizations as per policy and procedure. + Review and process prior authorization requests in accordance with clinical guidelines, policy, and ... + Apply clinical judgment in reviewing complex cases requiring prior authorization . + Communicate effectively with providers,...D. with at least two years' experience as a pharmacist is required. Must have an active license in… more
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