- 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)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... pharmacist will apply clinical knowledge to plan approved criteria...prior authorizations. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations… 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
- 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
- Humana (Oklahoma City, OK)
- …conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical ... and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical… more
- Humana (Oklahoma City, OK)
- …Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization , formulary management and clinical programming + ... our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical… more
- US Tech Solutions (May, OK)
- …This position is 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 . **About US Tech Solutions:** US Tech Solutions is… more
- US Tech Solutions (May, OK)
- …06+ months contract **Note:** + Ideal candidates must have experience of Prior Authorization , Medicare Part D and Pharmacy Benefit Management experience. ... and Sunday. Set Rotation. **Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part...+ **Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization is required.** + Appropriate state… more