- US Tech Solutions (May, OK)
- …calls from physician or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Evaluate and review all prior ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected… more
- US Tech Solutions (May, OK)
- …calls from physicians or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Ensure accuracy of case setup and ... based 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)
- …take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations , internally support the Prior Auth team and ... and telephony programs. + Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... plan approved criteria for prospective and concurrent reviews of cases. authorizations . **Responsibilities:** 1. Collaborates with the CRU Technician to process… more
- US Tech Solutions (May, OK)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + 6. Performs ... and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum...(10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years… more
- US Tech Solutions (May, OK)
- …+ Since the job duties consist of reviewing and completing criteria based on prior authorizations , candidates with that experience are preferred. **Skills:** + ... This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + Reviewing and… more
- US Tech Solutions (May, OK)
- …data entry, data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide on-call ... Responsibilities include answering inbound phone calls, processing cases and electronic authorizations , loading authorizations , and making follow-up phone calls… more
- US Tech Solutions (May, OK)
- …with resume and provide license number. **Responsibilities:** + Review criteria-based prior authorizations following policy and procedure. + Provide on-call ... member services department . + Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + Shift priorities while exhibiting a high level of… more
- Walgreens (Oklahoma City, OK)
- …needed to correct inaccurate orders. + Under the supervision of the pharmacist -in-charge, verifies all pharmacy shipments are posted for products physically received ... and pharmacy scan outs. + Under the supervision of the pharmacist -in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls… more
- CenterWell (Oklahoma City, OK)
- …for initiating and following through with patient assistance programs, prior authorizations , formulary exceptions/alternatives, and tier reductions to ... in day-to-day tasks as needed and requested by lead pharmacist or National Director of Pharmacy. + Responsible for...act as facilitator to resolve them with regard to prior authorization or obtaining medications. + Attend scheduled team… more