- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for medications. + The clinical pharmacist will apply clinical knowledge ... is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure....procedure. + Answer phone lines promptly with priority on ' Pharmacist ' line and escalated calls. + Serves as the… more
- CVS Health (OK)
- …clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical ... Pharmacist Position supporting Medicaid Prior Authorization . An active OK, AZ or TX pharmacist license that is in good standing is required upon hire. New… 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)
- …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)
- …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)
- …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)
- …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)
- …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
- Prime Therapeutics (Oklahoma City, OK)
- …processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for ... + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs,… more
- Adecco US, Inc. (Tulsa, OK)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy.... Bachelors or Doctorate of Pharmacy . Active State Pharmacist License . 6+ months of pharmacist … more