- CVS Health (PA)
- … Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... experience using clinical resources, eg, Micromedex, Lexicomp, Clinical Pharmacology * Prior authorization ... authorization pharmacy technicians and/or providers for clinical information. * Active pharmacist license that… more
- Prime Therapeutics (Harrisburg, PA)
- …for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for… more
- Penn Medicine (Philadelphia, PA)
- …is seeking a full-time, day shift (hybrid) Clinical Pharmacist , Ambulatory/Retail for our benefits investigation/co-pay assistance/ prior authorization ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Prime Therapeutics (Harrisburg, PA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Technician - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Harrisburg, PA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Highmark Health (Wexford, PA)
- …bonus for a 1-year commitment This position supports the network centralized prior authorization department. Coordinates and administers the effective and ... efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits...management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical… more
- Highmark Health (Harrisburg, PA)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as… more
- Penn Medicine (Philadelphia, PA)
- …medications. Responsibilities include investing patient insurance and benefits, completing prior authorization requests, pre-screening patients for viable ... intake process, including verification of insurance coverage, and assist with the prior authorization and appeals process + Conduct financial assistance… more
- Intermountain Health (Harrisburg, PA)
- …pharmacists in appropriate language. Develops protocols for the use of drugs requiring prior - authorization . Responds to clinical inquiries in a professional ... cost-effective quality pharmacy benefits to members. Responsible for providing clinical pharmaceutical support through physician/ pharmacist /member education and… more