- CVS Health (Harrisburg, PA)
- …indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist support to the PA ... heart, each and every day. **Position Summary** As a clinical pharmacist , you will review Prior...and review clinical documentation in support of prior authorization reviews. The primary function of… more
- UPMC (Pittsburgh, PA)
- …UPMC HP goals and objectives. Responsibilities: The Prior Authorization Pharmacist primary responsibilities include: + Perform the clinical review of ... full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services...development, implementation, and management of the pharmacy benefit. The clinical pharmacist assists in the management of… more
- CVS Health (Pittsburgh, PA)
- …plans. **Utilization Management** + Understand UM development and management, including prior authorization , step therapy, quantity limits, and formulary ... and regulatory partners. **Required Qualifications:** + PharmD or equivalent clinical pharmacy degree. + Active pharmacist license...care experience. + 3+ years of relevant UM or prior authorization experience. + Strong understanding of… 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
- Actalent (Philadelphia, PA)
- …NM. The primary role of a pharmacist is to conduct the final prior authorization review for the Appeals Department. This involves evaluating completed ... Pharmacist license in OK, IN, KS, PA, GA,...Committee guidelines. + Research and contribute drug references and clinical information to facilitate prior authorization… more
- Geisinger (Danville, PA)
- …record and develop an appropriate plan according to the Pharmacist refill authorization protocol and the most recent clinical guidelines. + Pharmacists will ... the time of the call and do a complete clinical review and address any medication related questions. Job...judgement to determine if any additional information is required prior to refill authorization and take necessary… 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 ... Pharmacy Technician **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 ... Pharmacy Technician Sr **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… 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
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