- Prime Therapeutics (Providence, RI)
- …functions, DUR committees and responsibilities. Supports elevated customer service and prior authorization inquiries specific to assigned accounts. Directly ... drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job...Therapeutics (P&T) Committees. + Develops and maintains client specific prior authorization criteria as part of the… more
- Prime Therapeutics (Providence, RI)
- …Technician II **Job Description Summary** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- BrightSpring Health Services (Riverside, RI)
- …insurance verification is completed, and authorization is in place or requested prior to giving the referral to a pharmacist . + Understands which insurance ... referral checklists are complete + Enters patient demographic, insurance and authorization information into the computer system + Obtains authorizations and… more
- Prime Therapeutics (Providence, RI)
- …Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization , Post Service Claim Edits, Site of Service and any ... PharmD - Pharmacy **Certifications** Certifications - Required: RPH - Registered Pharmacist - Pharmacy - Pharmacy Certifications - Preferred: PharmD - Doctor… more