• Clinical Pharmacist…

    CVS Health (Providence, RI)
    …AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design ... * Board Certified Oncology Pharmacist (BCOP) required * 2+ years clinical pharmacist experience, inclusive of prior authorization experience * Knowledge of… more
    CVS Health (05/29/25)
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  • Prior Authorization Specialist

    US Tech Solutions (RI)
    …to initiate and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. ... clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical ...to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close… more
    US Tech Solutions (05/08/25)
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