- CVS Health (Providence, RI)
- …Certified Oncology Pharmacist (BCOP) required + 2+ years clinical pharmacist experience, inclusive of prior authorization experience + Knowledge of ... based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist /Clinician will apply … more
- Prime Therapeutics (Providence, RI)
- …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
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical … more
- Prime Therapeutics (Providence, RI)
- …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
- US Tech Solutions (RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Summary:** + The Tech I Prior Auth. takes in-bound calls from providers, pharmacies,...clinical questions, escalations and judgement calls to the pharmacist team. + The Tech I will also assist… more
- US Tech Solutions (RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- US Tech Solutions (RI)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and… more
- Option Care Health (Cranston, RI)
- …as needed + Checks final product for particulate matter and container integrity prior to presenting to pharmacist for final check + Labels compounded ... and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health...of emergency breakdowns + Gathers and checks compounding material prior to its entry into the clean room +… more