- HCA Healthcare (Jourdanton, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Clinical Pharmacist today with Methodist Hospital Atascosa. **Benefits** Methodist Hospital ... vary by location._** Come join our team as a(an) Clinical Pharmacist . We care for our community!...License, Certificates, or Registrations Required: ONE of the following prior to the first day of employment: A. Current… more
- Actalent (Houston, TX)
- …and monitor clinical programs, including Drug Utilization Review (DUR) for Medicaid and Medicare. + Review and assess prior authorization requests. + ... Job Posting: Clinical Pharmacist Location: 100% Remote Job...the state of residence. + Experience in managed care, clinical program development, or prior authorization review… more
- Molina Healthcare (TX)
- …include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight… more
- Molina Healthcare (Houston, TX)
- … license. **Required Experience** * 3 - 5 years experience as a Clinical Pharmacist . * ASHP-accredited residency or 2-3 years post graduate experience. ... medications safety and medication use policies). **Knowledge/Skills/Abilities** The Supervisor, Clinical Pharmacy/Medication Therapy Management (MTM) supervises Pharmacists, Pharmacist… more
- Highmark Health (Austin, TX)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... concerning oral, injectable and infusion medication requests, and drug claim edits/ prior authorizations. By reviewing member claims history, clearly defines the… more
- Actalent (El Paso, TX)
- …Pharmacy technicians will operate in an EST timezone, primarily reviewing Prior Authorizations for coverage determination within a Pharmacy Services department ... will be responsible for approving or denying requests and forwarding them to a pharmacist for final review. This role involves handling all health plans and types of… more
- BrightSpring Health Services (Houston, TX)
- …Ensures that insurance verification is completed, and authorization is in place or requested prior to giving the referral to a pharmacist . + Understands which ... market + Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies + Knowledge of insurance verification and… more
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