- Highmark Health (Austin, TX)
- …in care related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent then conducts thorough ... residency program + 5 - 7 years in Pharmacy + 3 - 5 years in Pharmacist - Utilization Management + 3 - 5 years in Pharmacist - Medical Therapy Management … more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. Ready to take your Clinical Pharmacist skills to the next level with a Fortune 6 company? Check out this outstanding ... opportunity for a Clinical Pharmacist with CVS Health. This position is for a...and other healthcare professionals following agreed-upon approval & denial management processes. - Performs and handles inbound and outbound… more
- Walgreens (Spring, TX)
- …to suggest alternative medications, and answer medical provider questions. diagnostic testing, disease state management and other healthcare services. + Performs ... clinical and wellness services such as immunizations, diagnostic testing, disease state management , and other healthcare services + Partners with centralized… more
- Prime Therapeutics (Austin, TX)
- …in Excel, Word, and system operations (eg workflow processes and case management ) + Government programs (Medicare) knowledge **Preferred Qualifications** ... and drives every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM)… more
- US Tech Solutions (San Antonio, TX)
- **Position Summary:** The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for ... specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.… more
- MD Anderson Cancer Center (Houston, TX)
- …guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management , REMS programs, drug shortage programs *Education and Training* ... * Provides didactic lectures, in-services, shared student instruction or attends case conference presentations to trainees. * Models professional behavior to orient,… more
- Elevance Health (Grand Prairie, TX)
- …care management process through reviewing member profiles, recommending members for lock-in, case management or disease management . + Respond to ... of the CarelonRx pharmacy program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How… more