- CVS Health (AR)
- …Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist Position supporting ... Prior Authorization. An active OK, AZ or TX pharmacist license that is in good standing is required...production team environment 3+ years experience working as a pharmacist . + Knowledge of clinical program components,… more
- US Tech Solutions (May, OK)
- **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data ... authorization for commercial and specialty medications. + The clinical pharmacist will apply clinical ...the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid , Commercial Prior Authorization and Case Review… more
- HCA Healthcare (Jourdanton, TX)
- …individual is recognized. Submit your application for the opportunity below: Clinical Pharmacist Methodist Hospital Atascosa **Benefits** Methodist Hospital ... benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure...License, Certificates, or Registrations Required: ONE of the following prior to the first day of employment: A. Current… more
- US Tech Solutions (May, OK)
- …medical data collected to perform prior authorization for medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria ... Sunday-Thursday 8am-4:30pm local time zone** **Job Description:** + The clinical pharmacist is an operation based role...is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. + This… more
- Atlantic Health System (Morristown, NJ)
- The Cystic Fibrosis (CF) Clinical Pharmacist position will provide pharmacotherapeutic support to the pediatric and adult patients living with cystic fibrosis in ... the ambulatory care setting. The CF clinical pharmacist will ensure optimal medication use, support adherence, and actively contribute to individualized care… more
- Molina Healthcare (Mesa, AZ)
- … Pharmacist 's Association Medication Therapy Management (MTM) certificate. * Medicaid and/or Medicare experience. * Clinical skills or pharmacotherapy ... subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity… more
- Molina Healthcare (Orlando, FL)
- …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
- Actalent (Tempe, AZ)
- … clinical review, analysis, recommendation, decision, and documentation of prior authorization requests, medical exception requests, and appeal requests as ... existing medication request guidelines. + Offer drug information support and research clinical literature to support prior authorization decisions. + Prepare… more
- Adecco US, Inc. (Henderson, NV)
- …work weekends, holidays, and overtime as needed **Key Responsibilities** . Review prior authorization requests and make clinical coverage determinations . ... thrive in a fast-paced, call center-style environment and enjoy applying clinical criteria to real-time benefit decisions. **Position Details** . **Type:** 6-Month… more