- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... and after hours pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required… more
- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- Adecco US, Inc. (Phoenix, AZ)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. Ensure determinations are clinically sound,… more
- US Tech Solutions (May, OK)
- …hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- US Tech Solutions (AZ)
- …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... **Job Title:** ** Pharmacist ** **Location: Remote** **Duration: 12+ months contract** **Job...healthcare. **Skills:** + Prior Authorization . + Medicare. + ...healthcare. **Skills:** + Prior Authorization . + Medicare. + Prior … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception requests from providers via ... from the Hingham office 2x per month. ROLE RESPONSIBILITIES: + Participation in Prior Authorization , Formulary Exception, Step Therapy and Quality Care Dosing… more
- WMCHealth (Valhalla, NY)
- …clinical teams + Exercise sound judgement in the escalation of clinical questions to the pharmacist on duty + Prior Authorization & Billing Management: + ... Exercise sound judgement in the escalation of clinical questions to the pharmacist on duty + Prior Authorization & Billing Management: + Initiate and manage … more
- Adecco US, Inc. (Woonsocket, RI)
- …basic function of the pharmacist is review and complete criteria based on prior authorization as per policy and procedure. Candidates must meet the following ... as a pharmacist . + Previous pharmacy experience in PBM or Prior Authorization a MUST. Work from home requirements: + Workspace is dedicated to business… more
- Actalent (Eagan, MN)
- 100% REMOTE POSITION( PRIOR AUTHORIZATION ) Job Title: Pharmacist : Job Description: Your main role will be utilizing your clinical skills to complete ... utilization management reviews ( Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more)....(PharmD) or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with the State Board… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... pharmacist will apply clinical knowledge to plan approved criteria...prior authorizations. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations… more
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