- US Tech Solutions (May, OK)
- …calls from physician or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Evaluate and review all prior ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected… more
- MetroHealth (Valley View, OH)
- …and more than 20 health centers.** **Summary:** **Processes and obtains authorizations for medication therapy requests initiated by MetroHealth Clinicians. Serves as ... Pharmacy benefits verifications and payor preauthorization. Provides clinical oversight for Prior Authorization Specialists and is a resource for providers for… more
- US Tech Solutions (May, OK)
- …calls from physicians or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Ensure accuracy of case setup and ... based 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 (May, OK)
- …take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations , internally support the Prior Auth team and ... and telephony programs. + Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a… more
- Point32Health (MA)
- …The Clinical Pharmacist consults as required with Medical Directors (MD) on prior authorizations (PA) that fail to meet medical necessity guidelines. **Job ... direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload… more
- US Tech Solutions (AZ)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + Performs ... pharmacist availability could be required. (10%) **Experience:** + Pharmacist License of Current State + Prior ...+ Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working… more
- Cedars-Sinai (Los Angeles, CA)
- …years of experience and knowledge. + Supports the process of completing medication prior authorizations as needed. + Documents patient progress and outcomes for ... Friday, 8 am - 5:00 pm As a Research Pharmacist at the Cedars-Sinai Angeles Clinic in Los Angeles...**Education:** + Doctor of Pharmacy (PharmD) **Licenses/Certification:** + Ca Pharmacist license + BLS card within 180 days **Experience:**… more
- Evolent (Pittsburgh, PA)
- …support including maintenance of Medical Oncology clinical Q&As for provider portal, prior authorizations , lists, regimens, scope diagnoses, case review and ... the mission. Stay for the culture. **What You'll Be Doing:** **Oncology Pharmacist , Medical Pharmacy** Support and Development + Deliver provider and pharmacist… more
- Actalent (Austin, TX)
- …be utilizing your clinical skills to complete utilization management reviews ( Prior authorizations , Coverage Exceptions, Quantity Limit exceptions, and more). ... and contracts are evaluated every 6 months for extension. Skills Pharmacist , Retail, Clinical, Pharmacy Benefits Management, Pharmacy, Prior authorization,… more
- Cedars-Sinai (Beverly Hills, CA)
- …will assist in clinical reviews of specialty prescriptions, conducting oncology prior authorizations and managing benefit investigations, supporting oncology ... residency or equivalent practice experience. **License/Certification/Registration Requirements:** + Current pharmacist licensure in the State of California. **What else… more