- 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. (San Diego, CA)
- …open to work these hours and be flexible) **Responsibilities of the Pharmacist :** . Engage members telephonically and schedule pharmacist consultation ... duties as assigned by Operations Manager **Qualifications of the Pharmacist :** . Bachelor's Degree in Pharmacy or PharmD ....Degree in Pharmacy or PharmD . Current and unrestricted Pharmacist license in California . Must reside within California… more
- 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)
- …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
- MetroHealth (Valley View, OH)
- …Pharmacy benefits verifications and payor preauthorization. Provides clinical oversight for Prior Authorization Specialists and is a resource for providers ... Ohio Board of Pharmacy approved institution. Possesses a current Pharmacist License from the State of Ohio Board of...of the following: * 1 year of experience with prior authorization practices or within a Pharmacy… more
- 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 ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Actalent (Austin, TX)
- …Skills Pharmacist , Retail, Clinical, Pharmacy Benefits Management, Pharmacy, Prior authorization , Pharmd, Compounding Top Skills Details Pharmacist ... be utilizing your clinical skills to complete utilization management reviews ( Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You… 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
- US Tech Solutions (May, OK)
- …that conducts criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist ... urgent PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical… more
- CVS Health (Knoxville, TN)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... patients. You will work within the district to cover pharmacist scheduling gaps, under the direction of the Pharmacy...the District covers more than one state - required ** Prior Relevant Work Experience** **:** 1 to 3 years… more