- Elevance Health (Indianapolis, IN)
- **Title** : Clinical Pharmacist ( Prior Authorization ) **Location(s):** + Indianapolis, IN + Mason, OH + Cincinnati, OH + Louisville, KY **Virtual:** This ... are actively defining our innovative role in the industry. The **Clinical Pharmacist ( Prior Authorization )** is responsible for managing the selection and… 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
- 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
- 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
- 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 (Canton, MA)
- …timeframes. The Clinical Pharmacist consults as required with Medical Directors on prior authorization that fails to meet drug prior authorization ... and managing the daily caseload of pharmacy and medical prior authorization (PA) requests for coverage determinations...Pharmacy **Experience:** + 3-5 years of experience as a Prior Authorisation Pharmacist in a managed care… 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 (Buffalo Grove, IL)
- …and enterprise initiatives. Knowledge of utilization management interventions including prior authorization , step therapy, quantity limits and formulary ... experience - 1+ years relevant UM work experience and demonstrated prior authorization experience - Demonstrated understanding of utilization management… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …The Primary Purpose of the Position is: The Care in the Community Clinical Pharmacist will provide a broad range of professional and clinical pharmacy services in a ... Care in the Community workflow file. 2. Reviews Tri-west/Optum and CPRS to determine authorization of Care in the Community by the North Texas VA Healthcare System.… more
Recent Jobs
-
Floater
- Acelero Learning (Bridgeville, DE)
-
Associate Professor Clinical Practice - Family Medicine
- UTMB Health (Galveston, TX)