- 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
- CVS Health (Lansing, MI)
- … pharmacist in a PBM setting. * Current experience working with commercial Prior Authorizations in Caremark PBM * Experience using clinical resources, eg, ... heart, each and every day. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior … more
- US Tech Solutions (May, OK)
- …and telephony programs. + Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a ... based role that conducts clinical reviews of medical data collected to perform prior authorization for medications. + The clinical pharmacist will apply clinical… more
- US Tech Solutions (May, OK)
- …calls from physician or members regarding their pending, approved, or denied prior authorizations . **Job Description:** + Collaborating with Technicians and ... to perform prior authorization for specialty medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and… more
- US Tech Solutions (RI)
- …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 ... **Job Title:** ** Pharmacist Operations Advisor** **Location: Remote** **Duration: 6+ months...+ Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for… 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
- Actalent (Huntsville, AL)
- …involves utilizing clinical skills to perform utilization management reviews, including prior authorizations , coverage exceptions, and quantity limit exceptions. ... Clinical Review Pharmacist 100% Remote | Contract-to-Hire | Benefits Options...employment. Responsibilities + Conduct utilization management reviews such as prior authorizations and coverage exceptions. + Achieve… more
- Nuvance Health (Norwalk, CT)
- …inquiries. 4. Answering drug information requests from providers. 5. Obtaining prior authorizations . 6. Consulting prescribers about prescription problems. 7. ... *Description* Summary: The intern pharmacist would assist the full-time pharmacy staff during times of pharmacist PTO, as an intern may perform many of the… more
- UHS (Walton, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- UHS (Johnson City, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- Adecco US, Inc. (Minneapolis, MN)
- …Responsibilities:** . Serve as a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization ... clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy technicians and/or prescribers… more
- Adecco US, Inc. (Henderson, NV)
- …Responsibilities:** . Serve as a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization ... clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy technicians and/or prescribers… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... plan approved criteria for prospective and concurrent reviews of cases. authorizations . **Responsibilities:** 1. Collaborates with the CRU Technician to process… more
- Atlantic Health System (Morristown, NJ)
- …services and medication access, including medication histories, medication education, prior authorizations , specialty pharmacy navigation, and formulary agent ... The Cystic Fibrosis (CF) Clinical Pharmacist position will provide pharmacotherapeutic support to the...fibrosis in the ambulatory care setting. The CF clinical pharmacist will ensure optimal medication use, support adherence, and… more
- Sutter Health (Berkeley, CA)
- …and educates co-workers around: ◦ Medication reconciliation ◦ Medication renewals ◦ Prior authorizations DEPARTMENT OPERATIONS * Actively reports data analytics ... Health! **Organization:** HVI-Comprehensive Cancer Center **Position Overview:** Per diem pharmacist position responsible for the safe and effective delivery of… more
- Insight Global (St. Petersburg, FL)
- Job Description Insight Global is seeking a Pharmacist -in-Charge to run a closed-door oncology specialty pharmacy. You will help ensure compliance, oversee daily ... value-based care initiatives * Act as clinical expert for counseling, substitutions, and authorizations * Own pharmacy workflow from intake to dispensing We are a… more
- Adecco US, Inc. (Overland Park, KS)
- …shift with a 30-minute or 1-hour lunch break **Primary Responsibilities** + Review prior authorizations and respond to inquiries from pharmacy technicians and ... providers to clarify clinical questions and provide decisions on prior authorization requests + Recommend cost-effective, formulary-compliant therapeutic alternatives… more
- US Tech Solutions (May, OK)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + 6. Performs ... and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum...(10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years… more
- Ochsner Health (New Orleans, LA)
- …outcomes. Provides drug information to patients and healthcare providers. Works to resolve prior authorizations and all insurance billing on behalf of the ... **Work Experience** Required - None Preferred - 2 years experience as pharmacist Experience in specialty pharmacy **Certification** Required - License to practice… more