- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit ... The Clinical Pharmacist in addition to being responsible for the...for formulary exceptions and prior authorizations according to the Medicare Part D defined guidelines… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... information and completing timely and accurate documentation of all Medicare Part D requests, in...Prior Authorization Call Handling. **Education:** **Bachelor's Degree Required, Pharm D & Pharmacist License of Current state… more
- US Tech Solutions (May, OK)
- … availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical...2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** +… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... information and completing timely and accurate documentation of all Medicare Part D requests, in...and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- Summary The Community Living Center (CLC) Clinical Pharmacist at the Bruce W. Carter VA Medical Center provides comprehensive and patient-centered pharmaceutical ... levels of healthcare providers. Responsibilities The Community Living Center (CLC) Clinical Pharmacist must be a licensed pharmacist , preferably with a Doctor… more
- Penn Medicine (Lancaster, PA)
- …identify task requirements and monitor progress toward accomplishment. Credentials: + Pharmacist (Required) Education or Equivalent Experience: + Ph. D . ... future each day. Are you living your life's work? Job: Ambulatory Pharmacist Clinician Hours: Mon, Tues, Friday: 8:00am-4:30pm Thursday: Evening STI Clinic:… more
- US Tech Solutions (May, OK)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... between 11am to 730pm EST** **Job Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based...experience. **Education:** + Pharm D . required with at least two years experience as… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …(eg PBM) to assist in the development, communication and implementation of Commercial and Medicare Part D formulary and clinical program offerings. + ... your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the...ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to maintain compliance with all regulatory requirements. + Support product portfolio, including Medicare Part D which includes rotational weekend and holiday ... healthcare? Bring your true colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity...providers via phone and fax for the Retail Pharmacy, Medicare Advantage Part D , Home… more
- US Tech Solutions (TX)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Job Title:** **Prior Authorization Pharmacist ** **Location:Remote** **Duration: 6+ months contract** **Job Description:**...experience. **Education:** + Pharm D . required with at least two years experience as… more
- Molina Healthcare (Vancouver, WA)
- …and unrestricted State Pharmacy License for workplace and plan location. **Preferred Experience** + Medicare Part D or Medicaid experience. + Managed care ... outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage determinations… more
- Adecco US, Inc. (Phoenix, AZ)
- …and Policy Compliance: Maintain full compliance with state and federal pharmacy laws, Medicare Part D , Medicaid, and commercial benefit regulations. ... A Prior Authorization Pharmacist position is now available through Adecco Healthcare...effective team members. This position is for a Clinical Pharmacist working in the Prior Authorization unit within Customer… more
- Penn Medicine (Lancaster, PA)
- …our future each day. Are you living your life's work? Job: Clinical Pharmacist Hours: Monday through Thursday, four 10 hour days, no weekends (Evenings) Location: ... patient care rounds), as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist… more
- HCA Healthcare (Marion, NC)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Pharmacist PRN you want with your current employer? We have an exciting ... for you to join Mission Hospital McDowell which is part of the nation's leading provider of healthcare services,...of colleagues. Do you want to work as a(an) Pharmacist PRN where your passion for creating positive patient… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …May be required to be on-call in certain situations. + Bachelor's Science or Pharm D required + Active Pharmacist license in the state you are practicing ... value even more. Join our team as a Clinical Pharmacist . This position interprets provider orders and prescriptions, compounds...the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It… more
- Centene Corporation (Tallahassee, FL)
- …Develop and implement programs designed to impact DUR for both Medicaid and Medicare + Develop, implement, and maintain policies and procedures for the pharmacy ... department + Participate in the coordination of the Medicare MTM program + Assist case management team with members including clinical rounds presentations… more
- Adecco US, Inc. (Henderson, NV)
- …providers to clarify clinical information and explain determinations . Ensure compliance with Medicare Part D , Medicaid, and commercial plan guidelines . ... care **Requirements** . Bachelor's or Doctorate of Pharmacy . Active, unrestricted US pharmacist license (any state) . At least 6 months of healthcare or call… more
- US Tech Solutions (RI)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided ... of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
- US Tech Solutions (May, OK)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through ... of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other duties… more
- Sharp HealthCare (San Diego, CA)
- …-REQUIRED **Preferred Qualifications** + 3 Years experience with managed care, PBM and/or Medicare Part D , Medicaid, Commercial Health Insurance. + ... Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Pharmacist License - CA State Board of Pharmacy **Hours** **:** **Shift Start… more