- Elevance Health (Atlanta, GA)
- … clinical -first lens, to deliver member-centered, lasting pharmacy care. **Title** : Prior Authorization Clinical Pharmacist **Virtual:** This role ... employment, unless an accommodation is granted as required by law._** The ** Prior Authorization Clinical Pharmacist ** is responsible for evaluating and… more
- Molina Healthcare (Atlanta, GA)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for… more
- Molina Healthcare (Atlanta, GA)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction),… more
- Prime Therapeutics (Atlanta, GA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Pharmacy Technician **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Atlanta, GA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Elevance Health (Atlanta, GA)
- … authorization decision trees within the workflow tool + Assists in implementing clinical programs within the prior authorization space + Verifies member, ... for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you… more
- Highmark Health (Atlanta, GA)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as… more