- Highmark Health (St. Paul, MN)
- …an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and ... Associate Medical Directors and Medical Directors when appropriate, follow-up on appeals in accordance with our regulatory guidelines. The incumbent develops and… more
- Actalent (Minneapolis, MN)
- Job Title: Clinical Pharmacist (100% Remote) Job Description This position is responsible for completing pharmacy and medical drug appeals along with retro prior ... authorizations for Medicare, Medicaid, and Health Exchange memberships. The role includes ensuring compliance with federal and state regulations, assisting in developing efficiencies in clinical review processes, providing oversight of the initial review… more