- CVS Health (St. Paul, MN)
- … Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... setting. * Current experience within Caremark Prior Authorization team. * Experience using clinical resources,... authorization pharmacy technicians and/or providers for clinical information. * Active pharmacist license that… more
- CVS Health (St. Paul, MN)
- …outstanding opportunity for a Clinical Pharmacist with the Specialty Medical Prior Authorization team! The Clinical Pharmacist is an operations ... of medical data collected to perform prior authorization review for specialty medications. The Clinical Pharmacist will apply clinical knowledge… more
- Humana (St. Paul, MN)
- …necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical scenarios and ... help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for...per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… more
- Humana (St. Paul, MN)
- …necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical scenarios and ... our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical… more
- Adecco US, Inc. (Minnetonka, MN)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify, and assess detailed clinical information. . Interpret medical and pharmacy policy criteria... questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy… more
- Adecco US, Inc. (Minneapolis, MN)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify, and assess detailed clinical information. . Interpret medical and pharmacy policy criteria... questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy… more
- CVS Health (St. Paul, MN)
- …do it all with heart, each and every day. **Position Summary** The Prior Authorization colleague takes in-bound calls from providers, pharmacies, members, etc. ... phone assistance to all callers through the criteria based prior authorization process. You will maintain complete,...results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as… more
- Actalent (Minneapolis, MN)
- …including order verification and prescription review. + Experience in compounding and prior authorization processes. + PharmD from an accredited college of ... Staff Pharmacist Job Description We are seeking a dedicated...high-quality care to long-term care patients. Responsibilities + Perform clinical data review to ensure accuracy, safety, and compliance… more
- Actalent (Minneapolis, MN)
- …+ Proficiency in pharmacy, compounding, prescription review, order verification, and prior authorization . + Experience in pharmaceutical operations. Work ... Pharmacist In Charge Job Description We are seeking...state and federal regulations, directs daily workflow, and provides clinical oversight to guarantee safe and effective medication delivery.… more
- Actalent (Minneapolis, MN)
- …Pharmacy + PharmD + Compounding + Prescription review + Order Verification + Prior authorization + Pharmaceutical Additional Skills & Qualifications + Bachelor's ... Pharmacist In Charge Long-Term Care Facility | Days...state and federal regulations, directs daily workflow, and provides clinical oversight to guarantee safe and effective medication delivery.… more
- Actalent (Minneapolis, MN)
- …Pharmacy + PharmD + Compounding + Prescription review + Order Verification + Prior authorization + Pharmaceutical Additional Skills & Qualifications + PharmD ... Pharmacist Job Description We are seeking a dedicated...high-quality care to long-term care patients. Responsibilities + Perform clinical data review to ensure accuracy, safety, and compliance… more
- Prime Therapeutics (St. Paul, MN)
- …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 (St. Paul, MN)
- …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
- Highmark Health (St. Paul, MN)
- …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
- Fairview Health Services (Minneapolis, MN)
- …customer's needs. Address third party prescription questions, which may include prior authorizations, vacation supplies, dose changes, price check and drug ... in the computer system quickly and accurately; including entering refill authorization requests and entering and calculating complex prescriptions such as compounds… more
- Fairview Health Services (Minneapolis, MN)
- …customer's needs. Address third party prescription questions, which may include prior authorizations, vacation supplies, dose changes, price check and drug ... in the computer system quickly and accurately; including entering refill authorization requests and entering and calculating complex prescriptions such as compounds… more
- Fairview Health Services (Edina, MN)
- …in a professional andtimelymanner. + Assistin resolving any billing issues, obtaining prior authorization for medications as needed, verifying eligibility and ... escalating asappropriate. + Under the direction of the pharmacist ,utilizetheappropriate computersystem and protocols, prepare drugtherapyand/or dispense medication inan… more
- Mayo Clinic (New Prague, MN)
- …provided by a dedicated support team including radiation oncologists, nursing staff, clinical pharmacist , genetic counselors, social services, and other support ... mix of medical oncology and hematology with access to clinical trials. The Mayo Clinic Health System Department of...to $663,037. This range reflects full-time total base compensation prior to consideration of additional experience or duties. Pay… more
- Fairview Health Services (Minneapolis, MN)
- …and tertiary insurance claims. Assist in resolving any billing issues, obtaining prior authorization for medications as needed, verifying eligibility and ... escalating as appropriate. + Under the direction of the pharmacist , receive prescription/orders from patients, process manually or using the appropriate computer… more