- US Tech Solutions (May, OK)
- **Job Summary:** The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for ... specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria...duties as assigned including on call and after hours pharmacist availability could be required. (5%) **Experience:** Preferred 0-3… more
- US Tech Solutions (May, OK)
- …**Education:** + Pharm D. required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state ... of residence in good standing. **Questionnaire:** + How many years of prior-authorization experience do you have? + Haw many Prior Auth cases have you handled in your last role? + Do you have experience in handling calls regarding prior authorization and… more
- US Tech Solutions (May, OK)
- …of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed ... pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as appropriate + Other duties assigned, for example faxes, sorting,… more
- US Tech Solutions (May, OK)
- …and denials, and transfers all clinical questions and judgment calls to the pharmacist . **Experience:** + At least 1 year experience as a pharmacy technician ... coordinating activities in an administrative support function. National pharmacy technician certification highly preferred. Eligible for state registration, certification or licensure per state regulations. + Advanced computer skills including word processing… more
- US Tech Solutions (May, OK)
- …member services department . + Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + Shift priorities while exhibiting a high level of ... urgency with all calls and assignments. + Excellent verbal and written skills. + You will work with pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on… more
- US Tech Solutions (May, OK)
- …member services department . + * Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while exhibiting a high level of ... urgency with all calls and assignments. + * Excellent verbal and written skills. + * You will work with pharmacists, other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process… more
- US Tech Solutions (May, OK)
- …and denials, and transferring all clinical questions and judgment calls to the pharmacist . **Duties:** + At least 1 year experience as a pharmacy technician ... coordinating activities in an administrative support function. + National pharmacy technician certification. Eligible for state registration, certification, or licensure per state regulations. + Advanced computer skills including word processing and… more