- CVS Health (IL)
- … Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... experience using clinical resources, eg, Micromedex, Lexicomp, Clinical Pharmacology * Prior authorization ... authorization pharmacy technicians and/or providers for clinical information. * Active pharmacist license that… more
- Prime Therapeutics (Springfield, IL)
- …for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for… more
- Adecco US, Inc. (Downers Grove, IL)
- …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
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... Board Certification Board of Oncology Pharmacy Specialty Certification (BCOP) prior to or within 18 months of hire *...and SCT programs i. Participate in coverage of Heme/Onc Clinical Pharmacist pager. Other responsibilities (Department of… more
- Prime Therapeutics (Springfield, IL)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Technician - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Springfield, IL)
- …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
- Walgreens (Deerfield, IL)
- …evaluating diagnoses and other clinical criteria to complete requests for prior authorization , specialty care specific to the department and patient needs ... specific department, other responsibilities as judgment or necessity dictate. + Reviews prior authorization criteria for specified payers related to defined… more
- Highmark Health (Springfield, IL)
- …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
- Option Care Health (Itasca, IL)
- …as needed + Checks final product for particulate matter and container integrity prior to presenting to pharmacist for final check + Labels compounded ... and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health...of emergency breakdowns + Gathers and checks compounding material prior to its entry into the clean room +… more