- Prime Therapeutics (Indianapolis, IN)
- …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
- Prime Therapeutics (Indianapolis, IN)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Pharmacy Technician Sr **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Centene Corporation (Indianapolis, IN)
- …relevant performance standards are met by vendors + Ensure successful implementation of prior authorization and drug utilization review program and plan specific ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Elevance Health (Indianapolis, IN)
- … 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
- Option Care Health (Carmel, IN)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Summary:** A Warehouse Coordinator is responsible for the daily flow of clinical supplies between the pharmacy and nursing departments. Functions to support the… more