- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacist / Clinician - Prior Authorization Location: Remote Pay Rate: $52.98 - $ 56.00/hour Training + Dates: October 27 - December 12, 2025 + ... for performing criteria-based and clinical reviews of medical data to process prior authorization requests. This role involves direct interaction with… more
- Beth Israel Lahey Health (Burlington, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic administered or… more
- Beth Israel Lahey Health (Westwood, MA)
- …**Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and ... reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related...provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. 5. Serves… more