- Actalent (Omaha, NE)
- Clinical Review Pharmacist (100% Remote ) Seeking a dedicated and knowledgeable pharmacist to conduct drug utilization reviews and manage prior ... on-call rotations. Responsibilities + Conduct drug utilization reviews. + Manage prior authorizations according to state and federal regulations. + Educate… more
- Prime Therapeutics (Lincoln, NE)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist Remote **Job Description** The Clinical Staff Pharmacist is ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for… more
- Actalent (Omaha, NE)
- …MUST HAVE a Nebraska Pharmacy License + Pharm.D degree + Experience with prior authorization processes + Knowledge of insurance verification and medical billing ... Now Hiring! Clinical Pharmacist - Fully remote ! Job Description MUST HAVE a Nebraska Pharmacy License. This position requires a dynamic pharmacist to be the… more
- Molina Healthcare (Lincoln, NE)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage determinations… more
- Molina Healthcare (Kearney, NE)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... program(s) proficiency. **Preferred Qualifications** * Board Certified Ambulatory Care Pharmacist (BCACP). * American Pharmacist 's Association Medication Therapy… more
- Prime Therapeutics (Lincoln, NE)
- …- Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or ... staff, medical management staff and/or pharmacists. + Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Prime Therapeutics (Lincoln, NE)
- …Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more