- CVS Health (NV)
- …Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist Position supporting ... Prior Authorization. An active OK, AZ or TX pharmacist license that is in good standing is required...production team environment 3+ years experience working as a pharmacist . + Knowledge of clinical program components,… more
- Adecco US, Inc. (Henderson, NV)
- …work weekends, holidays, and overtime as needed **Key Responsibilities** . Review prior authorization requests and make clinical coverage determinations . ... thrive in a fast-paced, call center-style environment and enjoy applying clinical criteria to real-time benefit decisions. **Position Details** . **Type:** 6-Month… more
- Walgreens (Las Vegas, NV)
- …and proper service to customers. Responsible for building relationships, overseeing the clinical management of patients and growing the business at the site. ... department. Responds to special needs of customers, as requested. **Patient/ Clinical Management** + Collaborates with providers to determine appropriateness of… more
- Highmark Health (Carson City, NV)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... concerning oral, injectable and infusion medication requests, and drug claim edits/ prior authorizations. By reviewing member claims history, clearly defines the… more