- CVS Health (Albany, NY)
- …all with heart, each and every day. **Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must ... licensure in the State of North Carolina. This Pharmacist will: * Evaluate and review all prior...the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid , Commercial Prior Authorization and Case Review… more
- Molina Healthcare (Syracuse, NY)
- Molina Pharmacy Services is hiring a Pharmacist , Clinical /MTM. This is a remote role, that will be working Monday through Friday, 9am to 5pm Pacific Standard ... Education** : Ambulatory Care Residency **Preferred Experience** + Experience with Medicaid and/or Medicare programs. + Clinical skills or pharmacotherapy… more
- CVS Health (New York, NY)
- …we do it all with heart, each and every day. **Position Summary** As a Clinical Development Oncology Pharmacist , you will create and maintain clinical ... to create clinical content for all business segments (Commercial, Medicare, Medicaid and Marketplace) with the ability to be consultative to product owners,… more
- WMCHealth (Valhalla, NY)
- …+ Exercise sound judgement in the escalation of clinical questions to the pharmacist on duty + Prior Authorization & Billing Management: + Initiate and ... Assurance: + Ensure all activities are compliant with HIPAA, Medicare/ Medicaid billing regulations, and the 340B Drug Pricing Program...the escalation of clinical questions to the pharmacist on duty + Prior Authorization &… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society… more