- US Tech Solutions (May, OK)
- …and telephony programs. + Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a ... 11am to 730pm EST** **Job Description:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and… more
- CVS Health (Oklahoma City, OK)
- …take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations , internally support the Prior Auth team and ... to perform prior authorization as per policy and procedure. The Pharmacist /Clinician will apply clinical knowledge to plan approved criteria for reviews of… more
- US Tech Solutions (May, OK)
- …calls from physicians or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Ensure accuracy of case setup and ... based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- Evolent (Oklahoma City, OK)
- …support including maintenance of Medical Oncology clinical Q&As for provider portal, prior authorizations , lists, regimens, scope diagnoses, case review and ... mission. Stay for the culture. **What You'll Be Doing:** **Oncology Pharmacist , Medical Pharmacy** **Collaboration Opportunities:** The Oncology Pharmacist role… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... plan approved criteria for prospective and concurrent reviews of cases. authorizations . **Responsibilities:** 1. Collaborates with the CRU Technician to process… more
- US Tech Solutions (May, OK)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + 6. Performs ... and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum...(10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years… more
- US Tech Solutions (May, OK)
- …+ Since the job duties consist of reviewing and completing criteria based on prior authorizations , candidates with that experience are preferred. **Skills:** + ... This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + Reviewing and… more
- US Tech Solutions (May, OK)
- …data entry, data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide on-call ... Responsibilities include answering inbound phone calls, processing cases and electronic authorizations , loading authorizations , and making follow-up phone calls… more
- US Tech Solutions (May, OK)
- …with resume and provide license number. **Responsibilities:** + Review criteria-based prior authorizations following policy and procedure. + Provide on-call ... member services department . + Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + Shift priorities while exhibiting a high level of… more
- Walgreens (Owasso, OK)
- …needed to correct inaccurate orders. + Under the supervision of the pharmacist -in-charge, verifies all pharmacy shipments are posted for products physically received ... and pharmacy scan outs. + Under the supervision of the pharmacist -in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls… more
- Walgreens (Oklahoma City, OK)
- …in accordance with company policy. + Processing of prescription exceptions including prior authorizations , triaging of referrals to other Walgreens locations, ... to maximize generic substitution opportunities. + Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy. +… more