- Penn Medicine (Philadelphia, PA)
- …is seeking a full-time, day shift (hybrid) Clinical Pharmacist , Ambulatory/Retail for our benefits investigation/co-pay assistance/ prior authorization ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Actalent (Philadelphia, PA)
- …NM. The primary role of a pharmacist is to conduct the final prior authorization review for the Appeals Department. This involves evaluating completed ... Pharmacist license in OK, IN, KS, PA, GA,...Committee guidelines. + Research and contribute drug references and clinical information to facilitate prior authorization… more
- Humana (Trenton, NJ)
- …necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical scenarios and ... our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical… more
- Prime Therapeutics (Trenton, NJ)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Pharmacy Technician **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Trenton, NJ)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Pharmacy Technician Sr **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Elevance Health (Wilmington, DE)
- … authorization decision trees within the workflow tool + Assists in implementing clinical programs within the prior authorization space + Verifies member, ... for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you… more
- Highmark Health (Trenton, NJ)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as… more