- CVS Health (Phoenix, AZ)
- …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
- Molina Healthcare (Scottsdale, AZ)
- … Pharmacist 's Association Medication Therapy Management (MTM) certificate. * Medicaid and/or Medicare experience. * Clinical skills or pharmacotherapy ... subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for… more
- Molina Healthcare (Scottsdale, AZ)
- …include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight… more
- Actalent (Tempe, AZ)
- … clinical review, analysis, recommendation, decision, and documentation of prior authorization requests, medical exception requests, and appeal requests as ... existing medication request guidelines. + Offer drug information support and research clinical literature to support prior authorization decisions. + Prepare… more
- Highmark Health (Phoenix, AZ)
- …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