- CVS Health (Phoenix, AZ)
- … Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... experience using clinical resources, eg, Micromedex, Lexicomp, Clinical Pharmacology * Prior authorization ... authorization pharmacy technicians and/or providers for clinical information. * Active pharmacist license that… more
- CVS Health (Phoenix, AZ)
- …Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist Position supporting ... 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
- Prime Therapeutics (Phoenix, AZ)
- …for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for… more
- Adecco US, Inc. (Phoenix, AZ)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify, and assess detailed clinical information. . Interpret medical and pharmacy policy criteria... questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy… more
- Mayo Clinic (Phoenix, AZ)
- …**Responsibilities** We are recruiting for two abdominal solid organ transplant clinical specialist pharmacists to cover the following: + (1) OUTPATIENT abdominal ... (kidney/pancreas/liver) SOT pharmacist that covers outpatient kidney/pancreas/liver services. + (1) Hybrid...teaching conferences. + Keeps abreast of changing protocols and clinical pharmacy standards as they pertain to applicable area… more
- Mayo Clinic (Phoenix, AZ)
- …your future. **Responsibilities** Specifically, recruiting for ONE ambulatory hematology-oncology clinical specialist pharmacist position to cover GI, breast, ... teaching conferences. + Keeps abreast of changing protocols and clinical pharmacy standards as they pertain to applicable area...practice area AND a minimum of two (2) years' post- pharmacist licensure experience within the last seven years with… more
- Molina Healthcare (Scottsdale, AZ)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for… more
- Actalent (Tempe, AZ)
- … clinical review, analysis, recommendation, decision, and documentation of prior authorization requests, medical exception requests, and appeal requests ... or existing medication request guidelines. + Offer drug information support and research clinical literature to support prior authorization decisions. +… more
- Molina Healthcare (Scottsdale, AZ)
- …family 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),… more
- Dragonfly Health (Mesa, AZ)
- …equianalgesic dosing, generic and therapeutic substitution, formulary management and prior authorization procedures + Demonstrates understanding, competency and ... on medication usage and adverse event prevention. 4. Accurately document clinical interventions and patient outcomes in electronic health systems. Ensure all… more
- Prime Therapeutics (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- CVS Health (Phoenix, AZ)
- …data requests, regulatory requests, benefit documents, utilization management edits ( prior authorization , quantity limits, step therapy, etc.), operational ... with heart, each and every day. **Position Summary** The Clinical Analyst role on the CVS Clinical ...Excel, and PowerPoint **Preferred Qualifications** * Not a licensed pharmacist position * Pharmacy experience preferred * Pharmacy Technician… more
- Medtronic (Phoenix, AZ)
- …connected, compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's ... as the face of the company and are field clinical diabetes experts. CTMs report to the Clinical...+ Physician Assistant (PA) + Nurse Practitioner (NP) + Pharmacist **_AND_** + Associate's Degree and 4 years of… more
- Highmark Health (Phoenix, AZ)
- …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