- CVS Health (TX)
- … 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 (TX)
- …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
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist where your passion for...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (San Antonio, TX)
- …integrity. We care like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. ... by location._** Come join our team as a(an) Transplant Clinical Pharmacist Specialist. We care for our...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Dallas, TX)
- **Description** ** Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating weekends** **BMT Experience Required** **_Qualified, New ... each individual is recognized. Submit your application for our Clinical Pharmacist Specialist BMT opening with Medical...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Jourdanton, TX)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure that we continue to ... **Job Summary and Qualifications** General Statement of Duties: The clinical pharmacist demonstrates proficiency in all ...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- Prime Therapeutics (Austin, TX)
- …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. (Lubbock, TX)
- …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
- Molina Healthcare (Austin, TX)
- …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
- Molina Healthcare (Dallas, TX)
- …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
- Prime Therapeutics (Austin, TX)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Technician - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to...the area of specialization (PGY 2). Experience as a clinical pharmacist in the area of specialization… more
- Prime Therapeutics (Austin, TX)
- …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
- US Tech Solutions (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and… more
- US Tech Solutions (San Antonio, TX)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Position Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- Highmark Health (Austin, TX)
- …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
- Ascension Health (Austin, TX)
- …assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assist Pharmacist in preparation of ... **Responsibilities** Provide distributive pharmacy services and technical support for the Pharmacist . Perform activities or tasks in specialty pharmacy services. +… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/ pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission of a ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene... prior authorization request + Thoroughly researches issues… more
- UTMB Health (Webster, TX)
- …of immunizations + Works with patients, providers, and payers to obtain prior authorization + Resolves billing/adjudication issues encountered in the processing ... Technologist assists Pharmacists in providing drug distribution, technical services, and clinical services associated with the preparation, storage and dispensing of… more
- Option Care Health (San Antonio, TX)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Summary:** A Warehouse Coordinator is responsible for the daily flow of clinical supplies between the pharmacy and nursing departments. Functions to support the… more