- Molina Healthcare (Austin, TX)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... patient outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage… more
- Prime Therapeutics (Austin, TX)
- …evaluation for coverage determination requests for prior authorization (PA) or other utilization management ( UM ) programs, including quantity limits, step ... Pharmacist is responsible for the processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step therapy,… more