- CVS Health (AR)
- …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
- US Tech Solutions (May, OK)
- **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data ... authorization for commercial and specialty medications. + The clinical pharmacist will apply clinical ...the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid , Commercial Prior Authorization and Case Review… more
- HCA Healthcare (Jourdanton, TX)
- …individual is recognized. Submit your application for the opportunity below: Clinical Pharmacist Methodist Hospital Atascosa **Benefits** Methodist Hospital ... benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure...License, Certificates, or Registrations Required: ONE of the following prior to the first day of employment: A. Current… more
- US Tech Solutions (May, OK)
- …medical data collected to perform prior authorization for medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria ... Sunday-Thursday 8am-4:30pm local time zone** **Job Description:** + The clinical pharmacist is an operation based role...is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. + This… more
- Atlantic Health System (Morristown, NJ)
- The Cystic Fibrosis (CF) Clinical Pharmacist position will provide pharmacotherapeutic support to the pediatric and adult patients living with cystic fibrosis in ... the ambulatory care setting. The CF clinical pharmacist will ensure optimal medication use, support adherence, and actively contribute to individualized care… more
- Molina Healthcare (Mesa, 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
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity… more
- Molina Healthcare (Orlando, FL)
- …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
- Adecco US, Inc. (Henderson, NV)
- …work weekends, holidays, and overtime as needed **Key Responsibilities** . Review prior authorization requests and make clinical coverage determinations . ... thrive in a fast-paced, call center-style environment and enjoy applying clinical criteria to real-time benefit decisions. **Position Details** . **Type:** 6-Month… more
- General Dynamics Information Technology (Raleigh, NC)
- …Required:** None **Job Family:** Healthcare Services **Skills:** Call Center, Clinical Pharmacy, Medicaid ,Pharmacy,Pharmacy Services **Experience:** 1 + years ... of related experience **US Citizenship Required:** Yes **Job Description:** HEALTHCARE CLINICAL EVALUATOR PRINCIPAL Responsible for reviewing prior approval… more
- Marshfield Clinic (Weston, WI)
- …the most exciting missions in the world!** **Job Title:** Clinical Pharmacy Specialist **Cost Center:** 301691245 WesHos-Pharmacy-Inpatient **Scheduled Weekly ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Clinical Pharmacy Specialist works with physicians, staff, and committees to optimize… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Women's Health Clinical Account Specialist (WHCAS) supports customers by providing clinical information on our Company's ... products, as well as education, and supporting clinical training programs. They do this to support customer needs, to help the provider or system meet the goals of… more
- US Tech Solutions (RI)
- …reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- US Tech Solutions (May, OK)
- …reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- US Tech Solutions (May, OK)
- …+ Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties as needed ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...working in PBM on managed care environments **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- Actalent (Tampa, FL)
- …As a Pharmacy Technician, you will play a crucial role in reviewing Prior Authorizations for coverage determination. You will be responsible for approving or denying ... requests and sending them to a Pharmacist for final review. This role involves handling all...determination requests. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve or deny requests… more
- Penn Medicine (Lancaster, PA)
- …enter prescriptions, patient health information and insurance information into the clinical pharmacy information system for pharmacist review. + Communicates ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Penn Medicine (Lancaster, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... POSITION SUMMARY: Under the direction and supervision of a registered pharmacist , the pharmacy technician performs various functions associated with the dispensing,… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society… more