- Adecco US, Inc. (Cumberland, RI)
- Job Title: Clinical Pharmacist - Prior Authorization Location: Fully Remote (US) Pay Rate: $52.98 - $ 56.00/hour Schedule: 7:00 AM - 10:00 PM CST (8-hour ... expected; possible weekend shifts) We are seeking a Clinical Pharmacist to join our Prior Authorization team. This is an operations-based role where you… more
- Veterans Affairs, Veterans Health Administration (Saginaw, MI)
- Summary The clinical pharmacist is a licensed professional with knowledge and proficiency in pharmacy practice including pharmaceutics, pharmacokinetics, ... pharmacodynamics and pharmacotherapeutics. The incumbent is responsible for adjudicating Prior Authorization Drug Requests (PADRs) in an effective and efficient… more
- US Tech Solutions (May, OK)
- …years of clinical experience with *specialty medications* or clinical review of prior authorization requests. **Skills:** + Pharmacist + Prior ... clinical reviews of medical data collected to perform prior authorization for specialty medications. + The... authorization for specialty medications. + The clinical pharmacist will apply clinical … more
- US Tech Solutions (RI)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… more
- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacist /Clinician - Prior Authorization Location: Remote Pay Rate: $52.98 - $ 56.00/hour Training + Dates: October 27 - December 12, 2025 + ... Pharmacist /Clinician is responsible for performing criteria-based and clinical reviews of medical data to process prior... clinical reviews of medical data to process prior authorization requests. This role involves direct… more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based...Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical … 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 (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 (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 (Lansing, MI)
- …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
- Premera Blue Cross (WA)
- … clinical drug utilization management programs. + Assist in administering Pharmacy Prior Authorization and other clinical pharmacy programs. Identify and ... we serve through our Healthsource blog: https://healthsource.premera.com/ . As a ** Clinical Pharmacist ** , you will play a pivotal role in developing,… more
- Adecco US, Inc. (Henderson, NV)
- …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
- BlueCross BlueShield of North Carolina (NC)
- …will provide timely drug therapy for health plan members by reviewing and processing prior authorization requests using clinical judgment and medical policy. ... **Job Description** We are seeking a Clinical Pharmacist to join our team!...work that can help others lead healthier, happier lives. ** Authorization to Work in the United States** We use… 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 (Layton, UT)
- …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
- US Tech Solutions (May, OK)
- …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...**Skills:** + Prior Authorization + Medicare Part D **Education:**… more
- CVS Health (Pittsburgh, PA)
- …plans. **Utilization Management** + Understand UM development and management, including prior authorization , step therapy, quantity limits, and formulary ... and regulatory partners. **Required Qualifications:** + PharmD or equivalent clinical pharmacy degree. + Active pharmacist license...care experience. + 3+ years of relevant UM or prior authorization experience. + Strong understanding of… more
- Penn Medicine (Philadelphia, PA)
- …is seeking a full-time, day shift (hybrid) Clinical Pharmacist , Ambulatory/Retail for our benefits investigation/co-pay assistance/ prior authorization ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more