- 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 + ... for performing criteria-based and clinical reviews of medical data to process prior authorization requests. This role involves direct interaction with… more
- US Tech Solutions (May, OK)
- … prior authorization as per policy and procedure. + The Pharmacist / Clinician will apply clinical knowledge to plan approved criteria for reviews of ... urgent PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical… more
- CVS Health (TX)
- …based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist / Clinician will apply ... heart, each and every day. **POSITION SUMMARY** : The Pharmacist / Clinician is an operation-based role that conducts... pharmacist in a PBM setting. + Demonstrated prior authorization experience + Knowledge of Microsoft… more
- Beth Israel Lahey Health (Burlington, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic administered or… more
- Beth Israel Lahey Health (Westwood, MA)
- …**Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and ... reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related...provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. 5. Serves… more
- Option Care Health (Peachtree Corners, GA)
- …patient contact to ascertain supply needs as designated by the clinician and establish relationship with client. Communicates information to appropriate personnel ... on system. Coordinates and executes shipping schedule. Communicates with Nurse and Pharmacist to ensure availability of patient supplies and confirms deliveries. +… more
- Prime Therapeutics (Des Moines, IA)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... Title** Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building and maintaining customer relationships as well… more