- CVS Health (Salt Lake City, UT)
- …AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design ... * Board Certified Oncology Pharmacist (BCOP) required * 2+ years clinical pharmacist experience, inclusive of prior authorization experience * Knowledge of… more
- CVS Health (Salt Lake City, UT)
- …Responsibilities: 1.) Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan ... And we do it all with heart, each and every day. **Position Summary:** The Clinical Pharmacist is an operation-based role that conducts criteria based & … more
- Molina Healthcare (Layton, UT)
- …**KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage determinations and appeals in a timely, compliant, and accurate ... requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug...manner. The Pharmacist , UM will also be responsible for serving as… more
- Prime Therapeutics (Salt Lake City, UT)
- …to work the fax queue, responsibilities will also include: + Clinically reviews coverage determinations with attention to detail, for medications via Fax. ... office staff, medical management staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. +… more