- CVS Health (VA)
- … Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... experience using clinical resources, eg, Micromedex, Lexicomp, Clinical Pharmacology * Prior authorization ... authorization pharmacy technicians and/or providers for clinical information. * Active pharmacist license that… more
- Elevance Health (Richmond, VA)
- …GA, Indianapolis, IN, Richmond, VA, Miami, FL, Mason, OH **Title** : Senior Clinical Pharmacist **Hybrid:** This role requires associates to be in-office 1 ... granted as required by law.** **Shift:** Monday-Friday Daytime Hours The **Senior Clinical Pharmacist ** is responsible for developing and implementing pharmacy… more
- Prime Therapeutics (Richmond, VA)
- …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
- Prime Therapeutics (Richmond, VA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Technician - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Richmond, VA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Elevance Health (Richmond, VA)
- … authorization decision trees within the workflow tool + Assists in implementing clinical programs within the prior authorization space + Verifies member, ... for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you… more
- Bon Secours Mercy Health (Kilmarnock, VA)
- …or a prescriber's agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an ... those drugs from inventory locations; counting and pouring drugs into containers prior to dispensing by a pharmacist ; performing non-sterile drug compounding… more
- Highmark Health (Richmond, VA)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as… more