- Actalent (Chicago, IL)
- …your clinical skills to conduct utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions. You will work ... Job Title: Pharmacist I Job Description In this role, you...months for extension. Responsibilities Conduct utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions. Work… more
- Northwestern Memorial Healthcare (Chicago, IL)
- …care of our employees. Ready to join our quest for better? Job Description The Clinical Pharmacist reflects the mission, vision, and values of NM, adheres to the ... procedures, guidelines and all other regulatory and accreditation standards. The Clinical Pharmacist is responsible for identifying, preventing, and/or resolving… more
- NYC Health Hospitals (New York, NY)
- …including restricted drugs and any required drug request documentation. Understands prior authorization process for insured patients and is responsible ... Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified… more
- The Judge Group Inc. (Batavia, IL)
- …is seeking a Remote Pharmacist in Illinois ! Job Details: Title: Remote Pharmacist ( Prior Authorization ) Location: Remote must be licensed in state of ... computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information *Consult… more
- University of Massachusetts Medical School (Shrewsbury, MA)
- …client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client member's drug therapy. ... pharmacists, reviewing appropriate drug therapy, coordinating and managing the request for prior authorization process, and participating in the development of … more
- Pyramid Consulting, Inc. (Miami, FL)
- …clinical rounds presentations Key Requirements and Technology Experience: Key Skills;Registered Pharmacist Prior authorization Pharm D Required: Bachelors ... Immediate need for a talented Pharmacist ( Prior Auth) . This is...and clinical programs to be initiated Monitor prior authorization requests Provide clinical … more
- UW Health (Middleton, WI)
- …in Wisconsin as a leader on our pharmacy team. We are seeking an Clinical Pharmacist to: Provide medication therapy management services to assure that drug ... and duties, including pharmacy administration, pharmacy primary care services, medication prior authorization , sterile and non-sterile compounding, unit dose… more
- Intermountain Healthcare (Midvale, UT)
- …action, up to termination, at the hiring manager's discretion. Preferred Prior Authorization processing preferred Physical Requirements: Physical Requirements ... provides excellent customer service as appropriate to practice site. Assists the pharmacist in collecting clinical and other patient information and maintaining… more
- Beth Israel Lahey Health (Boston, 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
- University Hospitals (Cleveland, OH)
- …Improve patient service experience and maximize pharmacy revenue through provision of prior authorization services on behalf of patients needing high cost ... This position will work with Home Care RN Coordinators, Pharmacist and other clinical teams to ensure...by directly communicating with patients. Complete initial and renewal prior authorization forms, negotiate authorization … more
- Shields Health Solutions (Hartford, CT)
- …in partnership with our centralized Patient Support Center, perform benefits investigation, prior authorization , and financial assistance work needed to ensure ... are supported throughout their medication therapy Proactively communicate and triage any clinical questions to an appropriate clinician ( pharmacist , nurse, or… more
- Actalent (Canutillo, TX)
- …service. Registered Pharmacy Technician and Certified Pharmacy Technician credentials. Prior authorization experience. Additional Skills & Qualifications ... Pharmacy technicians will operate in an EST timezone, primarily reviewing Prior Authorizations for coverage determination within a Pharmacy Services department… more
- CVS Health (Tallahassee, FL)
- …each and every day. **Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must hold active ... Pharmacist will: * Evaluate and review all prior authorization requests and render coverage determinations...Micromedex, Lexicomp, Clinical Pharmacology * 2+ years prior authorization experience in managed care (PBM)… more
- Penn Medicine (Philadelphia, PA)
- …work? Penn Medicine is seeking a full-time, day shift (hybrid) Clinical Pharmacist , Ambulatory/Retail for our prior authorization team at our specialty ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Adecco US, Inc. (Phoenix, AZ)
- …to work as effective team members. This position is for a Clinical Pharmacist working in the Prior Authorization unit within Customer Service department ... A Prior Authorization Pharmacist position...A Prior Authorization Pharmacist position is now available...Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced… more
- Cedars-Sinai (Beverly Hills, CA)
- …California and nine years in a row on the "Best Hospitals" Honor Roll. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical ... information to the outpatient clinic sites of care and patients. The Clinical Prior Authorization Pharmacist Specialist will also supervise the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception requests from providers via phone ... from the Hingham office 2x per month. ROLE RESPONSIBILITIES: + Participation in Prior Authorization , Formulary Exception, Step Therapy and Quality Care Dosing… more
- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... The clinical pharmacist is an operation based... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… more
- UCLA Health (Los Angeles, CA)
- …and if needed coordinate with the prescribing provider to update orders per protocol prior to authorization submission. You will serve as the primary ambulatory ... in Oncology (required) + Prior Infusion Experience (preferred) + Prior Medical Benefit Authorization Experience (strongly preferred) + Epic experience… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - ( Prior Authorization ) - Contingent Exemption ... and conduct retrospective drug use reviews. + Review medication prior authorization requests and appeals. + Develop...degree in related discipline) + Practical experience as a clinical pharmacist in formulary management or ambulatory… more
