- Adecco US, Inc. (Woonsocket, RI)
- Adecco is currently assisting a National Pharmaceutical client, recruiting for a REMOTE Prior Authorizations Pharmacist . Schedule: CST 8-hour shifts The ... pharmacist is review and complete criteria based on prior authorization as per policy and procedure. Candidates must...pharmacist . + Previous pharmacy experience in PBM or Prior Authorization a MUST. Work from home requirements: +… more
- Trinity Health (Grove City, OH)
- … Pharmacist with medication or patient care related issues + Assist the Pharmacist with prior authorizations for medications + Documents the distribution ... of medication for proper use and reimbursement in accordance with department policy. **Minimum Qualifications:** + Education: High school graduation or equivalent + Licensure / Certification: Approved Pharmacy Technician Certification and active registration… more
- Trinity Health (Westerville, OH)
- … Pharmacist with medication or patient care related issues + Assist the Pharmacist with prior authorizations for medications + Documents the distribution ... of medication for proper use and reimbursement in accordance with department policy. **Minimum Qualifications:** + Education: High school graduation or equivalent + Licensure / Certification: Approved Pharmacy Technician Certification and active registration… more
- Trinity Health (Dublin, OH)
- … Pharmacist with medication or patient care related issues + Assist the Pharmacist with prior authorizations for medications + Documents the distribution ... of medication for proper use and reimbursement in accordance with department policy. **Minimum Qualifications:** + Education: High school graduation or equivalent + Licensure / Certification: Approved Pharmacy Technician Certification and active registration… more
- Highmark Health (Wexford, PA)
- …for a 1-year commitment This position supports the network centralized prior authorization department. Coordinates and administers the effective and efficient ... processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits are administered...and prepares such cases for clinical review by a pharmacist and/or medical director when required. (20%) + Within… more
- Adecco US, Inc. (Phoenix, AZ)
- …and Decision-Making: Serve as a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization ... A Prior Authorization Pharmacist position is now available through Adecco Healthcare and Life Science. The essential functions of a Pharmacists in Prior … more
- US Tech Solutions (May, OK)
- …calls from physicians or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Ensure accuracy of case setup and ... based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …located at the North West San Antonio VA Clinic. A clinical pharmacist (CP) handles routine medication-related activities in accordance with local, Veterans ... both accuracy and appropriateness using acceptable pharmacy practice standards. Enters Prior Authorization Drug Requests (PADRs) into electronic health record system… more
- US Tech Solutions (May, OK)
- …take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations , internally support the Prior Auth team and ... and telephony programs. + Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a… more
- Veterans Affairs, Veterans Health Administration (Birmingham, AL)
- Summary The Clinical Pharmacist is responsible for providing a variety of pharmaceutical services, including but not limited to verifying medication orders, ... Rewards of a Allied Health Professional FUNCTIONS/SCOPE OF DUTIES: 1) The Pharmacist recommends appropriate selection of drug therapy based upon the pharmaceutical… more
- Actalent (Eagan, MN)
- …leveraging your clinical skills to complete utilization management (UM) reviews-including prior authorizations , coverage exceptions, step therapy, and quantity ... Now Hiring: Pharmacist - 100% Remote | $55/hr | Consultant-to-Hire...You'll Do + Conduct detailed UM reviews, such as prior authorizations and formulary exceptions using client-specific… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …drug management + Perform medical necessity reviews for formulary exceptions and prior authorizations according to the Medicare Part D defined guidelines ... The Clinical Pharmacist in addition to being responsible for the...+ Make recommendations on utilization management edits such as Prior Authorization, Step Therapy and Quantity Limits + Provide… more
- US Tech Solutions (AZ)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + Performs ... pharmacist availability could be required. (10%) **Experience:** + Pharmacist License of Current State + Prior ...+ Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working… more
- UHS (Johnson City, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- UHS (Walton, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... plan approved criteria for prospective and concurrent reviews of cases. authorizations . **Responsibilities:** 1. Collaborates with the CRU Technician to process… more
- Actalent (Eagan, MN)
- …be utilizing your clinical skills to complete utilization management reviews ( Prior authorizations , Coverage Exceptions, Quantity Limit exceptions, and more). ... Pharmacist (Fully Remote) Location: Remote (US only; excluding...(PharmD) or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with the State Board… more
- Atlantic Health System (Morristown, NJ)
- …services and medication access, including medication histories, medication education, prior authorizations , specialty pharmacy navigation, and formulary agent ... The Cystic Fibrosis (CF) Clinical Pharmacist position will provide pharmacotherapeutic support to the...fibrosis in the ambulatory care setting. The CF clinical pharmacist will ensure optimal medication use, support adherence, and… more
- Actalent (Houston, TX)
- …Overview Join a remote team conducting utilization management reviews (eg, prior authorizations , coverage exceptions). Work independently within a collaborative ... Pharmacist (Remote) Location: Remote (US only; excluding CA,...retail, managed care, or clinical pharmacy + Active US pharmacist license in good standing + Strong decision-making and… more
- Actalent (Denver, CO)
- …utilizing your clinical skills to complete utilization management reviews, including prior authorizations , coverage exceptions, and quantity limit exceptions. ... Remote Pharmacist (100% remote; Entry Level, PBM) Long-Term Opportunity...in retail, managed care, or clinical pharmacy. + Current pharmacist license in good standing with the State Board… more