- Accede Solutions, Inc. (Mclean, VA)
- The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the Preferred Drug list (PDL) to determine ... proper medication therapy. The PA pharmacist will work with internal and external stakeholders in...Peer to Peer discussions with medical providers to discuss Prior Authorization reviews. Consultations/Interventions: work with staff… more
- The Judge Group Inc. (Lawrence, KS)
- …currently seeking a CLINICAL PHARMACIST in Kansas! Scope of Role: Title : Remote Pharmacist ( Prior Authorization ) Location : Remote must be licensed in ... with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases Work is computer based and include… more
- LOWELL COMMUNITY HEALTH CTR. (Lowell, MA)
- …clean working environment by complying and enforcing procedures and policies Initiates prior authorization requests and assist to resolve medication billing ... a positive work environment to support professional growth and development. As a pharmacist at Lowell Community Health Center, you are a member of the healthcare… more
- CVS Health (Pittsburgh, PA)
- …and enterprise initiatives. Knowledge of utilization management interventions including prior authorization , step therapy, quantity limits and formulary ... care experience - 3+ years relevant UM work experience and demonstrated prior authorization experience - Demonstrated understanding of utilization management… more
- Salt River Pima-Maricopa Indian Community (Scottsdale, AZ)
- …the formulary and policies. *Knowledge of and experience with Pharmacy Billing and Prior Authorization processes. *Skill preparing and dispensing all classes and ... Date: 8/8/2025 11:59 PM Arizona Definition Definition: Under direction of the Chief Pharmacist , serves as a Staff Pharmacist filling authorized prescriptions and… more
- Pyramid Consulting, Inc. (Austin, TX)
- …recommend plan design changes, and clinical programs to be initiated Monitor prior authorization requests Provide clinical support to internal departments and ... Immediate need for a talented Clinical Pharmacist 1 . This is a 08+months Possible...members including clinical rounds presentations This team reviews medication prior authorization requests and coverage determinations for… more
- Iconma LLC (Syracuse, NY)
- Our Client, a Healthcare company, is looking for a Pharmacy Prior Authorization Technician for their Syracuse, NY / Dewitt, NY/ Rochester, NY/ Utica, NY/ ... across all lines of business including Medicare D to determine what type of prior authorization review is required, documents any relevant medication history and… more
- Mount Sinai Hospital (New York, NY)
- …Appropriately checks all work conducted by non-licensed personnel requiring direct pharmacist supervision and authorization , eg, unit-dose cassette filling, IV ... Ensures rational drug therapy by reviewing inpatient and outpatient medication orders prior to dispensing. Evaluates new orders against existing patient profiles and… more
- Curant Health (Smyrna, GA)
- …judgment to plan and accomplish goals. Provides clinical assistance in review/preparation of prior authorization and/or appeals as needed. Maintain harmony and a ... patients. Curant Health is searching for a PRN Clinical Pharmacist to join its team in Smyrna, GA ....team in Smyrna, GA . As the PRN Clinical Pharmacist , we will look to you to perform… more
- Optum (Hillsboro, OR)
- …National Pharmacy Technician Certification 1+ years of Retail Pharmacy Technician experience Prior Authorization experience Bilingual in Spanish and English Pay ... necessary clerical duties while under the direct supervision of a registered pharmacist . Location Address: 535 SE Washington St., Hillsboro, OR 97123 Schedule:… more
- Ascension (Austin, TX)
- …assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. Assist Pharmacist in preparation of ... assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. Assist Pharmacist in preparation of… more
- The Judge Group Inc. (Austin, TX)
- …Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information ... Our client is currently seeking a CLINICAL PHARMACIST PATIENT CARE to join their team on-site!...interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases Consult with pharmacy technicians… more
- Molina Healthcare (Long Beach, CA)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... CMS guidelines. These staff may also be involved in providing utilization management/ prior authorization services as needed. *Supervises the unit's daily… more
- Beth Israel Lahey Health (Needham, MA)
- …medication reconciliation. To support outpatient clinics, the Pharmacy Technician trained in prior authorization management will complete and submit Prior ... technician with national certification and proper internal training: Receives requests for Prior Authorization from pharmacy or Tier Exception/PAF request from… more
- UnitedHealth Group (Sugar Land, TX)
- …a high volume of inbound and outbound calls, averaging 50+ daily. Answering Prior Authorization inquiry calls/requests with customer service skills as well as ... using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for… more
- Walgreens (St. Petersburg, FL)
- …all external billing practices including but not limited to third party adjudications, prior authorization , and patient financial assistance programs in order to ... to maximize generic substitution opportunities. Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy. Ensure… more
- Intermountain Healthcare (Midvale, UT)
- …action, up to termination, at the hiring manager's discretion. Preferred Prior Authorization processing preferred Physical Requirements: Physical Requirements ... demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, safe, efficacious, efficient, and cost-effective… more
- Jobs for Humanity (Elk Grove, CA)
- …California Job Description Job Description: CCHCS seeks to fill a Permanent/Full-time Pharmacist I position in the Medical Services, Central Fill Pharmacy. Under the ... direction of the Medical Services, Pharmacy Services, Central Fill Pharmacy Pharmacist II, the Pharmacist I performs pharmacy duties related to the clinical use… more
- UNC HEALTH (Morrisville, NC)
- …to stock and processes credits. 6. Solves issues with patient payment ( prior authorization , patient assistance needed, etc.). Sells prescriptions to patients ... we serve. Summary: The Certified technician provides general support to the pharmacist by receiving, reviewing, compounding and dispensing medications. All work is… more
- Integrated Resources, Inc. (Orlando, FL)
- Onsite Duties: The Pharmacy Technician supports the pharmacist in providing safe and appropriate pharmacy services to patients in accordance with the policies and ... The Pharmacy Technician works under the direct supervision of a licensed pharmacist and assists in the dispensing process by performing data entry, prescription… more
