- Trinity Health (Westerville, OH)
- …the 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 as a… more
- Accede Solutions, Inc. (Mclean, VA)
- …on prescribing practices that have been identified as outliers. Reviews prior authorizations data and determine opportunities for interventions. Intervention ... The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the Preferred Drug list (PDL) to determine proper… more
- Actalent (Raleigh, NC)
- …utilize your clinical skills to conduct utilization management reviews, including prior authorizations , coverage exceptions, and quantity limit exceptions. You ... Clinical Review Pharmacist (100% Remote, Entry-Level) Pharmacist License...months for extension. Responsibilities Conduct utilization management reviews, including prior authorizations , coverage exceptions, and quantity limit… more
- Actalent (Kansas City, MO)
- …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...experience in retail, managed care, or clinical pharmacy. Current pharmacist license in good standing with the State Board… more
- Pharmacy Careers (Mckinney, TX)
- …overcome the cost barrier-become their healthcare advocate. Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate with insurance ... on affordable medication options and therapeutic alternatives. Qualifications: Active pharmacist license and experience with payer systems. Experience in specialty… more
- Shields Health Solutions (Irving, TX)
- …the supervision of a pharmacist . Resolve insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial ... assistance. Ensure appropriate documentation in all required systems/tracking mechanisms. Manage, organize, and update relevant data using database applications. Apply observations and recommendations to operational issues, increased productivity, quality, and… more
- Sanford Health (Sioux Falls, SD)
- …Utilization Management services for member or prescriber requests for Pharmacy Prior Authorizations and Formulary Exception Requests. Manages communication of ... to practice pharmacy in the State of South Dakota. Pharmacist license in the State of North Dakota required...within four months of date of hire into position. Pharmacist license in the State of Minnesota required within… more
- Walgreens (Brooklyn, NY)
- …needed to correct inaccurate orders. Under the supervision of the pharmacist -in-charge, verifies all pharmacy shipments are posted for products physically received ... departments and pharmacy scan outs. Under the supervision of the pharmacist -in-charge, completes pharmacy inventory activities including but not limited to pharmacy… more
- Mercyhealth (Lake Geneva, WI)
- …under the supervision of a pharmacist . *Initiate, follow-up, and obtain Prior Authorizations . *Prepare, send, and receive orders for medications and ... of sale. *Perform other duties as assigned under the direction of the pharmacist . Culture of Excellence Behavior Expectations To perform the job successfully, an… more
- Equitas Health (Columbus, OH)
- …best practices. *Work with physicians' offices and insurance companies to obtain prescription authorizations and prior authorizations . *Master Ohio HIV Drug ... the check-out and/or shipment of prescriptions, processes any insurance claims, prior authorization and patient assistance program paperwork, and helps with… more
- UnitedHealth Group (Las Vegas, NV)
- …customers, and/or providers. This position exists to take incoming requests for prior authorizations , for formulary and non-formulary medications, while ensuring ... and resolve formulary and benefit issues using the appropriate reference material Process prior authorizations through multiple computer systems and use of job… more
- MedStar Health (Washington, DC)
- …pharmacy staff to troubleshoot any issues requiring intervention including prior authorizations , clarifications, re-writes, referrals, and alterative ... room and shows medications to patient; offers and facilitates counseling by a pharmacist if requested; hands prescriptions to patient's nurse in secure bag for… more
- Village Care (New York, NY)
- …of pharmacy requests and phone calls. Review monthly pharmacy reports and prior authorizations as assigned. Assist management by preparing and analyzing ... We would like to speak to those who have a current NYS Registered Pharmacist Technician License along with 2+ years' experience in a Managed care environment and… more
- City of Hope (Newport Beach, CA)
- …operation. Prescription order entry and process. Coordination and submission of prior authorizations . Determination of patient's prescription benefits and seeks ... requires a California Registered Technician who will operate under Pharmacist Supervision. The primary responsibilities include packaging, preparation, and… more
- My career (Southfield, MI)
- …care transitions, such as hospital discharges. Assist with medication refills, prior authorizations , and delivery coordination. Data Entry & Documentation ... with accuracy. Identify and resolve discrepancies in medication lists with the pharmacist . Patient Support & Education Educate patients on proper medication use,… more
- Tiburcio Vasquez Health Center (San Leandro, CA)
- …management interventions in the EHR. Coordinate prescription access issues including prior authorizations , 340B, copay assistance, and specialty pharmacy ... - Care Management Coordinator plays a vital role in supporting a pharmacist -led chronic disease and medication therapy management (MTM) program. This dual-function… more
- Kettering Health (Dayton, OH)
- …Cancer Center. The MAC will complete benefit investigation, initiate and complete prior authorizations , and assess patient financial assistance needs. Performs ... of the position. Preferred Qualifications Preferred knowledge of patient assistant programs Preferred prior experience with EPIC Preferred Oncology knowledge more
- Cleveland Clinic (Cleveland, AL)
- …This proactive team ensures patients receive personalized care by managing prior authorizations , patient assistance programs, and comprehensive medication ... timely access to high-cost therapies through proactive patient outreach, prior authorization, and patient assistance support. Mentors pharmacists, residents, and… more
- 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 (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
