- Pennsylvania Medicine (Lancaster, PA)
- …to identify task requirements and monitor progress toward accomplishment. Credentials: Pharmacist (Required) Education or Equivalent Experience: Ph. D . (Required) ... future each day. Are you living your life's work? Job: Ambulatory Pharmacist Clinician Hours: Mon, Tues, Friday: 8:00am-4:30pm Thursday: Evening STI Clinic:… more
- Pharmacy Careers (Cincinnati, OH)
- …pharmacy experience preferred. Compassionate communicator with strong organizational skills. Familiarity with Medicare Part D regulations. Why Join Us? ... Rehabilitation & Long-Term Care Pharmacist Support patient recovery and independence through personalized medication plans. Key Responsibilities: Review and monitor… more
- Medasource (Detroit, MI)
- …and operational processes for current and future Clinical Pharmacy Star Measures and Medicare Part D products. This includes executing member, provider ... *Create branch-tree logic for resolving claims issues and member complaints *Review calls between Medicare Part D members and CSRs *Maintain call logs in… more
- Remedi SeniorCare Holding Corporation (Rosedale, MD)
- …and acts in accordance with Corporate Compliance Policies & Procedures: HIPAA/Privacy Policy Medicare Part D General Compliance and Fraud, Waste and ... As permitted by regulation, and under the supervision of the pharmacist , assist with follow-up, troubleshooting, problem solving and clarifications. Assists with… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit ... The Clinical Pharmacist in addition to being responsible for the...for formulary exceptions and prior authorizations according to the Medicare Part D defined guidelines… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... information and completing timely and accurate documentation of all Medicare Part D requests, in...Prior Authorization Call Handling. **Education:** **Bachelor's Degree Required, Pharm D & Pharmacist License of Current state… more
- US Tech Solutions (May, OK)
- … availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical...2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** +… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... information and completing timely and accurate documentation of all Medicare Part D requests, in...and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum… more
- US Tech Solutions (May, OK)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Job Title:** ** Pharmacist Operations Advisor** **Location: Remote** **Duration: 6+ months...experience. **Education:** + Pharm D . required with at least two years experience as… more
- Elevance Health (Miami, FL)
- …in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly desired. + Experience ... **Be Part of an Extraordinary Team** CarelonRx is a...**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Pharmacist Clinical **Location(s):** Miami, FL Hybrid: This role requires… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …(eg PBM) to assist in the development, communication and implementation of Commercial and Medicare Part D formulary and clinical program offerings. + ... your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the...ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to maintain compliance with all regulatory requirements. + Support product portfolio, including Medicare Part D which includes rotational weekend and holiday ... healthcare? Bring your true colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity...providers via phone and fax for the Retail Pharmacy, Medicare Advantage Part D , Home… more
- US Tech Solutions (TX)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Job Title:** **Prior Authorization Pharmacist ** **Location:Remote** **Duration: 6+ months contract** **Job Description:**...experience. **Education:** + Pharm D . required with at least two years experience as… more
- Molina Healthcare (Vancouver, WA)
- …and unrestricted State Pharmacy License for workplace and plan location. **Preferred Experience** + Medicare Part D or Medicaid experience. + Managed care ... outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage determinations… more
- Adecco US, Inc. (Phoenix, AZ)
- …and Policy Compliance: Maintain full compliance with state and federal pharmacy laws, Medicare Part D , Medicaid, and commercial benefit regulations. ... A Prior Authorization Pharmacist position is now available through Adecco Healthcare...effective team members. This position is for a Clinical Pharmacist working in the Prior Authorization unit within Customer… more
- HCA Healthcare (Marion, NC)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Pharmacist PRN you want with your current employer? We have an exciting ... for you to join Mission Hospital McDowell which is part of the nation's leading provider of healthcare services,...of colleagues. Do you want to work as a(an) Pharmacist PRN where your passion for creating positive patient… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …May be required to be on-call in certain situations. + Bachelor's Science or Pharm D required + Active Pharmacist license in the state you are practicing ... value even more. Join our team as a Clinical Pharmacist . This position interprets provider orders and prescriptions, compounds...the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It… more
- Adecco US, Inc. (Henderson, NV)
- …providers to clarify clinical information and explain determinations . Ensure compliance with Medicare Part D , Medicaid, and commercial plan guidelines . ... care **Requirements** . Bachelor's or Doctorate of Pharmacy . Active, unrestricted US pharmacist license (any state) . At least 6 months of healthcare or call… more
- State of Massachusetts (Worcester, MA)
- …and protective device forms * Communicates with pharmacist to provide and ensure Medicare Part D insurance plans are in place. * Responsible for ... by the RN Managers and State Operations Directors. As part of daily assignments, the incumbent will be required...to meet the needs of the program/area office./ As part of daily assignments, the incumbent will be required… more
- US Tech Solutions (RI)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided ... of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
