- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- Cedars-Sinai (Beverly Hills, CA)
- …Arizona, Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical ... and incorporate payor clinical criteria into medication use guideline. The Prior Authorization Pharmacist also provides supports in navigating and obtaining… more
- CVS Health (Carson City, NV)
- …with heart, each and every day. **Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must hold ... Carolina. This Pharmacist will: * Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan… more
- US Tech Solutions (May, OK)
- …hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... and after hours pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… 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
- University of Washington (Seattle, WA)
- …MONTLAKE PHARMACY DEPARTMENT** has an outstanding opportunity for a **PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER** . **WORK SCHEDULE** * Per Diem * Day ... specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the...shall be performed under the supervision of a registered pharmacist **PRIMARY JOB RESPONSIBILITIES** * Review and screen new… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more
- CVS Health (Texarkana, AR)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... the bar for the pharmacy team. As a Staff Pharmacist , you play a critical role at the forefront...the state where the District is located - required ** Prior Relevant Work Experience** **:** 1 to 3 years… more
- Ardon (Portland, OR)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... As we continue to grow, we are seeking a Clinical Pharmacist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are passionate about… more
- CVS Health (Buffalo Grove, IL)
- …and enterprise initiatives. Knowledge of utilization management interventions including prior authorization , step therapy, quantity limits and formulary ... of managed care experience, inclusive of UM development experience and prior authorization experience - Demonstrated understanding of utilization management… more
- Northern Light Health (Bangor, ME)
- …pharmacy. * Clinical Duties as directed including but not limited to: * Prior Authorization Completion * Financial Assistance Procurement * Counseling and ... duties as deemed appropriate by Assistant Pharmacy Managers, the Pharmacist -In-Charge, and/or the Pharmacy Business Operations Manager. Responsibilities: * Neat… more
- HCA Healthcare (Jourdanton, TX)
- …Pharmacy B. Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy Essential Job ... We care like family! Jump-start your career as a(an) Clinical Pharmacist today with Methodist Hospital Atascosa. **Benefits** Methodist Hospital Atascosa, offers… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- US Tech Solutions (AZ)
- …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... **Job Title:** ** Pharmacist ** **Location: Remote** **Duration: 12+ months contract** **Job...healthcare. **Skills:** + Prior Authorization . + Medicare. + ...healthcare. **Skills:** + Prior Authorization . + Medicare. + Prior … more
- HCA Healthcare (San Antonio, TX)
- …of Pharmacy or Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy. + ACLS/PALS and ... We care like family! Jump-start your career as a(an) Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits** Methodist… more
- HCA Healthcare (Dallas, TX)
- …of Pharmacy 2. Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy + ACLS/PALS and NALS ... **Description** **Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position**...pharmacy Licenses/Certifications + Must have ONE of the following prior to the first day of employment: 1. Current… more
- HCA Healthcare (San Antonio, TX)
- …of Pharmacy or Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy. + ACLS/PALS and ... Do you have the career opportunities as a(an) Clinical Pharmacist Specialist you want with your current employer? We...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… more
- HCA Healthcare (Nashville, TN)
- …of Pharmacy + Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy. + ACLS/PALS and NALS ... you have the PRN career opportunities as a(an) Clinical Pharmacist Specialist BMT Oncology PRN you want with your...Specialty (BPS) certification **ONE** of the following is required prior to the first day of employment: + Current… more
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