- Premera Blue Cross (Mountlake Terrace, WA)
- …an accredited Pharmacy program. **(Required)** + (2) years of experience as a pharmacist . **(Required)** + Prior authorization experience strongly preferred. ... internal and external stakeholders. + Support and assist in administering Pharmacy Prior Authorization and other clinical pharmacy programs. + Provide clinical… more
- 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
- Adecco US, Inc. (San Diego, CA)
- …open to work these hours and be flexible) **Responsibilities of the Pharmacist :** . Engage members telephonically and schedule pharmacist consultation ... duties as assigned by Operations Manager **Qualifications of the Pharmacist :** . Bachelor's Degree in Pharmacy or PharmD ....Degree in Pharmacy or PharmD . Current and unrestricted Pharmacist license in California . Must reside within California… 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)
- …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
- CVS Health (Austin, TX)
- …for a Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the ... each and every day. Ready to take your Clinical Pharmacist skills to the next level with a Fortune...technicians and prior authorization team members to process referrals, including answering clinical… more
- MetroHealth (Valley View, OH)
- …Pharmacy benefits verifications and payor preauthorization. Provides clinical oversight for Prior Authorization Specialists and is a resource for providers ... Ohio Board of Pharmacy approved institution. Possesses a current Pharmacist License from the State of Ohio Board of...of the following: * 1 year of experience with prior authorization practices or within a Pharmacy… 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
- Actalent (Austin, TX)
- …Skills Pharmacist , Retail, Clinical, Pharmacy Benefits Management, Pharmacy, Prior authorization , Pharmd, Compounding Top Skills Details Pharmacist ... be utilizing your clinical skills to complete utilization management reviews ( Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... pharmacist will apply clinical knowledge to plan approved criteria...prior authorizations. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations… more
- US Tech Solutions (May, OK)
- …that conducts criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist ... urgent PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical… more
- CVS Health (Knoxville, TN)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... patients. You will work within the district to cover pharmacist scheduling gaps, under the direction of the Pharmacy...the District covers more than one state - required ** Prior Relevant Work Experience** **:** 1 to 3 years… 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …for you, we encourage you to apply! Job Description: Summary: The Pharmacy Prior Authorization Technician performs functions as permitted by law including the ... initial level processing and review of prior authorization requests for both pharmacy reviews...the member's benefit. + Routes cases directly to the pharmacist /medical director for final determination, as directed. + Issues… more
- Point32Health (MA)
- …responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and ... exceptions. The Clinical Pharmacist ensures timely disposition of reviews for CD and...guidelines. **Job Description** + Performs case reviews in automated prior authorization (Auto PA) tools and guides… 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 ... care like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits**… 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** **Full Time Day Shift 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...Specialty (BPS) certification **ONE** of the following is required prior to the first day of employment: Current Registered… more
- The County of Los Angeles (Los Angeles, CA)
- PHARMACIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1421628) Apply PHARMACIST Salary $155,836.32 - $178,485.84 Annually Location ... service are met and is subject to closure without prior notice EXAM NUMBER: Y5512Q TYPE OF RECRUITMENT: OPEN...Angeles is currently offering up to 20% bonus for Pharmacist positions hired by Correctional Health Services and working… more
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