- US Tech Solutions (May, OK)
- …The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. ... The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from CVS Caremark supported systems and take inbound calls from physicians or members regarding their pending,… more
- US Tech Solutions (May, OK)
- …+ This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria based prior authorizations as per policy and ... procedure. + Review and process prior authorization requests in accordance with clinical guidelines, policy, and procedures. + Apply clinical judgment in reviewing complex cases requiring prior authorization. + Communicate effectively with providers,… more
- US Tech Solutions (May, OK)
- …1. Patient-Centered Quality and Safety * Evaluate primary care, acute, chronically ill, and transitional care patients, in addition to providing healthcare education ... and counseling, and disposition planning for our patients ranging in age 18 months and above * Provide patient counseling; inclusive of pregnancy prevention, STI Prevention/safer sex practices, contraceptive care counseling and medication management * Educate… more
- US Tech Solutions (May, OK)
- …+ The Pharmacy tech takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties… more
- US Tech Solutions (May, OK)
- …Nurse Practitioner leverages administrative support in addition to delivering patient care services through virtual technology. The ratio of work is dependent upon ... patient demand. You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and… more
- US Tech Solutions (May, OK)
- …The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers ... through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist… more
- US Tech Solutions (May, OK)
- …This position involves receiving in-coming calls from members, providers, etc., and providing professional phone assistance through the criteria-based prior ... authorization process. The role requires maintaining complete, timely, and accurate documentation of all approvals and denials, and transferring all clinical questions and judgment calls to the pharmacist. **Duties:** + At least 1 year experience as a pharmacy… more
- US Tech Solutions (May, OK)
- …+ As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare… more
- US Tech Solutions (May, OK)
- …+ The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. **Responsibilities:** + The Tech I will also assist with… more
- US Tech Solutions (May, OK)
- …The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed to… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- US Tech Solutions (May, OK)
- …The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. ... The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations. **Responsibilities:** 1. Collaborates with the CRU Technician to process referrals, including answering clinical… more
- US Tech Solutions (May, OK)
- …+ This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + Reviewing and ... completing criteria based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of reviewing and completing criteria based on prior… more
- US Tech Solutions (May, OK)
- …+ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual must have ... excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or… more
- US Tech Solutions (May, OK)
- …1. **Patient-** **Centered Quality and Safety** + Evaluate primary care, acute, chronically ill, and transitional care patients, in addition to providing healthcare ... education and counselling, and disposition planning for our patients ranging in age 18 months and above + Provide patient counselling; inclusive of pregnancy prevention, STI Prevention/safer sex practices, contraceptive care counselling and medication… more
- US Tech Solutions (May, OK)
- …. Participates in the development and ongoing implementation of QM Work Plan activities. . Improve quality products and services, by using measurement and analysis to ... process, evaluate and make recommendations to meet QM objectives Responsibilities: . Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. . Considers all documented system information as… more
- US Tech Solutions (May, OK)
- …Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or ... systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Independently coordinates the clinical resolution with internal/external clinician support as required.… more
- Paychex (May, OK)
- …+ Drives Sales execution of the company's existing accountant partnerships to increase channel productivity across all sales divisions by: * Developing and then ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- US Tech Solutions (May, OK)
- …+ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty ... medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work for supported systems and take inbound calls from physicians or members regarding their pending,… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
Near May:
Major Cities:
Broken Arrow,
Edmond,
Enid,
Lawton,
Midwest City,
Moore,
Norman,
Oklahoma City,
Stillwater,
Tulsa