- US Tech Solutions, Inc. (Atlanta, GA)
- …reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The pharmacy Tech will also assist with other duties as needed ... and results (seniors, pharmacists, appeals, etc). Identify and elevate clinical inquiries to the pharmacist team as...experience working in PBM on managed care environments Skills: Prior Authorization Medicare and Medicaid Call handling… more
- HCA Healthcare (Jourdanton, TX)
- **Description** **Methodist Hospital South** **Advanced Clinical Pharmacist ** **Laboratory Department** **Full Time - Non-Exempt** **Mixed Shift - Rotating ... talk to you about this fantastic opportunity. The advanced clinical pharmacist demonstrates proficiency in all ...or Registrations Required:** A. B. ONE of the following prior to the first day of employment: 1. Current… more
- CVS Health (Pittsburgh, PA)
- …CVS Health has an exciting opportunity to join our growing team as a Clinical Development Pharmacist ! Are you looking for a clinically interesting role that ... be the role you are looking for! As a Clinical Development Pharmacist , you will create and...clinical content for all business segments (Commercial, Medicare, Medicaid and Marketplace) including standard and client requested programs… more
- University of Maryland, Baltimore (Baltimore, MD)
- …about the Peer Review Program. The pharmacist will review the clinical information from antipsychotic prior authorization requests and once approved, enter ... with prescribers and their representatives over the phone to provide information on prior authorization program. * Complies with relevant Medicaid and Program… more
- Humana (New Hyde Park, NY)
- …the department to meet objectives and regulatory requirements. + In the manual pharmacist setting, provides clinical input to assure rational drug therapy, ... caring community and help us put health first** The Senior Mail Operations Pharmacist is responsible for the accurate and timely dispensing of prescribed medication… more
- Humana (Miramar, FL)
- **Become a part of our caring community and help us put health first** A clinical pharmacist is a licensed professional who is responsible for the safe and ... dissemination of pharmacy services including medications and pertinent supplies. The pharmacist also monitors the flow of activities in the pharmacy department… more
- The Cigna Group (Bloomfield, CT)
- **Pharmacy Care Navigator - Clinical Pharmacist Part time 32 hour/week - California (remote)** **_Pharmacy Care Navigators are healthcare professionals, who ... its promise to help members navigate and maximize their benefit, help improve clinical outcomes and optimize drug therapy._** **Day in the Life Responsibilities:** +… more
- Humana (Memphis, TN)
- …a part of our caring community and help us put health first** The Dispensing Pharmacist is a Tennessee licensed pharmacist who is responsible for the accurate ... and timely dispensing of prescribed medication to patients. The Dispensing Pharmacist work assignments involve product verification, maintaining physical stock in… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Data Group (MDBG), Division of Formulatry and Benefit Operations (DFBO). As a Pharmacist , GS-0660-13, you will provide clinical pharmacy expertise and guidance ... is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare Drug Benefit and… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Women's Health Clinical Account Specialist (WHCAS) supports customers by providing clinical information on our Company's ... products, as well as education, and supporting clinical training programs. They do this to support customer needs, to help the provider or system meet the goals of… more
- US Tech Solutions (RI)
- …reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- US Tech Solutions (May, OK)
- …reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Director, Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary** Responsible for ... Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team. Responsible for managing current Medical Pharmacy clients and… more
- CVS Health (Phoenix, AZ)
- …periods of sitting, talking, hearing, and keying. - Escalates requests to Pharmacist when request requires extensive clinical review or denial. **Required ... and affordable. **Position Summary** - Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of… more
- Lancaster General Health (Lancaster, PA)
- …enter prescriptions, patient health information and insurance information into the clinical pharmacy information system for pharmacist review. + Communicates ... **POSITION SUMMARY:** Under the direction and supervision of a registered pharmacist , the pharmacy technician performs various functions associated with the… more
- US Tech Solutions (May, OK)
- …complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist . + In order ... clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist...in PBM on managed care environments + **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- Lancaster General Health (Lancaster, PA)
- …sterile and non-sterile compounding/repackaging, as well as involvement in clinical initiatives and projects. Hours are flexible, typically working 40hrs/wk ... **POSITION SUMMARY:** Under the direction and supervision of a registered pharmacist , efficiently and effectively performs functions associated with the procuring,… more
- Highmark Health (Pittsburgh, PA)
- … in performing daily duties. All orders are checked by a pharmacist prior to dispensing. **ESSENTIAL RESPONSIBILITIES** + Distribution/Processing: Processes ... pharmacist , performs a wide variety of technical and clinical duties to support the provision of pharmaceutical care....order entry, medication preparation and assembles all required items prior to the pharmacist 's final check. Intakes… more
- Trinity Health (Fort Wayne, IN)
- …medications and supplies, answers phones and triages patient phone calls to pharmacist and/or nursing as necessary, and helps maintain the pharmacy in proper ... numbers. 4. Inputs insurance, pharmacy and medical information; Initiates required prior authorizations when benefit investigation is not required; resolves aspects… more
- US Tech Solutions (May, OK)
- …reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other ... status and results (seniors, pharmacists, appeals, etc). Identify and elevate clinical inquiries to the pharmacist team as appropriate. **Experience:**… more
