- CVS Health (Boston, MA)
- …Certified Oncology Pharmacist (BCOP) required + 2+ years clinical pharmacist experience, inclusive of prior authorization experience + Knowledge of ... based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist /Clinician will apply … more
- US Tech Solutions (Canton, MA)
- …times + Provides all aspects of clinical support needed to perform drug prior authorization (PA) requests and consults as required with Medical Directors on ... + Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the… more
- CVS Health (Boston, MA)
- …Certified Oncology Pharmacist (BCOP) required * 2+ years clinical pharmacist experience, inclusive of prior authorization experience * Knowledge of ... other business needs. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on … more
- Prime Therapeutics (Boston, MA)
- …for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for… more
- Point32Health (Canton, MA)
- …to our members, partners, colleagues and communities. **Job Summary** The Senior Clinical Pharmacist is responsible for the development and maintenance of ... requirements and to meet Point32Health's corporate priorities. The Senior Clinical Pharmacist also oversees the structure and...+ Pharmacy Programs: + Recommend placement of drugs in prior authorization (PA), step-therapy prior … more
- Intermountain Health (Boston, MA)
- …excellent customer service as appropriate to practice site. + Assists the pharmacist in collecting clinical and other patient information and maintaining ... demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, safe, efficacious, efficient, and cost-effective… more
- Prime Therapeutics (Boston, MA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Pharmacy Technician Sr **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Option Care Health (Framingham, MA)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... to be held in Marlborough, MA for 6 months prior to transitioning to Norwood, MA location. Under the...Norwood, MA location. Under the supervision of a licensed Pharmacist , assists with ensuring smooth and accurate pharmacy operations… more
- Beth Israel Lahey Health (Needham, MA)
- …medication reconciliation. To support outpatient clinics, the Pharmacy Technician trained in prior authorization management will complete and submit Prior ... technician with national certification** and proper internal training: Receives requests for Prior Authorization from pharmacy or Tier Exception/PAF request from… more
- Option Care Health (Framingham, MA)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... to be held in Marlborough, MA for 6 months prior to transitioning to Norwood, MA location. Under the...Norwood, MA location. Under the direction of a licensed Pharmacist , the compounding technician I works in a clean… more