- CVS Health (Boston, MA)
- …AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design ... * Board Certified Oncology Pharmacist (BCOP) required * 2+ years clinical pharmacist experience, inclusive of prior authorization experience * Knowledge of… more
- US Tech Solutions (Canton, MA)
- …of pharmacy and medical prior authorization (PA) requests for coverage determinations and exceptions. The Clinical Pharmacist ensures timely disposition ... direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing...process to either approval or denial to ensure all coverage determinations and notices are consistent with… more