- 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
- 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
- Prime Therapeutics (Boston, MA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist - REMOTE **Job Description** The Clinical Pharmacist ... systems to support benefit coverage decisions and contingent therapy, quantity limits, and prior authorization programs + Develop and maintain point of service… more
- Intermountain Health (Boston, MA)
- …management skills. **Preferred Qualifications** + Pharmacy management experience. + Previous prior authorization . + patient assistance experience. + Master's ... service experience and that the best possible operational and clinical outcomes are achieved. Leader will implement and support...role and location within 90 days of hire. + Prior experience and demonstrated competence in area of practice… more
- Children's Hospital Boston (Boston, MA)
- …all phases of the PA process with the insurance companies, engaging clinical pharmacist and prescriber support as needed. Duties and Responsibilities: ... + Communicates directly with insurance companies to obtain prior authorization approvals for medications and medication-related equipment. + Assists clinical … 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
- 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
- Beth Israel Lahey Health (Westwood, MA)
- …**Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and ... reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related...provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. 5. Serves as the… more
- Beth Israel Lahey Health (Boston, MA)
- …**Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and ... reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related...provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. 5. Serves as the… more