- CVS Health (Oklahoma City, OK)
- …indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist support to the PA ... heart, each and every day. **Position Summary** As a clinical pharmacist , you will review Prior...and review clinical documentation in support of prior authorization reviews. The primary function of… more
- US Tech Solutions (May, OK)
- …data collected to perform prior authorization for medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria for ... Sunday-Thursday 8am-4:30pm local time zone** **Job Description:** + The clinical pharmacist is an operation based role...is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure.… more
- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... remote** **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based...Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical … more
- Adecco US, Inc. (Tulsa, OK)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify, and assess detailed clinical information. . Interpret medical and pharmacy policy criteria... questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy… more
- US Tech Solutions (May, OK)
- …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...**Skills:** + Prior Authorization + Medicare Part D **Education:**… more
- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior … more
- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Job Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation ... clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist...working in PBM on managed care environments **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on each ... member services department . + Refer cases not meeting clinical criteria to the Pharmacist and MD...prior authorization . + Train and mentor representatives...prior authorization . + Train and mentor representatives on the PA… more
- US Tech Solutions (May, OK)
- …06+ months contract **Note:** + Ideal candidates must have experience of Prior Authorization , Medicare Part D and Pharmacy Benefit Management experience. ... and Sunday. Set Rotation. **Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part...+ **Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization is required.** + Appropriate state… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... services department . + * Refer cases not meeting clinical criteria to the Pharmacist and MD...prior authorization . + * Train and mentor...prior authorization . + * Train and mentor representatives on the… more
- Prime Therapeutics (Oklahoma City, OK)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Pharmacy Technician **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Oklahoma City, OK)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with...to 3 years of related work experience. **Skills:** + Prior Authorization + Call handling experience. **Education:**… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation ... clinical questions, escalations and judgement calls to the pharmacist team. **Responsibilities:** + Effectively manage work volume by...a pharmacy before this translate over well. **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- Highmark Health (Oklahoma City, OK)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as… more
- US Tech Solutions (May, OK)
- …and other healthcare professionals. The role focuses on supporting the criteria-based prior authorization process by reviewing clinical information and ... Deliver exceptional customer service while guiding callers through the prior authorization process. + Review clinical...in a timely manner. + Escalate complex inquiries and clinical judgment calls to the pharmacist for… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... preferably in healthcare, social services, or a similar service position. **Skills:** + Prior Authorization **Education:** + High School diploma or GED is… more