- US Tech Solutions (May, OK)
- …**Shift: Monday-Friday 9:30am-6pm local time zone** **Job Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based & ... to perform prior authorization as per policy and procedure. + The Pharmacist /Clinician will apply clinical knowledge to plan approved criteria for reviews of… more
- BrightSpring Health Services (Tulsa, OK)
- Our Company OnePoint Patient Care Overview We are looking for a Pharmacist to join our team of providing the highest quality of care, reliability, and support to our ... patients, caregivers, and families. In this role, the Pharmacist will be responsible for dispensing medications, providing clinical advice, as well as delivery… more
- US Tech Solutions (May, OK)
- **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected ... prior authorization for commercial and specialty medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective… more
- Humana (Oklahoma City, OK)
- …community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and ... and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical… more
- Humana (Oklahoma City, OK)
- …our caring community and help us put health first** The Clinical Pharmacist Lead-Florida monitors drug development pipeline, and medical literature, while providing ... support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate… more
- US Tech Solutions (May, OK)
- …a Prior Authorization Pharmacist is required. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an ... collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective… more
- US Tech Solutions (May, OK)
- …- 430pm EST Sat and Sunday. Set Rotation. **Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with ... **Experience:** + **Previous pharmacy experience in Medicare Part D, PBM , Prior Authorization is required.** + Appropriate state license...required with at least two years' experience as a pharmacist . Must have an active license in good standing.… more
- US Tech Solutions (May, OK)
- …HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at least two years experience ... as a pharmacist in Managed care environment. + Must have an active license in the state of residence in good standing. **Questionnaire:** + How many years of… more
- US Tech Solutions (May, OK)
- …+ Pharmacy Benefit Management **Experience:** + Previous pharmacy experience in PBM or Prior Authorization. + Appropriate state license required. + Basic ... or Pharm D. also required with at least two years experience as a pharmacist . **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm… more
- RxBenefits (Oklahoma City, OK)
- …partnership are met. They will leverage their expertise as a pharmacist to provide insightful, evidence-based recommendations, foster long-term partnerships, and ... up to 25% travel. **THIS JOB REQUIRES A LICENSED PHARMACIST .** _Essential Job Responsibilities Include:_ + Serves as the...+ Serves as the primary advisor on RxBenefits and/or PBM services and products, providing recommendations as appropriate. +… more
- Prime Therapeutics (Oklahoma City, OK)
- At Prime Therapeutics (Prime), we are a different kind of PBM , with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a ... PharmD or Bachelor of Science Pharmacy degree + Current pharmacist license in good standing with State Board of...Experienced and effective working in teams **Preferred Qualifications** + PBM Experience + 1 year of direct client management… more
- Actalent (Tulsa, OK)
- …and triaging coverage determination requests submitted by providers and determining whether a pharmacist review is required. You will play a key role in obtaining ... Track and triage coverage determination requests from providers. + Determine if pharmacist review is required for requests. + Obtain verbal authorizations and… more
- US Tech Solutions (May, OK)
- …of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties as ... etc). + Identify and elevate clinical inquiries to the pharmacist team as appropriate + Other duties assigned, for...volume calls. + 6 months of experience working in PBM on managed care environments **Skills:** + Prior Authorization… more