- CVS Health (Oklahoma City, OK)
- …clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical ... Pharmacist Position supporting Medicaid Prior Authorization . An active OK, AZ or TX pharmacist license that is in good standing is required upon hire. New… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... and after hours pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for medications. + The clinical pharmacist will apply clinical knowledge ... is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure....procedure. + Answer phone lines promptly with priority on ' Pharmacist ' line and escalated calls. + Serves as the… more
- US Tech Solutions (May, OK)
- …hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... pharmacist will apply clinical knowledge to plan approved criteria...prior authorizations. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Prime Therapeutics (Oklahoma City, OK)
- …processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for ... + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs,… 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 ... all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… 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, ... clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy.... Bachelors or Doctorate of Pharmacy . Active State Pharmacist License . 6+ months of pharmacist … 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 ... all 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)
- …This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist . **About US Tech Solutions:** US Tech Solutions is… more
- US Tech Solutions (May, OK)
- …**Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- US Tech Solutions (May, OK)
- …pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on ... + Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + Shift priorities while exhibiting...each prior authorization . + Train and mentor representatives… more
- US Tech Solutions (May, OK)
- …providers, and others, delivering professional phone support through the criteria-based prior authorization process. Responsibilities include accurate and timely ... **Key Responsibilities** + Handle in-bound calls professionally, providing assistance per prior authorization guidelines + Maintain complete, accurate, and… 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 ... * Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while... prior authorization . + * Train and mentor... prior authorization . + * Train and mentor representatives on the… 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 ... **Skills:** + Prior Authorization + Medicare Part D **Education:** + Bachelor's Degree Required, Pharm D Preferred **About US Tech Solutions:** US Tech Solutions… more
- Actalent (Tulsa, OK)
- …of inpatient hospital pharmacy experience. + Experience in customer service and prior authorization processes. Work Environment This position requires working ... Job Title: PharmacistJob Description The clinical pharmacist specialist is responsible for the provision of...D. from an ACPE-accredited School of Pharmacy. + Active Pharmacist license in good standing with the appropriate State… more
- US Tech Solutions (May, OK)
- …+ This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + Reviewing ... and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits… more
- Prime Therapeutics (Oklahoma City, OK)
- …Clinical Pharmacy Technician **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by ... staff, medical management staff and/or pharmacists. + Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more