- Penn Medicine (Philadelphia, PA)
- …work? Penn Medicine is seeking a full-time, day shift (hybrid) Clinical Pharmacist , Ambulatory/Retail for our prior authorization team at our specialty ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Penn State Health (Hershey, PA)
- …at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Specialty Clinical Pharmacist is responsible for providing ... with serious health conditions requiring complex specialty drug therapies. The Specialty Clinical Pharmacist is responsible to educate and support patients… more
- Highmark Health (Pittsburgh, PA)
- …and implementation of utilization management programs including but not limited to: prior authorization , dose and duration edits, quantity limits, step-care ... and stakeholders across the organization. Key responsibilities will include clinical review, assisting in navigating a complex regulatory environment, working… more
- Highmark Health (Wexford, PA)
- …bonus for a 1-year commitment This position supports the network centralized prior authorization department. Coordinates and administers the effective and ... efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits...management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical… more
- UPMC (Pittsburgh, PA)
- …to the development, implementation and management of the pharmacy benefit. The clinical pharmacist assists in the management of pharmacy utilization and ... in the development and execution of multiple utilization management techniques such as prior authorization , step therapy, quantity level limits, and other dose… more
- Prime Therapeutics (Harrisburg, PA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Penn Medicine (Philadelphia, PA)
- … prior to patient discharge. + Maintain communication with unit based clinical pharmacist , social worker and discharge pharmacy program administrator as ... claim adjudication + Any discrepancies to be immediately communicated to unit based clinical pharmacist and discharge concierge program administrator so as to… more
- Highmark Health (Harrisburg, PA)
- …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
- Penn Medicine (Philadelphia, PA)
- …and patient satisfaction with a focus on the non-Oncology clinics and centralized prior authorization program. The AD will resolve patient concerns not remedied ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more