- Humana (Sacramento, CA)
- …necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical scenarios and ... our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical… more
- Medtronic (Sacramento, CA)
- …connected, compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's ... as the face of the company and are field clinical diabetes experts. CTMs report to the Clinical...+ Physician Assistant (PA) + Nurse Practitioner (NP) + Pharmacist _AND_ + Associate's Degree and 4 years of… more
- Highmark Health (Sacramento, CA)
- …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