- CVS Health (Annapolis, MD)
- …all with heart, each and every day. **Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must ... licensure in the State of North Carolina. This Pharmacist will: * Evaluate and review all prior...the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid , Commercial Prior Authorization and Case Review… more
- Highmark Health (Washington, DC)
- …to obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document ... concerning oral, injectable and infusion medication requests, and drug claim edits/ prior authorizations. By reviewing member claims history, clearly defines the… more
- Actalent (Annapolis, MD)
- …Pharmacy technicians will operate in an EST timezone, primarily reviewing Prior Authorizations for coverage determination within a Pharmacy Services department ... will be responsible for approving or denying requests and forwarding them to a pharmacist for final review. This role involves handling all health plans and types of… more