- State of Colorado (Denver, CO)
- Pharmaceutical Inspector ( Pharmacist II): DORA/Division of Professions & Occupations Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4537951) ... Apply Pharmaceutical Inspector ( Pharmacist II): DORA/Division of Professions & Occupations Salary $9,682.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Sacramento County (Sacramento, CA)
- Pharmacist Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4145390) Apply Pharmacist Salary $154,783.44 - $162,529.92 Annually Location ... on: 4/30/2024, 5/28/2024, 6/25/2024, 7/23/2024 (Final) Under direction, the Pharmacist compounds and dispenses pharmaceutical drugs, medicines and prescriptions, and… more
- City and County of San Francisco (San Francisco, CA)
- …15 primary care health centers. Under general direction, the Clinical Pharmacist performs professional pharmaceutical duties in drug education and utilization, ... checks pharmacy stock, and keeps records. The 2454 Clinical Pharmacist also performs other related duties as assigned. Nature...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Adecco US, Inc. (Montgomery, AL)
- …**Pay:** $57.00 to $60.00 an hour **Responsibilities of the Pharmacist :** + Interpret physicians' prescriptions and clinical documentation, accesses clinical ... regarding use of medications, potential drug interactions, and clinical status for appeals requests + Conduct Quality Assurance and verify the accuracy of all… more
- City and County of San Francisco (San Francisco, CA)
- …✅ + THEN, submit an online application Under general supervision, the Pharmacist performs professional pharmaceutical duties for the San Francisco Department of ... and holiday shifts. Under general direction of the Supervising Pharmacist , the Pharmacist performs the following essential...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Highmark Health (Columbus, OH)
- …an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and ... Associate Medical Directors and Medical Directors when appropriate, follow-up on appeals in accordance with our regulatory guidelines. The incumbent develops and… more
- St. Luke's Health System (Boise, ID)
- …St Luke's Health Plan is seeking a Clinical Pharmacy Benefits Management (PBM) Pharmacist to join our growing team. St. Luke's Health Plan is a wholly-owned, ... implementing new insurance products + Work autonomously to review prior authorization appeals to approve or deny coverage for medications based on medical necessity… more
- Actalent (Honolulu, HI)
- …clinical reviews, analyses, recommendations, and documentation for prior authorizations and appeals . + Review and revise medication request guidelines for clinical ... of Pharmacy (Pharm.D.) degree from an accredited pharmacy school. + Current and unrestricted pharmacist license in the state of Hawaii. + Minimum of 2-3 years of… more
- Actalent (Minneapolis, MN)
- Job Title: Clinical Pharmacist (100% Remote) Job Description This position is responsible for completing pharmacy and medical drug appeals along with retro prior ... authorizations for Medicare, Medicaid, and Health Exchange memberships. The role includes ensuring compliance with federal and state regulations, assisting in developing efficiencies in clinical review processes, providing oversight of the initial review… more
- Centers for Disease Control and Prevention (IN)
- …fill the positions listed below at multiple grade levels and locations. Pharmacist : Grades GS-11 through GS-15 Applicant Expiration: Applications will expire 4 ... Federal service such as making decisions on prior authorizations and appeals for medication; analyzing performance and recommending approaches and methods designed… more
- City and County of San Francisco (San Francisco, CA)
- …may be carriers of infectious/communicable diseases. Under the supervision of a pharmacist , the Pharmacy Technician supports the provision of pharmaceutical care to ... compounds a variety of pharmaceuticals under the supervision of a Pharmacist , including intravenous admixtures according to proper aseptic technique and in… more
- US Tech Solutions (May, OK)
- …of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). + Identify and elevate clinical inquiries to the … more
- US Tech Solutions (RI)
- …of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Tech I will also assist with other duties as ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc.). 10% + Identify and elevate clinical inquiries to the … more
- CVS Health (Austin, TX)
- …of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). 10% Identify and elevate clinical inquiries to the … more
- AdventHealth (Apopka, FL)
- …operational tasks, which includes but is not limited to assisting the pharmacist with all duties of preparing and dispensing of medications, inventory management, ... requests, coordinates medication access and adherence, prepares medications for pharmacist review/check, performs claim adjudication and processes customer (patient)… more
- Beth Israel Lahey Health (Boston, MA)
- …for providing technical support under the supervision of a licensed pharmacist in the outpatient/retail pharmacy. PTT's duties include bedside delivery of ... authorization approvals. Convey status updates as appropriate including information with appeals . 3. Provides exceptional customer service to internal and external… more
- Elevance Health (Tucson, AZ)
- …aid in the dispensing of prescriptions to patients by the CarelonRx Pharmacist . Responsible for complex pharmacy, patient, and prescriber encounters, including, but ... all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Managing inbound and outbound communications, triaging and… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …and manages pharmacotherapy of each member, collaborating with clinical pharmacist and physicians when necessary. + Prescribe appropriate medications, including ... + Follow both nursing home and CPHL reporting procedures for incidents, appeals , grievances EDUCATION AND EXPERIENCE: Education Required: Master's level degree in… more
- Penn Medicine (Philadelphia, PA)
- …assist with quality assurance through follow up calls on all clinical appeals and assigning specialty accreditation reassessments in the electronic medical record. ... care pharmacists. Position Description: Under the direct supervision of Registered Pharmacist , responsibilities for this position include but are not limited to… more
- Baptist Memorial (Covington, TN)
- …pharmaceuticals for BSP patients under the supervision of a licensed pharmacist and in accordance with dispensing regulations and established guidelines. This ... to prevent gaps in treatment + Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs + Understand The Centers… more