- US Tech Solutions (May, OK)
- …calls from physician or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Evaluate and review all prior ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected… more
- Trinity Health (Westerville, OH)
- … Pharmacist with medication or patient care related issues * Assist the Pharmacist with prior authorizations for medications **Minimum Qualifications:** . ... effective, and patient-centric pharmaceutical care under the direct supervision of a Registered Pharmacist . **What You Will Do:** + Will assist Pharmacists in the… more
- US Tech Solutions (May, OK)
- …calls from physicians or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Ensure accuracy of case setup and ... based 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)
- …take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations , internally support the Prior Auth team and ... and telephony programs. + Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a… more
- Saratoga Hospital (Saratoga Springs, NY)
- …or equivalent with a minimum of a Bachelor of Science degree in Pharmacy. + Prior pharmacist experience in a retail environment. + Current license to practice ... Retail Pharmacist Location: Saratoga Springs, NY Employment Type: Part-time...or pharmacy technicians consistent with state requirements accept renewal authorizations . + Maintain controls to not allow misbranded, deteriorated,… more
- The Cigna Group (Maitland, FL)
- …healthcare teams to optimize drug therapy and patient outcomes. + Manage prior authorizations , billing, and reimbursement processes for specialty medications. + ... Join ProHealth as a Pharmacist In-Charge (PIC) at our Maitland, Florida location...employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states… more
- US Tech Solutions (AZ)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + Performs ... pharmacist availability could be required. (10%) **Experience:** + Pharmacist License of Current State + Prior ...+ Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working… more
- Insight Global (Amarillo, TX)
- …member benefits and coverage criteria within defined turn-around times. Review prior authorizations and determine opportunities for interventions. Coordinate ... Pharmacy or Doctor of Pharmacy (Pharm.D) degree Active, current and unrestricted pharmacist license/registration 1+ year of direct prior authorization experience… more
- Geisinger (Danville, PA)
- …the needs of the caller. Responsible for addressing medication related questions, issues, prior authorizations , as well as refill approvals. Perform a medication ... electronic medical record and develop an appropriate plan according to the Pharmacist refill authorization protocol and the most recent clinical guidelines. +… more
- Nuvance Health (Norwalk, CT)
- …inquiries. 4. Answering drug information requests from providers. 5. Obtaining prior authorizations . 6. Consulting prescribers about prescription problems. 7. ... *Description* Summary: The intern pharmacist would assist the full-time pharmacy staff during times of pharmacist PTO, as an intern may perform many of the… more
- UHS (Walton, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- UHS (Johnson City, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- Cedars-Sinai (Beverly Hills, CA)
- …will assist in clinical reviews of specialty prescriptions, conducting oncology prior authorizations and managing benefit investigations, supporting oncology ... residency or equivalent practice experience. **License/Certification/Registration Requirements:** + Current pharmacist licensure in the State of California. **What else… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... plan approved criteria for prospective and concurrent reviews of cases. authorizations . **Responsibilities:** 1. Collaborates with the CRU Technician to process… more
- Vanderbilt University Medical Center (Nashville, TN)
- …component includes evaluating doses and indications with their MAR, submitting prior authorizations , and making interventions with providers directly. **Key ... **Monroe Carell Jr. Children's Hospital at Vanderbilt** is seeking a ** Pharmacist Coordinator** to join the Outpatient Pharmacy Leadership team! **Position… more
- Scripps Health (San Diego, CA)
- …* Experience in Specialty Pharmacy or Oncology * Experience in prior authorizations , processing and billing prescriptions. **Job:** **Pharmacy* **Organization:** ... for ongoing monitoring and support. Responsibilities of the Clinical Pharmacist Specialist include: * Assumes clinical leadership responsibilities for pharmacy… more
- Logan Health (Kalispell, MT)
- …such as diabetes, high cholesterol, and hypertension. + Assist with medication prior authorizations and financial assistance applications to improve medication ... Excellence. Logan Health's is looking for a full-time Ambulatory Pharmacist to join their team! This vital position will...you are: We are looking for a seasoned, experienced pharmacist for this impactful position. Our ideal candidate will… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Clinical component includes evaluating doses and indications with their MAR, submitting prior authorizations , and making interventions with providers directly. + ... relationships with health care professionals, families, and patients; and the pharmacist is actively involved in being further educated and providing education… more
- Fairview Health Services (Minneapolis, MN)
- …the customer's needs. Address third party prescription questions, which may include prior authorizations , vacation supplies, dose changes, price check and drug ... problem solving. + Perform under the direction of the Pharmacist to assist with identifying and resolving patient specific...and other processes. + Under the direction of the pharmacist , prepare drug therapy for patients in an accurate… more
- Catholic Health Services (Rockville Centre, NY)
- …items, etc. + Collaborates with the interdisciplinary team to facilitate medication prior authorizations as needed for continuation of care. + Evaluate ... award. Job Details Transition of Care (TOC) The Transitions of Care Pharmacist will work collaboratively with healthcare professionals to maximize positive clinical… more