- Integrated Resources, Inc (Atlanta, GA)
- …contract criteria, industry regulations and sound clinical judgment. . The Prior Authorization pharmacist works independently with respect to reviews ... Job Title: Pharmacist I - Prior Authorization...customer performance guarantees. Additional responsibilities include: . Telephonically provide clinical support to the PerformRx Contact Center . Engage… more
- Mindlance (Gallatin, TN)
- …3/5 Skills: Licensed Pharmacist Insurance Healthcare experience Job Duties: The Clinical Pharmacist is responsible for the daily activities of the pharmacy ... medical record. . Assist patients and physicians with medication profiles and facilitate prior authorization as related to patient and point of care need.… more
- Cambia Health Solutions, Inc (Boise, ID)
- …and obtaining appropriate documentation for pharmacy medical exception requests, prior authorization requests, reconsiderations, and appeals. Prepares ... in a manner which facilitates clinical review and decisions by Clinical Pharmacist Consultants. Organizing data includes but is not limited to sorting drugs… more
- JobsRUs (San Francisco, CA)
- …professional phone assistance to all callers through the criteria based prior authorization processMaintains complete, timely and accurate documentation of ... all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist... clinical questions and judgment calls to the pharmacist .At least 1 year experience as a pharmacy technician… more
- CVS Health (Oklahoma City, OK)
- …Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist Position supporting ... of hire + 3+ years experience working as a clinical pharmacist . + Experience with clinical...and Qcodes) is a plus + Prior authorization experience + Experience reviewing medical records, clinical… more
- CVS Health (Austin, TX)
- … Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical ... authorization pharmacy technicians and/or providers for clinical information.* Active pharmacist license that is… more
- CVS Health (Phoenix, AZ)
- …Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist Position supporting ... trends. Preferred QualificationsMedicaid or Medicare experience Prior authorization experience. Experience reviewing medical records, clinical literature,… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Lead Clinical Pharmacist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are ... in an elevated role. We are recruiting a Lead Clinical Pharmacist to join our team of...in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Clinical Pharmacist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are passionate ... experience in an elevated role. We are recruiting a Clinical Pharmacist to join our team of...in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance… more
- Conduent (Elkridge, MD)
- …when necessary. + Uphold clinical goals and guidelines for our pharmacy prior authorization program. + Evaluate new therapies and methodologies to identify ... Maryland (required). + Minimum of three (3) years of experience supporting formulary, prior authorization , benefits design, and clinical information. +… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your current ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist Behavioral Health where your...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist PICU you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist PICU where your passion...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- CVS Health (Buffalo Grove, IL)
- …health care more personal, convenient and affordable. Position SummaryThe Medical Specialty Clinical Pharmacist will be responsible for development and execution ... specialty programs and services across our Book of Business. The Medical Specialty Clinical Pharmacist will be responsible for managing and executing long-term… more
- University of Rochester (Rochester, NY)
- …in an effective and professional manner. 7. Checks all products requiring a pharmacist approval prior to dispensing. 8. Participates in departmental Q/A ... GENERAL PURPOSE: Using clinical judgment and available resources, approves the ordering...and interest in hospital practice. The newly-hired Level II pharmacist is someone with either prior (>1… more
- Ascension Health (Indianapolis, IN)
- … pharmacist collaborative practice agreement with Providers + Assist with advanced prior authorization where clinical expertise required + Provide patient ... + **Location:** Indianapolis, IN PGY2 Residency in Ambulatory Care or equivalent clinical Ambulatory Care experience **Benefits** Paid time off (PTO) Various health… more
- Seattle Children's (Seattle, WA)
- …prior authorization services, build relationship with supported clinics, support prior authorization pharmacy associates with clinical review work, ... and improvements. Participates in Pharmacy and multi-disciplinary med prior authorization efficiency improvement. Serves as a clinical liaison for Outpatient… more
- Penn Medicine (Philadelphia, PA)
- …you living your life's work? Penn Medicine is seeking a PRN, day shift Clinical Pharmacist , Ambulatory/Retail at the Hospital of the University of Pennsylvania ... location. This position will have a focus on insurance verification and prior authorization processes. Job Summary: Provides comprehensive, quality medication… more
- Conduent (Elkridge, MD)
- …if and when necessary . Ensuring compliance with clinical goals and clinical guidelines for pharmacy prior authorization program . Evaluate new ... culture where individuality is noticed and valued every day. ** Clinical Psychiatric Pharmacist ** Are you innovative and...to understand trends, uncover gaps in care . Review prior authorizations for clinical appropriateness and accuracy… more
- Geisinger (Wilkes-Barre, PA)
- …healthcare insurance company, physician's office and the pharmacy. + Assists with the Prior Authorization and approval process and the statement of medical ... patients and as well as developing and coordinating patient care within the clinical care team. This individual will coordinate the activities and lead resolution of… more
- CVS Health (Pittsburgh, PA)
- …disease management and therapeutics. Knowledge of utilization management interventions including prior authorization , step therapy, quantity limits and formulary ... health care more personal, convenient and affordable. Position SummaryAs a Clinical Development Pharmacist , you will create and maintain clinical content for… more
