- Adecco US, Inc. (Los Angeles, CA)
- …of California . 2 years of experience working as a prior authorization pharmacist **.** Experience using clinical resources, eg, Micromedex, Lexicomp, ... criteria within the designated service level agreements. . Evaluate and review all prior authorization requests and render coverage determinations based on … more
- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior … more
- US Tech Solutions (New York, NY)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Job Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- Actalent (Oklahoma City, OK)
- Actalent is currently hiring for a Remote Prior Authorization Pharmacist ! *Oklahoma RPh License Required* Job Description: + Completes assigned daily cases ... practice specific to specialty pharmacy Qualifications: + 2+ years experience as a pharmacist in prior authorization or medication therapy management. Retail… 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
- HCA Healthcare (San Antonio, TX)
- …integrity. We care like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. ... by location._** Come join our team as a(an) Transplant Clinical Pharmacist Specialist. We care for our...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Dallas, TX)
- **Description** ** Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction** Are you looking for a work environment where ... diversity and inclusion thrive? Submit your application for our Clinical Pharmacist Specialist BMT PRN opening with...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical Pharmacist Specialist BMT Oncology PRN you want with your current ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist BMT Oncology PRN where...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 BMT Onc you want with your current employer? We ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist BMT Onc 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)
- …environment where diversity and inclusion thrive? Submit your application for our Clinical Pharmacist Specialist Transplant opening with Methodist Hospital today ... benefits may vary by location._** We are seeking a(an) Clinical Pharmacist Specialist Transplant for our team...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception requests from providers via phone ... and Medical Utilization Management benefits. ROLE RESPONSIBILITIES: + Participation in Prior Authorization , Formulary Exception, Step Therapy and Quality Care… more
- US Tech Solutions (May, OK)
- …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...**Skills:** + Prior Authorization + Medicare Part D **Education:**… 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
- Actalent (Kennett Square, PA)
- …of Pharmacy (PharmD) degree. + Order verification skills. + Experience with prior authorization processes. Additional Skills & Qualifications + Intermediate ... Job Title: Pharmacist Shift: 2nd Shift evenings Job Description We...Job Description We are seeking a dedicated and experienced Pharmacist to oversee prescription dispensing personnel and operations during… more
- Healthfirst (NY)
- …of Health, Centers for Medicare and Medicaid Services (CMS), Dept of Insurance]. + Perform prior authorization reviews as set forth by CMS and/or NYSDOH. Ensure ... Job Description **Duties and Responsibilities:** + Responsible for developing clinical criteria, medical policies for provider administered medications, review...prior authorization reviews are conducted in timeframes… more
- Sharp HealthCare (La Mesa, CA)
- …challenging for patients to access in the outpatient settings (high cost, required prior authorization , no insurance or under insured etc.) and address any ... associated access issues prior to discharge. For...Meeting, case management.Performs drug therapy management duties as a clinical pharmacist as directed.Performs applicable clinical… more
- Ardon (Vancouver, WA)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... to grow, we are seeking an Integrated Specialty Services Pharmacist to join our award-winning specialty pharmacy team. About...barriers to care and provide patients with the education, clinical care and supportive services they need on their… more
- TEKsystems (Rochester, NY)
- Description: The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior ... This position provides leadership and expertise in the intake area of the prior authorization process for medications processed either through the pharmacy or… more
- IQVIA (Northborough, MA)
- …with attention to detail and accuracy, to then have the prepared prior authorization reviewed by a clinical pharmacist . + Assist patients with the ... obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status. This role will be… more
- US Tech Solutions (AZ)
- …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...healthcare. **Skills:** + Prior Authorization . + Medicare. + … more