- CVS Health (Raleigh, NC)
- …care more personal, convenient and affordable. This position is for a Clinical Pharmacist working in the Medicaid Prior Authorization team. **This remote ... licensure in the State of North Carolina or State of Massachusetts.** The Clinical Pharmacist will: * Evaluate and review all prior authorization requests… more
- HCA Healthcare (Jourdanton, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) Clinical Pharmacist where your passion for creating...regulation to include the following: The Joint Commission, Medicare, Medicaid , Texas State Board of Pharmacy, Drug Enforcement Agency,… more
- HCA Healthcare (Jourdanton, TX)
- …where diversity and inclusion thrive? Submit your application for our Advanced Clinical Pharmacist opening with Methodist Hospital Atascosa today and find ... may vary by location._** We are seeking a(an) Advanced Clinical Pharmacist for our team to ensure...regulation to include the following: The Joint Commission, Medicare, Medicaid , Texas State Board of Pharmacy, Drug Enforcement Agency,… more
- CenterWell (Frankfort, KY)
- …of our caring community and help us put health first** The Senior Clinical Pharmacist monitors drug development pipeline, and medical literature, while providing ... mitigate cost trend and improve health outcomes. The Senior Clinical Pharmacist work assignments involve moderately complex...+ Health Plan experience + Knowledge of Medicare and/or Medicaid as it relates to pharmacy + 1-3 years… more
- Centene Corporation (Honolulu, HI)
- …individual to meet in-person. **Position Purpose:** Provide timely drug therapy for Medicaid health plan members by processing prior authorization and medical ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...in Hawaii and have a valid and active Hawaii Pharmacist license. There may be times that in-person meetings… more
- Healthfirst (NY)
- …Centers for Medicare and Medicaid Services (CMS), Dept of Insurance]. + Perform prior authorization reviews as set forth by CMS and/or NYSDOH. Ensure prior ... criteria and medical policies for the review of medications. + Ensure all clinical criteria follows Center of Medicare and Medicaid Services (CMS) and the… more
- Indian Health Service (Gallup, NM)
- …training programs. Assists in designing and completing research studies involving clinical pharmacist functions, quality assurance, drug use evaluations, or ... this position is to serve as a Antimicrobial Stewardship Ambulatory/Inpatient Pharmacist . The incumbent is primarily concerned with maintenance of the Antimicrobial… more
- Humana (New Hyde Park, NY)
- …the department to meet objectives and regulatory requirements. + In the manual pharmacist setting, provides clinical input to assure rational drug therapy, ... caring community and help us put health first** The Senior Mail Operations Pharmacist is responsible for the accurate and timely dispensing of prescribed medication… more
- Actalent (Tempe, AZ)
- Job Title: Pharmacist Job Description The Clinical Specialist manages accessibility, quality, and cost-effectiveness of drug and medical therapy for members and ... clinical reviews, analyses, recommendations, decisions, and documentation of prior authorization requests, medical exception requests, and appeal requests as… more
- Humana (Memphis, TN)
- …a part of our caring community and help us put health first** The Dispensing Pharmacist is a Tennessee licensed pharmacist who is responsible for the accurate ... and timely dispensing of prescribed medication to patients. The Dispensing Pharmacist work assignments involve product verification, maintaining physical stock in… more
- Organon & Co. (Boston, MA)
- **Job Description** **The Position** The Women's Health Clinical Account Specialist (WHCAS) supports customers by providing clinical information on our Company's ... products, as well as education, and supporting clinical training programs. They do this to support customer needs, to help the provider or system meet the goals of… more
- US Tech Solutions (RI)
- …reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- US Tech Solutions (May, OK)
- …reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other ... results (seniors, pharmacists, appeals, etc). + Identify and elevate clinical inquiries to the pharmacist team as...business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Clinical Pharmacy Provider Engagement Associate Director, HPS Clinical Program Strategy, partners ... Provider Groups. This role will lead a team of Clinical Pharmacists who work in market to develop and...experience in managed care or equivalent experience + Registered pharmacist with license in good standing; Degree of Doctor… more
- The Cigna Group (Bloomfield, CT)
- Provides counsel and advice to top management on significant Clinical Program Management matters, often requiring coordination between organizations. Focuses on ... Recognized internally as "the go-to person" for the most complex Clinical Program Management assignments. Represents company externally and serves as conduit… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Dir, Specialty Clinical Solutions- REMOTE **Job Description Summary** Responsible for support and development ... Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team. Responsible for managing current Medical Pharmacy clients and… more
- Lancaster General Health (Lancaster, PA)
- …enter prescriptions, patient health information and insurance information into the clinical pharmacy information system for pharmacist review. + Communicates ... **POSITION SUMMARY:** Under the direction and supervision of a registered pharmacist , the pharmacy technician performs various functions associated with the… more
- US Tech Solutions (May, OK)
- …complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist . + In order ... clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist...in PBM on managed care environments + **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- Lancaster General Health (Lancaster, PA)
- …sterile and non-sterile compounding/repackaging, as well as involvement in clinical initiatives and projects. Hours are flexible, typically working 40hrs/wk ... **POSITION SUMMARY:** Under the direction and supervision of a registered pharmacist , efficiently and effectively performs functions associated with the procuring,… more
- Highmark Health (Pittsburgh, PA)
- … in performing daily duties. All orders are checked by a pharmacist prior to dispensing. **ESSENTIAL RESPONSIBILITIES** + Distribution/Processing: Processes ... pharmacist , performs a wide variety of technical and clinical duties to support the provision of pharmaceutical care....order entry, medication preparation and assembles all required items prior to the pharmacist 's final check. Intakes… more