- UTMB Health (Webster, TX)
- …of immunizations Works with patients, providers, and payers to obtain prior authorization Resolves billing/adjudication issues encountered in the processing ... with the Texas State Board of Pharmacy (TSBP) OR Registered as a Pharmacist Intern with the Texas State Board of Pharmacy (TSBP) PREFERRED QUALIFICATIONS 2… more
- Elevance Health (Seven Hills, OH)
- …in the industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist ( Prior Authorization ) **Location(s):** + ... unless an accommodation is granted as required by law._** The ** Clinical Pharmacist ** is responsible for managing the selection and utilization of… 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 ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… more
- US Tech Solutions (Canton, MA)
- …The Clinical Pharmacist consults as required with Medical Directors on prior authorization that fails to meet drug prior authorization ... direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing...of clinical support needed to perform drug prior authorization (PA) requests and consults as… more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based...Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical … more
- US Tech Solutions (May, OK)
- …criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist /Clinician ... for urgent PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on … more
- Point32Health (Canton, MA)
- …times + Provides all aspects of clinical support needed to perform drug prior authorization (PA) requests and consults as required with THP Medical Directors ... Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist where your passion for...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… 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** **Full Time Day Shift Position, rotating weekends** **BMT Experience Required** **_Qualified, New ... each individual is recognized. Submit your application for our Clinical Pharmacist Specialist BMT opening with Medical...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Jourdanton, TX)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure that we continue to ... **Job Summary and Qualifications** General Statement of Duties: The clinical pharmacist demonstrates proficiency in all ...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- UTMB Health (Galveston, TX)
- …may include inpatient decentralized/unit-based care, ambulatory/specialty pharmacy, infusion services, prior authorization or medication access programs, and ... Clinical Practice Pharmacist - Specialty Pharmacist , Webster Pharmacy **Galveston, Texas, United States** Allied Health UTMB Health Requisition # 2506843… more
- Mayo Clinic (Phoenix, AZ)
- …future. **Responsibilities** We are recruiting for one abdominal solid organ transplant clinical specialist pharmacist to cover the following: + (1) OUTPATIENT ... abdominal (kidney/pancreas/liver) SOT pharmacist that covers outpatient kidney/pancreas/liver services. Responsibilities + Provides an expert level of consultation,… more
- CVS Health (Pittsburgh, PA)
- …programs are implemented correctly. Knowledge of utilization management interventions including prior authorization , step therapy, quantity limits, and Oncology ... - Demonstrated in-depth understanding of utilization management and formulary, including prior authorization , step therapy, quantity limits, and Oncology and… more
- Centene Corporation (Salem, OR)
- …plan design changes, and clinical programs to be initiated + Monitor prior authorization requests + Provide clinical support to internal departments ... organization offering competitive benefits including a fresh perspective on workplace flexibility. ** Clinical Pharmacist (Part-Time - 20 hours a week M-F between… 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
- Centene Corporation (Harrisburg, PA)
- …plan design changes, and clinical programs to be initiated + Monitor prior authorization requests + Provide clinical support to internal departments ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Ochsner Health (Jefferson, LA)
- …Experience** Required - None Preferred - 2 years of experience as Pharmacist Experience in specialty pharmacy **Certifications** Required - License to practice ... to use computer programs necessary for the successful review, authorization , preparation, dispensing and management of home infusion center...and legal. + Assists in the teaching of patients prior to discharge to home. + Coordinates the deliveries… more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... Provides drug information to patients and healthcare providers. Works to resolve prior authorizations and all insurance billing on behalf of the patient and… more
- CVS Health (Manteca, CA)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... to care and helping to improve patient outcomes through pharmacist delivered clinical care such as testing...D. degree required **Doctor of Pharmacy (PharmD) is preferred** ** Prior Relevant Work Experience** + 1 to 5 years… more
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